Forms

March 25, 2020
Clinical documentation

At the time of this resource's publication, COVID-19 has spread to all 50 states including the District of Columbia. To date there have been nearly 500 deaths in the United States and the virus is spreading rapidly. As more people are being tested, the incidence of infection is rising at an alarming rate.

February 26, 2020
Anatomy and terminology, Hospital outpatient

 This word search includes terms frequently used in the CPT Manual to describe nervous system procedures.

February 19, 2020
Clinical documentation, Hospital inpatient

This sample shock query was provided by Erica Braun, MS, BSN, RN, CCDS, manager of inpatient coding and CDI at Nebraska Methodist Health System in Omaha. If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.

January 29, 2020
Hospital outpatient

 This word search includes anatomical terminology used throughout the CPT Manual to describe therapeutic and procedural services.

January 21, 2020
Hospital inpatient

Platinum members can access a crossword puzzle featuring ICD-10-PCS Bypass codes for the heart and great vessels. If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.

January 7, 2020
Hospital inpatient

Platinum members can access an aortic valve replacement case study excerpted from JustCoding’s Clinical Scenario Workbook: 2020 ICD-10-PCS Edition. If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.

December 18, 2019
Hospital inpatient

Platinum members can access an ICD-10-PCS root operation word find. If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.

December 18, 2019
Hospital outpatient

The following is a match game featuring ICD-10-CM codes for holiday mishaps. Match each ICD-10-CM code with its appropriate code description. Answers are found on p. 2.

November 27, 2019
Hospital inpatient, Training

Platinum members can access a crossword puzzle featuring ICD-10-PCS Release codes for the peripheral nervous system. If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.

November 20, 2019
Hospital outpatient

This sample debridement query was provided by Jera Van Damme, BSN, RN, CCDS, senior clinical documentation educator at Essentia Health in Duluth, Minnesota.

This sample has been reviewed and approved by ACDIS’ Forms & Tools Library Committee. The committee recommends that, should you choose to use this sample, you adapt it to your programmatic needs, EHR system requirements, and organizational diagnostic criteria. Before sending this query, the first set of asterisks on the form are to be replaced with the provider’s name, the second set should be replaced with the clinical indicators for that patient, the third set should be replaced with the question at hand, and the fourth set should be replaced with the CDI professional’s name and contact information. Additionally, to allow for accurate coding, those wishing to adapt this query may wish to add the following specifics:

  • Site of debridement
  • Type/description (excisional or non-excisional)
  • Depth (deepest layer debrided—i.e., skin, full or partial thickness, subcutaneous tissue, muscle, or bone)
  • Tissue removed (devitalized)
  • Instrument used (scalpel, blade, scissors, etc.)
  • Appearance and size (character of wound—before and after debridement, include pre/post debridement measurements)

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