Q: A wound care patient with a 25-sq-cm chronic foot ulcer presents with a new cellulitic rash, which is treated using topical medication. During the visit, the physician also surgically removes dead tissue from the ulcer. How would these services be reported in CPT?
ICD-10-CM coding for neuropathies can be challenging given the complexity of these diagnoses and associated complications. Demystify documentation requirements and ICD-10-CM coding for ischemic and hemorrhagic strokes, migraine headaches, and paralysis.
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC , breaks down CPT coding for diagnostic services performed during the second and third trimesters, and provides an overview of an obstetric (OB) hospitalist's role in caring for high-risk maternity patients.
Several CPT modifiers have similar definitions, which can make distinguishing between them challenging. Review guidance for the appropriate application of modifier -51 versus -59 and discontinued service modifiers -52, -53, -73, and -74.
Since the start of the pandemic, HIM, CDI, and coding professionals have focused on understanding acute respiratory distress syndrome (ARDS) as a manifestation of COVID-19.
You may wonder why an article about the coding of Hierarchical Condition Categories (HCCs) in the outpatient wound care setting is appearing in an inpatient periodical. When I first approached this topic, I focused on the outpatient wound care setting. But the more I thought about it, I realized this topic is pertinent for inpatient coders.
Documentation is an integral part of a patient’s healthcare encounter. Improper or imprecise documentation may create an inaccurate picture of what truly occurred during a patient’s hospital stay or outpatient visit. How do CDI and inpatient professionals capture the most accurate picture possible? The answer may lie in solving a more complex question: How do we encourage and expand critical thinking?
It’s not unusual for CDI and inpatient coding teams to cite physician education and engagement as one of their top struggles in the field. In this article, read how the CDI team at Avera Health System turned to their query data to craft a focused education program and meet their physicians on the same page.
