Ask the Expert

Q: Considering the fiscal year 2019 update to the ICD-10-PCS Official Guidelines for Coding and Reporting for Transfer procedures, how should we now report a pedicled transverse rectus abdominis myocutaneous (TRAM) flap procedure in ICD-10-PCS?

Q: What 2019 CPT updates were made to E/M codes for interprofessional telephone and internet consultations?

Q: Should we be advising our providers to start documenting pressure injury as opposed to pressure ulcer? Or is it OK to document either term?

Q: What is a cervical cerclage procedure and how is it reported using CPT codes?

Q: Is it possible for acute kidney injury (AKI) to lead to or be caused by cardiorenal syndrome?

Q: How are selective and nonselective wound debridement procedures documented in the medical record and coded using CPT codes?

Q: Can an ICD-10-CM body mass index (BMI) code be used as a standalone code? If not, what documentation should we look for to justify the use of a BMI code?

Q: A lung cancer patient presents to the infusion clinic to receive chemotherapy treatments. The patient receives a Carboplatin infusion, a Gezmar infusion, and an Anzemet intravenous push. Which CPT codes would be used to report these services?

Q: What’s the difference between an incomplete miscarriage, a septic miscarriage, and a missed miscarriage and how would surgical treatments for these conditions be reported using CPT codes?

Q: We have a patient admitted with a history of chronic heart failure (CHF) and end-stage renal disease (ESRD) who was admitted with volume overload due to acute kidney injury and dialysis noncompliance. How should we report this in ICD-10-CM?