Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA-approved ICD-10-CM/PCS trainer, provides this sample operative report for coding a hysterectomy for ICD-9-CM and ICD-10-CM, as well as CPT codes.
Use this crossword puzzle to test how well you can assign ICD-10-PCS codes. The clues provide the description of the procedure. The code is the answer. Have fun!
This form can be used to query physicians for additional information for HIV patients. It was submitted by Ameena AbdulMalik of Hermann Memorial Healthcare System in Texas. It was originally published by the Association of Clinical Documentation Improvement Specialists in July.
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, AHIMA-approved ICD-10-CM/PCS trainer, offers case studies to show how providers must document a diagnosis of heatstroke, in addition to symptoms, for coders to report ICD-9-CM or ICD-10-CM codes for heatstroke.
This document is a formal approach to documenting postoperative respiratory failure. It is provided by Paul Evans, RHIA, CCS, CCS-P, CCDS, of Sutter Health in San Francisco.
Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA-approved ICD-10-CM/PCS trainer, CDI education director for HCPro, a division of BLR, in Danvers, Massachusetts, and ACDIS Advisory Board member Mark LeBlanc, RN, MBA, CCDS, clinical documentation manager at Hennepin (Missouri) County Medical Center, donated this sample ICD-10-CM sepsis query.
The attached PDF reviews documentation and coding needs for complications and establishes policies and procedures for coders and CDI professionals to follow. Created by Paul Evans, RHIA, CCS, CCS-P, CCDS, the document provides complication definitions, explains when queries are necessary, and explores specific documentation concerns about conditions such as Incidental Serosal Tear and postoperative atrial fibrillation.
This prequalification checklist for hyperbaric oxygen (HBO) therapy candidates was created by Gloria Miller, CPC, CPMA, and provides information on what diagnoses qualify for coverage, and what additional information about the candidates is required.
