Tag Archive | "Official Guidelines"

Your Secret Decoder for ICD-10-CM Notes Has Arrived!

Thursday, April 18, 2019

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I’ve been working with ICD-10-CM notes recently, like Excludes1 and “code first.” One thing coders have to know about those notes is that they come with qualifiers. Let’s look at some of the not-so-obvious meanings of these ICD-10-CM notes. Excludes1 Means “NOT CODED HERE!” Unless … ICD-10-CM Excludes1 notes originally came with the explanation that […]

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Before You Pick a Pain Code, You Need to Know These Official Guidelines

Monday, April 15, 2019

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ICD-10-CM is picky about pain coding, and it’s no wonder considering all the possible variations. Fortunately you can turn to the 2019 ICD-10-CM Official Guidelines for Coding and Reporting (OGs) to keep your coding skills sharp. Today we’ll take a look at some of these pain pointers. Walk a Fine Line for Pain Related to […]

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ICD-10-CM OGs: Get Team In Sync on Coding Based on Provider’s Statement

Thursday, February 21, 2019

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ICD-10-CM Official Guidelines state that your choice of diagnosis code is based on the provider’s diagnostic statement, but that’s not always as clear-cut as it sounds. Let’s dig in to this guideline. Work From the Official Guideline Wording The 2019 ICD-10-CM Official Guideline (OG) we’re discussing here is I.A.19: Code assignment and Clinical Criteria The […]

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ICD-10-CM: Don’t Give Up Too Soon When Coding Flank Pain

Monday, February 18, 2019

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Flank pain is a complaint a lot of general practices and specialties see. Here are some pointers on how to code correctly for this common condition. Find Flank Under Abdominal in the Index The flank is the side area of the torso below the ribs. To code for flank pain, start by looking at the […]

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Know 3 Rule-Out Rules for Better ICD-10-CM Coding

Thursday, October 25, 2018

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If you come across documentation that refers to ruling out a diagnosis, it’s time to go on high alert. There are some specific rules you need to follow for ICD-10-CM coding. Here are tips straight from the 2019 ICD-10-CM Official Guidelines for Coding and Reporting (OGs). 1. Know When to Use Codes That Specify ‘Ruled […]

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Perfect Your Coding for Pressure Ulcer Diagnoses With These Documentation Tips

Monday, October 15, 2018

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ICD-10-CM has a lot of codes (more than 150!) for pressure ulcers, and that means your clinicians’ documentation game has got to be on point for your to get the most accurate code for the case. These three steps should help you get the job done. 1. Know Where to Look for Pressure Ulcer Stage […]

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Crash Course: Compare ICD-10-CM 2019 Official Guidelines for Post-Op Sepsis to 2018 Rules

Thursday, August 9, 2018

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The ICD-10-CM 2019 Official Guidelines are out and offer more details on how to use new codes for sepsis following a procedure. Take a look at what’s new and get a handle on how to sequence these codes. Remember These New Codes to Improve Sepsis Coding ICD-10-CM 2019 includes these two new codes with instructional […]

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Did You Know? AHA Says Nonphysician Documentation Supports Z55-Z65

Thursday, July 26, 2018

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Reporting ICD-10-CM social information codes (Z55-Z65) based on documentation from nonphysicians is OK, according to official guidelines from the AHA. Before you change your approach to coding, here are the facts. Locate the Original Coding Clinic® Q&A In early 2018, AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS (vol. 5, no. 1) published an answer to […]

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Pair These ICD-10 2018 Official Guideline Updates With Their Code Set Counterparts

Friday, August 18, 2017

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The ICD-10-CM 2018 Official Guidelines are out and ready for review. When you check through the new OGs for changes, take special note of these updates that line up with 2018 code set revisions. Look at Level to Choose ‘In Remission’ Code When you start to apply new codes for substance abuse in remission (you’ll […]

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So Long, Hypertensive Heart Disease Rule … You’ll Be Missed (Kind Of)

Friday, November 4, 2016

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Seeing the ICD-10 Official Guidelines for hypertension change for 2017 felt like the end of an era. There was something fun about knowing you should assume a relationship between hypertension and chronic kidney disease, but NOT between hypertension and heart disease. The updated OGs, which went into effect Oct. 1, 2016, changed that, going for […]

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