Q: How do you know which ICD-10-CM code to use to document a patient with anorexia nervosa?
A: Anorexia nervosa (F50.0-) has two specific types. There’s a fifth character to identify which type of anorexia nervosa: restricting type (F50.01) or binge...Read More »
Q: I have a situation where providers are using abbreviations such as AHRF for acute hypoxic respiratory failure, ADHF for acute decompensated heart failure, etc. Can I code these conditions, or do I need to query to clarify the abbreviation? Read More »
Q: What if the provider's documentation states both class three obesity and morbid obesity as well as body-mass-index (BMI)? Additionally, if the patient’s BMI is greater than 40, can you automatically assign class 3 obesity E66.813?Read More »
Q: I would love to know if other programs are doing a team huddle. This is different than a formal staff meeting. We had daily team huddles during early COVID but have since discontinued them. We are hearing some staff would like them back. My questions are: if you have them, how...Read More »
Q: I am working with my coding manager to solidify a coding/CDI query request process that works for all, but so far have had some roadblocks. What is the process or policy for query requests from the coding department to the CDI department at your organization? Are there specific...Read More »
Q: According to the Official Guidelines for Coding and Reporting, the stage of a pressure injury can be taken from a nurse's documentation, provided it is also documented by a provider in the same location and with the same etiology. Institutions have the...Read More »
Q: I was wondering how CDI programs are dealing with clinical validation of conditions as opposed to coding and the coding guidelines that instruct coders not to skip diagnoses just because of clinical criteria. What do you do when executive leadership says to just skip coding...Read More »
