As a benefit of membership in the ACDIS CDI Leadership Council, Associate Editorial Director Linnea Archibald sends out “missed connections” emails to Council members with questions from other members on a regular basis. Anyone with experience related to one of the questions was invited to...Read More »
Question: When the patient is admitted with a diagnosis of sepsis, and the history describes a urinary tract infection related to a foley catheter, with documentation also indicating pancreatic cancer, anemia, and dehydration, “History describes a urinary tract infection related to a...Read More »
Q: Do you have any suggestions for when a clinical validation query is sent for sepsis asking for additional supporting documentation if ruled in? We are seeing providers rule sepsis in as a valid diagnosis, but they do not provide additional supporting documentation. We seem to be...Read More »
Q: What is a neobladder reconstruction and how is this procedure reported in ICD-10-PCS?
A: Neobladder reconstruction is the surgical construction of a new bladder using intestinal tissue. This surgery may be performed if a patient has...Read More »
The severity and length of post-COVID symptoms has been a topic of study almost ever since the pandemic began. In a new study involving patients with significant respiratory disability following hospitalizations for COVID, daily supervised pulmonary rehabilitation was associated with significant...Read More »
Q: Please advise on the coding guidelines in ICD-10-CM regarding the coding of fractures and their specificity obtained from a radiology report. For example, a patient is diagnosed with ankle sprain but when...Read More »
Q: When you have a patient admitted for observation and then changed to inpatient, do you use the diagnosis that makes them meet inpatient criteria as your primary diagnosis or the observation diagnosis?
by Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC
As usual, American Hospital Association (AHA) Coding Clinic closes out the year with back-to-back releases. The fourth quarter Coding Clinic was published just days after the release of...Read More »
