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ICD-10-CM Coding for ‘Vomiting’ Is Simple, Except When It’s Not

11. May 2018

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Many coders have memorized R11.- (Nausea and vomiting). It’s a common complaint. But did you know that the diagnosis code for cyclical vomiting is in nervous system category G43.- (Migraine)? I was interested to see that when I read a recent Gastroenterology Coding Alert article. In a leap that perhaps only those in healthcare would […]

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Will ICD-11 Have a Code for ‘Struck by Turtle’?

3. May 2018

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Subcategory W59.22- (Struck by turtle) is an ICD-10-CM code that’s been in the blog a few times. So when I started playing with the WHO ICD-11 Coding Tool, I had to try “turtle” as a search term. No luck, but I did find PA71 (Unintentionally struck, kicked, or bumped by animal) after I changed my […]

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Get the Rundown on Rib Fracture ICD-10-CM Coding

10. April 2018

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The terms closed and open are major players for traumatic fracture diagnosis coding. Brush up on some basics with this focus on ICD-10-CM coding for rib fracture initial encounters. First, Find Fractures in the Index — You Know You Should! The ICD-10-CM index provides these entries for rib under the Fracture heading: Rib S22.3- With […]

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Answer These Questions to Pinpoint the Correct Coronary Atherosclerosis Code

9. March 2018

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About a month ago, yet another report came out about whether omega-3 supplements make a difference in cardiovascular disease risk. The findings of this particular meta-analysis were that supplementation may not reduce coronary heart disease in people at high risk of the disease and more study is needed. But while the research continues, plenty of […]

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Look to .11 When Documentation Shows Substance Abuse ‘In Remission’

23. February 2018

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Substance abuse disorder coding got more detailed options and clarifying notes in the 2018 version of ICD-10-CM. The good news is that now that we’re a few months in, you may have noticed that these changes helped bring your code choices more in line with current clinical practice. Here’s a refresher on how your code […]

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Quiz: Ensure Accurate ICD-10-CM 2018 Coding for Antenatal Screening and Maternal Care

22. February 2018

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Birth defects are a leading cause of infant mortality in the U.S. In fact, about 5,500 infants in the country die each year due to birth defects. In an effort to bring down that rate, the National Birth Defects Prevention Network (NBDPN) marked January 2018 as National Birth Defects Prevention Month. The theme for this […]

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Spotlight K21.- to Keep GERD Coding Under Control

30. January 2018

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Gastroesophageal reflux disease (GERD) is a condition treated in a lot of doctors’ offices, so coding for this diagnosis deserves some careful attention. What is it? GERD involves acid reflux that occurs frequently. When the valve separating the esophagus and stomach doesn’t work appropriately, the stomach acid can travel up the esophagus, the tube from […]

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Skill Sharpener: Add to Your Cardiogenic Shock Coding Knowledge

10. January 2018

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Cardiogenic shock may affect treatment outcomes for patients with multivessel coronary artery disease and acute myocardial infarction, so it’s an important diagnosis to document. What is cardiogenic shock, and what are the ICD-10-CM codes for it? Let’s take a look. Get to Know the Diagnosis A patient with the medical emergency known as cardiogenic shock […]

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Dig In to the IPPS/MS-DRG Alphabet Soup

26. December 2017

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Inpatient facility coding and reimbursement come with their own Medicare language, and that includes a fair number of abbreviations. Here’s a beginning glossary to help next time you come across a jumble of letters related to inpatient coding. Hint: The terms are in alphabetical order, but if you’re new to this area, start by reading […]

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Observe National Breast Cancer Awareness Month With Increased Neoplasm Coding Know-How

9. October 2017

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October is National Breast Cancer Awareness Month. You may be familiar with the statistic that roughly one in eight women will develop invasive breast cancer. For men, the lifetime risk is about 1 in 1,000. The expansion of male breast cancer diagnosis codes to be as specific to site as female breast cancer codes was […]

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