R.A. Bobrowski, MD, and Lori-Lynne A. Webb,CPC, CCS-P, CCP, CHDA, COBGC, provide operative report examples to distinguish the correct degree of laceration to report during deliveries, according to CPT® and American Congress of Obstetricians and Gynecologists guidelines.
These sample ICD-10-CM queries address establishing the relationship between conditions in ICD-10 t. These queries are adapted fromThe CDI Specialist’s Guide to ICD-10, created and donated by Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA approved ICD-10-CM/PCS trainer, CDI education director at HCPro, Inc., in Danvers, Mass.
This form includes a clarification request for respiratory failure, including sourced definitions. It is intended as a sample only and any diagnostic criteria should meet the approval of your medical staff.
This query form is a request for documentation clarification of pathology findings. It was submitted by Paul Evans, RHIA, CCS, CCS-P, supervisor of clinical documentation integrity at Sutter Health in San Francisco. It originally appeared on the Association for Clinical Documentation Specialists website.
The Winthrop University Hospital clinical documentation improvement (CDI) specialists and HIM team implemented a new query for cerebral infarctions in preparation for the transition to ICD-10. The newly created form incorporates the language necessary to capture documentation within this new area of enhanced specificity.
Use this crossword puzzle to test how well you can assign ICD-10-CM codes. The clues provide the description of the diagnosis. The code is the answer, and decimals count as one square.
