Q: When it comes to conditions not related to hypertension, is it sufficient to attribute the diagnosis to another etiology or does the provider need to specifically document that the congestive heart failure (CHF) is not due to hypertension?
The Centers for Disease Control and Prevention (CDC), one of the Cooperating Parties responsible for the ICD-10-CM codes and guidelines, recently released a 2018 ICD-10-CM Official Guidelines for Coding and Reporting errata. Slight changes were made to the guidelines for diabetes, hypertension, and principal diagnosis selection.
The amount of energy it takes to stay up-to-date on all the relevant payment and coding updates can be overwhelming, and one relatively new solution to this conundrum is the addition of a CDI educator—an individual dedicated to the educational needs of the CDI team and, in some cases, even physicians.
CMS recently released the 2018 IPPS final rule, which featured 2,916 of its now-annual ICD-10-PCS code additions, deletions, and revisions. This article reviews changes to ICD-10-PCS codes including the addition of short-term device characters and various table updates. Note: To access this free article, make sure you first register here if you do not have a paid subscription.