Auditing and monitoring, Clinical documentation, Hospital inpatient, Physician queries
Join Courtney Crozier, MA, RHIA, CCS, CDIP, for this 60-minute webinar as she discusses potentially confusing ICD-10-CM coding guidelines, describes clinical criteria for determining malnutrition severity, and offers strategies for addressing documentation inconsistencies.
Anatomy and terminology, Clinical documentation, Hospital inpatient
This sample was provided by Trey La Charité, MD, FACP, SFHM, CCS, CCDS, a hospitalist at the University of Tennessee Medical Center (UTMC) at Knoxville, a clinical assistant professor with the department of internal medicine, and the medical director of UTMC’s CDI, coding, and revenue auditor response programs.
Anatomy and terminology, Clinical documentation, Hospital inpatient, Questions and answers
Review this coding case study for total vaginal cuff dehiscence submitted by Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, AHIMA-approved ICD-10-CM/PCS trainer
Q: A new device called preCARDIA is being used to treat acute decompensated heart failure (ADHF) patients. How is the insertion of preCARDIA device reported in ICD-10-PCS? What is the objective of the procedure?
A: Coders should assign ICD-10-PCS code 5A02110 (Assistance with cardiac output using balloon pump, intermittent).
Kimberly Lee, M.Ed., RHIA, CCS-P, answers common questions on the process of querying physicians. These questions were answered during her webinar “Reporting Category III CPT Codes for Cardiology Services and Procedures” on March 30, 2023.
