When a physician performs a procedure designed to put in a device without doing anything else to a body part, coders will report ICD-10-PCS root operation insertion (third character H in the medical...
The ICD-10-CM Official Guidelines for Coding and Reporting now include guidelines for coding methicillin resistant Staphylococcus aureus (MRSA), so let’s look at how to code MRSA. The physician...
ICD-10-CM includes some specific guidelines to help coders decide when to code for a current malignancy or a personal history of malignancy. The physician excises a primary malignancy but the patient...
Summer means sand and sun for many people, but a day at the beach can result in a visit to the Fix ‘Em Up Clinic. Danielle hit the beach, but forgot her sunscreen. As a result, she ended up with a...
Some ICD-10-PCS root operations encompass a wide range of procedures. Think biopsy, excision, and extraction. Others cover a much smaller range of possible procedures, including fusion. Coders will...
A patient comes in for a face lift or another cosmetic procedure. What root operation should you code the procedure to in ICD-10-PCS? The answer: alteration (third character 0). The goal of an...
A writer paints a picture with words. The English language alone offers somewhere in the neighborhood of a quarter of a million words. But really how many does the average person use? According to...
Summer semi-officially arrived this week with Memorial Day and that means plenty of sun and sand related illnesses at the Fix ‘Em Up Clinic. Our first patient is Todd, who was trying to grill up the...
When a physician performs a procedure intended to narrow the diameter of a tubular body part or orifice, coders will select the root operation restriction in ICD-10-PCS. Restriction includes both...
Our Town Zoo hosted its annual black tie fundraiser and things got a little, well, wild as the patients at the Fix ‘Em Up Clinic prove. Tiffany made a fashion statement with a bright blue shimmering...
In ICD-10-CM, coders must report two codes to fully describe certain conditions. They will find “Use additional code” notes in the Tabular List at codes when they need to report a secondary code to...
So we’ve survived the zombie apocalypse, but we’re not out of the undead woods yet. It seems a group of vampires is trying to one-up the zombies. But, never fear, vampires can actually be regular...
Gregory House, MD, is hanging up his stethoscope before the transition to ICD-10-CM. I loved House MD when Fox first starting airing it in 2005, but the last few seasons, not so much. Let’s ask Dr...
Coders often report signs and symptoms when physicians document them in the patient’s medical record. However, coders should not always report additional codes for signs and symptoms. How can coders...
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. ICD-10-CM coding conventions for such conditions require coders to report...
When a physician performs a procedure to enlarge the diameter of a tubular body part or orifice, coders will report root operation dilation with 7 as the third character in the medical and surgical...
Home repair and improvement can be hazardous to your health. Just ask the residents of Calamity Condos who are visiting the Fix ‘Em Up Clinic. Tom and Wendy decided to repaint the living room of...
Braaaaains! Braaaaains! Don’t look now, but the Centers for Disease Control and Prevention was right about the zombie apocalypse . It’s here! Run for your lives! Okay, we’re not about to be overrun...
...and the documentation coach will turn into a pumpkin if you're not on time. As a CDI specialist, what has been your approach to ICD-10? Are you hoping it will go away? Are you waiting for 2014?...
Happy Monday! I hope you had a great weekend because it’s time to dive into coding for today’s visitors to the Fix ‘Em Up Clinic. Our first patient, nine-year-old Chris, arrived with a really nasty...