Anemia is a complex condition to manage clinically and document accurately, yet proper diagnosis, documentation, and coding are critical for ensuring appropriate patient care and reimbursement. Alba Kuqi, MD, MSHIM, RHIA, CCM, CRCR, CICA, CSMC, CSAF, CCS, CCDS, CDIP , explores the clinical aspects of anemia, including its definitions, types, causes, and management, while addressing the challenges in clinical documentation and coding.
Penny Jefferson, MSN, RN, CCDS, CCDS-O, CDIP, CCS, CRC, CPHQ, CHDA, CRCR, ACPA-C , explores the complexities surrounding the classification of hospital admit types and the challenges caused by inconsistent definitions. By being aware of admit types, coders can ensure accurate reporting, benchmarking, and quality measurement.
Genetic medicine is an emerging specialty coders will be faced with, and a basic foundation of the science and consequences of genetic anomalies will be helpful going forward. Realizing coders are not expected to be clinical, Nancy Reading, RN, BS, CPC, CPC-P, CPC-I , shows how it will still be useful to know the basics.
To align subcategories for diagnosis coding with the DSM-5 classification subcategories for feeding and eating disorders, new ICD-10-CM codes were added in the FY 2025 update. Nancy Reading, RN, BS, CPC, CPC-P, CPC-I , reviews the clinical criteria for affected disorders, including anorexia nervosa, bulimia nervosa, binge-eating disorder, pica in adults, and rumination disorder.
Lymphoma diagnosis codes received a robust overhaul with the release of the 2025 ICD-10-CM codes, reflecting advancements in understanding and classifying lymphoma. Accurate coding is crucial for reporting such nuances, and Nancy Reading, RN, BS, CPC, CPC-P, CPC-I , is here to update coders on the changes.
Coagulopathy describes the impairment of the blood’s ability to coagulate, leading to prolonged or excessive bleeding that may occur spontaneously or following an injury. Explore the basics of the condition as well as practical tips for accurate ICD-10 coding. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Coding professionals face challenges when the clinical meanings of words do not match the ICD-10-CM classification system, particularly for records related to matters of the heart. Follow Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC , as she applies critical thinking, knowledge of disease processes, and an understanding of ICD-10-CM codes to accurately report acute MI cases.
With guidance from Linda Martien, CPC, COC, CPMA, CPC-I, CRC, AAPC approved instructor, AAPC fellow , coding professionals can review arthritis codes to avoid the use of generalized codes in order to reflect a patient’s condition more accurately and ensure compliance with insurance requirements.
Pancytopenia is defined as the simultaneous presence of anemia, leukopenia (neutropenia), and thrombocytopenia. Refresh yourself on how each condition plays a role in diagnosing, treating, and coding pancytopenia. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS, provides an overview of toxic encephalopathy including signs and symptoms, diagnosis and treatment, and relevance for coding professionals and CDI teams.
Malnutrition affects millions of people across all age groups, and to better discuss and understand the coding nuances of malnutrition, Cokethia Rachel, CPC, CCS, CPMA, SSBBP, demonstrates how coders should define the condition, appropriately review relevant documentation, and recognize when the medical necessity of malnutrition has been supported. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Amid the myriad of conditions and diseases, probable catheter-associated bloodstream infections emerge as a focal point for clinical intervention and revenue cycle efficiency. Pooja Patwal, MBBS(MD), CCS, CDIP, CHCQM , explores how capturing accurate ICD-10 codes for probable BSIs is paramount for healthcare facilities striving for excellence in patient outcomes.
Sepsis is one of the most prevalent diagnoses necessitating hospital admissions in the United States, and unfortunately, sepsis denials are also prevalent and on the rise. John Williams, RN, BSN, CCDS, clarifies how to ensure all indicators and findings of sepsis are present and valid for each inpatient admission.
The new ICD-10-PCS code set for fiscal year 2025, which includes 371 new codes, will be effective October 1, 2024. With highlights from Terry Tropin, MSHAI, RHIA, CCS-P , inpatient coders can make sense of each new term before they go into effect.
Nancy Reading, RN, CPC, CPC-P, reviews the Phoenix Sepsis Score, a new set of clinical parameters to define and diagnose pediatric sepsis. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
2024 ICD-10-CM code changes pertaining to acute appendicitis and small intestinal bacterial overgrowth give coders the opportunity to report these conditions with greater accuracy and specificity. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Anemia describes a condition in which the number of red blood cells or their oxygen-carrying capacity is insufficient. Review the types of anemia, diagnostic criteria, treatment, and ICD-10-CM coding. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Spinal surgery for hospital coders can be very challenging if they do not know the rules for assigning the correct ICD-10-PCS codes. Nancy Reading, RN, CPC, CPC-P , reviews spinal anatomy and surgical approaches, and offers tips on how to select the most appropriate characters in ICD-10-PCS.
Kate Siemens, RN, CMSRN, CCDS , discusses the clinical indicators for malnutrition during end-of-life care with Taylor Kuykendall, MS, RD, LD . She covers relevant ICD-10-CM codes and proper reporting methodologies for the condition.
Building ICD-10-PCS codes for cardiovascular surgery can be tricky given the number of root operations that may apply. Sarah Gould, CPC , reviews cardiac anatomy and ICD-10-PCS guidelines for reporting cardiac insertion and bypass procedures. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
