Platinum members can access an ICD-10-PCS crossword puzzle featuring ICD-10-PCS Removal codes for the sternum. If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.
The following coding case scenarios are excerpted from JustCoding’s Guide to Emergency Department Coding by Nena Scott, PhD, MSEd, RHIA, CCS, CCS-P, CCDS, AHIMA-approved ICD-10-CM/PCS trainer, and William L. Malm, ND, RN, CRCR, CMAS, managing director at Health Revenue Integrity Services in Cleveland, Ohio, and Melbourne, Australia.
The following coding case scenarios were reviewed during the HCPro webinar, Strategies for Successful CPT Coding of Lower Extremity Interventional Radiology. This program provides a comprehensive overview of coding and reporting rules for common catheter-based interventions performed in the lower-extremity arteries and veins, such as angioplasty, atherectomy, thrombolysis, thrombectomy, and stent placement.
This sample respiratory failure query was provided by Debra A. LeDeox, RN, CCDS, CDI coordinator at Mather Hospital in Port Jefferson, New York.
This sample has been reviewed and approved by the ACDIS Forms & Tools Library Committee. The committee recommends that, should you choose to use this sample, you adapt it to your particular programmatic needs, EHR system requirements, and organizational diagnostic criteria.
The committee also suggests that mature programs may want to simplify and consolidate some of the language in this sample in order to make it more concise. For example, the first two and the last two paragraphs of the query may be combined into one, greatly shortening the template. As providers are busy, they may not respond if the query is too lengthy. While the additional information in this sample may be a helpful educational tool for a newer program, mature programs should consider ways in which they could simplify the template to encourage provider response and limit query fatigue.
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Use this sample physician query form for documenting sepsis as a template for your organization. Juli Bovard, RN, CCDS, CDI specialist at Rapid City (South Dakota) Regional Hospital shared this sample sepsis query form with the ACDIS CDI Talk networking group.
This tip sheet originally appeared on on the ACDIS website and was submitted by Nick Stultz, RN, CCDS, CDI specialist at Penn State Health Milton S. Hershey Medical Center.
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 particular programmatic needs, EHR system requirements, and organizational diagnostic criteria. Additionally, the committee would like to recommend that those adapting this sample for their own use remember that “in the setting of” does not always establish a cause and effect relationship. More specific language may be necessary to adequately link two conditions. For more information on this topic, click here.
