Q: Some CDI specialists tell physicians not to document acute renal insufficiency because it does not code to acute renal failure and I am wondering if that is considered appropriate.
For instance, I was reviewing a chart and the physician documented that the...Read More »
CDI specialists working in the adult population are likely familiar with the pathophysiology of several common cardiac conditions and their necessary documentation (i.e., acute myocardial infarction, diastolic versus systolic heart failure, etc.). For the pediatric population, however, CDI...Read More »
Coding Clinic for ICD-10-CM/PCS, First Quarter 2017, which became effective March 15, provides interesting perspectives regarding coding and documentation for Impell®, an implantable heart pump device that supports a patient’s...Read More »
Q: Does sepsis and/or severe sepsis have to be documented in the medical record when only septic shock is noted? We have a couple of physicians that will document septic shock without noting sepsis and/or severe sepsis. I was informed that coding needs to also have the documentation of...Read More »
One of the tasks I enjoy most in my role as the ACDIS associate director of membership and product development is getting to interact with our book authors and CDI Boot Camp instructors. Many of these talented professionals have been involved in CDI longer than...Read More »
Q: I have a question about the coding of a Kennedy ulcer. I’ve heard that once an ulcer is identified as a Kennedy ulcer, it should no longer be coded as a pressure ulcer. How do you code a Kennedy ulcer? Or do you not code it at all? A: A Kennedy terminal...Read More »