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Q: Our team needs help supporting respiratory failure as a principal diagnosis in a recent case.

Our coding experts answer questions about CPT coding for cognitive assessment and care planning services, reporting patient-supplied drugs, and more.

Q: Are medical conditions due to substance use, abuse, and dependence reported using ICD-10-CM codes for substance-induced disorders?

Q: Our facility has been seeing more denials lately for acute respiratory distress syndrome (ARDS), especially when both respiratory failure and ARDS are documented in the same record. How should ARDS be reported in ICD-10-CM, and which MS-DRG does this diagnosis group to?

Q: What documentation elements are included in psychotherapy notes?

What do you do when you have a noncompliant query within the record, but the physician signed and agreed to it?

Our coding experts answer questions about ICD-10-CM coding for post-COVID-19 conditions, reporting visits with excisional debridement, and more.

Q: What are the reporting requirements for CPT code 99483 (assessment of and care planning for a patient with cognitive impairment) for cognitive assessment and care planning services?

Q: What clues in the documentation would help coders determine whether a wound infection is a surgical complication?

Q: How is ICD-10-CM code C84.7A (anaplastic large cell lymphoma [ALCL], anaplastic lymphoma kinase [ALK]-negative, breast) distinct from code C84.72 (ALCL, ALK-negative, intrathoracic lymph nodes)?