Q: Does your team include calculations to support clinical indicators in your queries? Do your CDI specialists calculate P/F ratio and include the calculation in their query addressing respiratory failure? Do your CDI specialists calculate the corrected sodium level for...Read More »
Q: Do you query for acute pulmonary insufficiency? If so, what criteria do you use?
Response #1: We have recently begun to educate our providers (especially cardiothoracic surgeons) on using this diagnosis. We tell them to utilize it for...Read More »
Q: What criteria guidelines are you utilizing for sepsis (i.e., Sepsis-2, sequential organ failure assessment [SOFA], etc.)? Do you adjust criteria based on payer? We’re currently using Sepsis-2 for all payers.
Q: A 64-year-old female inpatient has hepatocellular cancer with an orthotropic liver transplant with bile duct obstruction and is immunosuppressed due to drugs. Which ICD-10-CM codes would be reported?
A: The scenario would be reported with ICD-...Read More »
Q: A 64-year-old female bilateral lung transplant recipient presents with aspiration pneumonia, hypoxia, and has immunosuppression from the drugs. How would this scenario be reported in ICD-10-CM?
A: Sequenced correctly, the scenario...Read More »
Q: There seems to be a knowledge deficit around nonischemic myocardial injury, even among cardiologists. Could you provide some guidance around this diagnosis and advice for educating physicians?Read More »
Q: If nephrology or another consultant notes acute kidney injury (AKI)/acute renal failure (ARF), but the attending is not writing diagnosis, should you query? I was taught to have the attending confirm the diagnosis written by the consultant(s) to validate diagnosis, maintain...Read More »
Q: A patient was admitted for acute hypercapnic respiratory failure (AHRF) and acute heart failure with preserved ejection fraction exacerbation, hypertension, thought to be secondary to untreated obesity hypoventilation syndrome/obstructive sleep apnea (OHS/OSA) with improvement in...Read More »