A common question that coders often ask is when to report a secondary diagnosis. In part two of this two-part series, Gloryanne Bryant, RHIA, CDIP, CCS, CCDS , looks at the chapter-specific coding guidelines related to secondary diagnosis coding found in the ICD-10-CM Official Guidelines for Coding and Reporting.
Though larger facilities may have had CDI programs for years that work in conjunction with the inpatient coders—some for over a decade—others are only starting now.
Spinal surgery is big business. The global market was expected to reach $9.3 billion by 2017, according to Global Industry Analysts . Coders can certainly attest to the frequency of these procedures.
Nearly one-third of the world’s population is overweight or obese, including an estimated 160 million Americans, according to the Institute for Health Metrics and Evaluation . These statistics are alarming, especially considering that obesity is linked to many other conditions such as heart disease, stroke, Type 2 diabetes, and certain types of cancer.
Inpatient coding audits are performed for different purposes by individuals within and outside of the hospital. Coding audits can be categorized in various ways as shown below, but these attributes are not exclusive: Audits will have several characteristics at a time.
Allen Frady, RN-BSN, CCDS, CCS, CRC, reviews various guidance related to clinical validation to help coders and CDI teams better navigate the complex topic.
A common question that coders often ask is when to report a secondary diagnosis. In part one of this two-part series, Gloryanne Bryant, RHIA, CDIP, CCS, CCDS , looks at the general coding guidelines related to secondary diagnosis coding found in the 2018 ICD-10-CM Official Guidelines for Coding and Reporting.
Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRD, CCDS, writes that while the fiscal year (FY) 2019 IPPS proposed rule is considering the downgrade of ICD-10-CM code B20 (human immunodeficiency virus [HIV] disease) from an MCC to a CC, it does not mean that diagnosing and coding for HIV has lessened in complexity.
Allen Frady, RN-BSN, CCDS, CCS, CRC, writes about guidance related to documenting acute respiratory insufficiency and gives tips to coders and CDI teams on what to do when the conditions are over-documented postoperatively.
