Q: Our coding team is currently debating how to report acute tubular necrosis (ATN) in ICD-10-CM for a patient after a renal transplant. Can you provide any guidance?
In many cases, knowing when to query is simple, but the more challenging cases contain clues that require additional interpretation. Drew Siegel, MD, CCDS, takes a look at a few of the more interesting and often undocumented diagnoses, including respiratory failure and acute kidney injury, and points out the diagnostic clues to form a compliant query.
Q: In ICD-10-CM, how would you report a patient who is receiving hemodialysis and has chronic kidney disease (CKD) when a failed kidney transplant is also documented?
The Surviving Sepsis Campaign recently released a 2018 update to guidelines for the care of patients with sepsis. The update includes a new “hour-one bundle” which replaces previous versions of the Surviving Sepsis Campaign guidelines.
Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS , writes that beyond auditing for code assignment, coding reviews also provide an opportunity for you to conduct a thorough compliance evaluation that not only addresses other components of the coding process but also the integrity of the patient’s record. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Erica E. Remer, MD, FACEP, CCDS, reviews recent Coding Clinic guidance surrounding the code assignment of a Salter-Harris type I physeal fracture of the third metatarsal bone of the left foot.
On June 18, the World Health Organization (WHO) released a version of the 11th Revision of the International Classification of Diseases (ICD-11). ICD-11 reflects critical advances in science and medicine and is the first code set revision to be well integrated with electronic health applications and information systems, WHO says.
Q: Could you shed some light on reporting ICD-10-CM codes K66.1 (hemoperitoneum), an MCC, and R58 (hemorrhage, not elsewhere classified), which is not considered a CC or an MCC?
James S. Kennedy, MD, CCS, CDIP, CCDS , writes that ICD-10-CM/PCS documentation and coding rules surrounding patient safety indicators (PSI) must be honored in order to ensure proper compliance and reimbursement.
According to the National Institute of Health, approximately 100,000 Americans have sickle-cell disease. In this article, Peggy Blue, MPH, CCS, CCS-P, CPC, CEMC , breaks down the complexities of the disease and clarifies reporting of the diagnosis. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
