Q: Are there any coding guidelines that should be considered for NICU populations?
A: There are very specific coding guidelines concerning newborns, including conditions that arise following the hospital stay, that both coders and CDI...Read More »
A: For CDI programs that have CDI staff reviewing patient safety indicator (PSI) cases, how are PSI reviews set up? Do you have a dedicated CDI staff member for these reviews? Is it a shared task among the group or is there a PSI team? Do you meet regularly with the quality team, and...Read More »
Q: Consider a patient who is readmitted for postoperative pain control after a lung transplant two days prior. How would coders report this type of surgical complication in ICD-10-CM? In general, what are the guidelines for coding pain as a surgical complication of transplantations...Read More »
Q: Consider a patient who received a hysterectomy two days ago and was later admitted for severe acute abdominal pain around the surgical wound. When the wound was reopened, it was discovered that an instrument had been left in her body. The instrument was removed, and the wound was...Read More »
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 »
