by Trey La Charité, MD Sadly, there are patients who will not survive their current level of illness regardless of the best efforts of their physicians and their medical facility. The providers caring for these patients are often at risk of underreporting those patients’ severity of...Read More »
AHA Coding Clinic for ICD-9-CM released its second round of ICD-10 coding guidance in its First Quarter 2013 issue. The following is a recap of the issue with an eye toward what it means for CDI specialists.Read More »
Depending on how they are sequenced, CC and MCC conditions can have a direct effect on MS-DRG assignment, says ACDIS Advisory Board member Cheryl Ericson, MS, RN, CCDS, CDIP, clinical documentation improvement (CDI) education director at HCPro, Inc. in Danvers, Mass., and an AHIMA-...Read More »
The phrase “sepsis syndrome” is starting to appear in medical records these days, but unfortunately it’s a term that requires further clarification. When it’s used, CDI staff/coders should query the physician to clarify the condition being treated. That’s the latest guidance from AHA’s Coding...Read More »
AHA Coding Clinic for ICD-9-CM released its first ICD-10 coding guidance in its Fourth Quarter 2012 issue. The guidance is welcome as the first official coding regulations concerning ICD-10 to come out to date, other than the ICD-10 Official Guidelines for Coding and Reporting.Read More »
Concurrent coding. It’s a process whereby coders assign ICD-9-CM codes throughout the patient’s stay, rather than after discharge. But the practice isn’t a common one. According to a recent CDI poll on the ACDIS website, only 13% of nearly 170 respondents perform concurrent coding at their...Read More »
Q:We recently had a case where the patient was admitted for “sepsis secondary to a urinary infection (UTI) with chronic Foley.” I am wondering if there is a AHA Coding Clinic for ICD-9-CM tosupport coding this case to 996.64, Infection and...Read More »
Q:The majority of the admissions I am reviewing this week are for an elderly population. It seems that they all have the same admitting diagnoses: Failure to thrive (FTT), urinary tract infection (UTI), fever, dehydration, altered mental status (AMS). I am confused...Read More »