Inpatient coders may query to achieve clarity within the medical record and allow for accurate ICD-10-CM/PCS reporting.
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CE Articles | Using physician queries to ensure inpatient coding compliance | Inpatient coders may query to achieve clarity within the medical record and allow for accurate ICD-10-CM/PCS reporting. This article will cover when to query, how to format a query, and review ICD-10-PCS code anatomy to ensure a well-rounded and precise query is submitted. Note: To access this free article, make sure you first register here if you do not have a paid subscription. |
Preparing for possible ICD-10-CM sepsis upheaval | Adriane Martin, DO, FACOS, CCDS, reviews the Centers for Disease Control and Prevention’s recent proposal to update ICD-10-CM reporting for sepsis, which, if adopted, will go into effect October 2020. |
Managing, developing organizationwide clinical definitions | One strategy for handling the confluence of confusion surrounding frequent criteria changes comes in developing a set of organizationwide clinical criteria for targeted, high-risk/high-volume diagnoses. This article discusses others’ experiences in developing standardized clinical indicators and guidelines at their facilities. |
Q&A: Reporting uncertain diagnoses | Q: I’ve heard conflicting information about reporting uncertain diagnoses. Do the ICD-10-CM diagnoses need to be documented in the discharge summary/final progress note or can they be coded from an earlier progress note? |
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New on JustCoding.com | New on JustCoding Platinum! 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. Free quiz Test your knowledge with this week’s free quiz, which features ICD-10-PCS Supplement codes for the urinary system. Mini poll What are your holiday plans? Click here to share your answer. | |
SelectCoder Tip of the Week | The description of "emaciated" or "emaciation" without being documented with the term malnutrition should be assigned with ICD-10-CM code R64 (cachexia). Interested in more coding tips and claim validation tools? Click here to sign up for a demo or to learn more about SelectCoder. | |
| Product Spotlight | JustCoding’s Clinical Scenario Workbook: 2020 ICD-10-PCS Edition This workbook provides an opportunity for coders to practice and refine their skills in a hands-on way by using a wide range of real-life case scenarios. Coders will determine the correct fiscal year 2020 ICD-10-CM and ICD-10-PCS codes to report for each case scenario based on provided documentation and evidence of sufficient medical necessity. For more information or to preorder for January 2020, call 800-650-6787 or visit the HCPro Healthcare Marketplace. | |
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