Q: I have heard that there is an AHA Coding Clinic for ICD-9-CM, which states that the exacerbation of cystic fibrosis (CF) should always be listed first. Should we be querying for the specific pulmonary exacerbation of the cystic fibrosis?Read More »
Q: I need further clarification regarding documentation of toxic metabolic encephalopathy. I’m trying to code two different cases in which a physician documents acute mental status change...Read More »
Q:I realize that if the body mass index (BMI) of a patient is documented by nurses and dieticians can be coded if the physician documents the clinical significance (i.e. morbid obesity). However, if the BMI is documented by a patient care tech or nursing ward secretary...Read More »
Q: I was interested in further discussion about cystic fibrosis coding. I am conducting an audit on MS-DRGs 177, 178, and 179, Respiration infections and inflammation with MCC, CC, and without CC...Read More »
Q: If a hospital CEO were to tell a new CDI department manager to pull together some statistics on the performance of the department, where should he or she begin?