JustCoding News: Inpatient -- February 1, 2023

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Why is clinical validation needed if the ICD-10-CM coding guidelines state that the provider’s statement is sufficient for code assignment?

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Wednesday, February 1, 2023

CE Articles

Don’t let ICD-10-CM/PCS coding for obesity weigh you down

Obesity has grown into a global epidemic with significant social and economic consequences. Review ICD-10-CM coding for obesity and other weight-related conditions, and ICD-10-PCS coding for surgical interventions used to maintain a healthy weight.

Note: To access this free article, make sure you first register here if you do not have a paid subscription.

Select the most specific ICD-10-CM/PCS codes for pneumonia

Pneumonia is a common infection of the lungs that can be life-threatening. Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, breaks down ICD-10-CM/PCS coding for this infectious disease and its treatment.

Brush up on indicators of disease for common inpatient diagnoses

Coding and CDI professionals should understand disease processes for common inpatient diagnoses. Ronald Singell, RN, BSN, CCDS, writes about clinical indicators of disease for diabetic ketoacidosis, gastrointestinal hemorrhage, and sequential organ failure.

Healthcare News: CMS needs to ensure hospitals bill appropriately for severe malnutrition, OIG says

The Office of Inspector General (OIG) recently released its annual report detailing its list of top unimplemented recommendations for 2022. The agency recommends that CMS increase scrutiny of inpatient hospital claims for severe malnutrition and other diagnoses that are vulnerable to upcoding.

Q&A: Defining a coder’s role in clinical validation

Q: Why is clinical validation needed if the ICD-10-CM coding guidelines state that the provider’s statement is sufficient for code assignment?

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New on JustCoding Platinum!

Platinum members can access a word search featuring infectious disease terminology. 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-CM codes for viruses.

Mini poll

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Contribute to JustCoding’s 2022 coding productivity survey

JustCoding is conducting a coding productivity survey to create a report for subscribers in a future issue. If you would like to contribute and see how your facility compares to others across the country, please click here! One respondent will be chosen at random to receive a free copy of the HCPro revenue cycle webinar of their choosing.

SelectCoder Tip of the Week

Note that when assigning an ICD-10-CM code from category N18 (chronic kidney disease [CKD]) as a confirmed manifestation of diabetes mellitus, the code N18.9 (CKD, unspecified) is not an allowed pairing. Only N18.1-N18.6 may be assigned as additional diagnoses to identify the stage of chronic kidney disease when this is a manifestation of diabetes mellitus. Interested in more coding tips and claim validation tools? Click here to sign up for a demo or to learn more about SelectCoder.

Platinum Newsletters

Platinum members can view the latest stories from Briefings on APCs (updated each Thursday) and Briefings on Coding Compliance Strategies (updated each Tuesday).

Product Spotlight

Clarify 2023 ICD-10-PCS Coding for Cardiovascular Disease Treatments

ICD-10-PCS coding for heart failure and associated shock requires a solid understanding of cardiac disease processes and surgical descriptions included in operative reports. Join expert Adriane Martin, DO, FACOS, CCDS, for this March 9 webinar, as she discusses ICD-10-PCS coding for surgeries used to treat end-stage heart failure and cardiogenic shock.

For more information, call 800-650-6787 or visit the HCPro Healthcare Marketplace.

Contact Us

Sarah Gould, CPC
Editor
JustCoding News: Inpatient
editor@justcoding.com
HCPro
35 Village Road, Suite 200
Middleton, MA 01949
800-650-6787

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DISCLAIMER
Advice given is general, and readers should consult professional counsel for specific legal, ethical, or clinical questions. Users of this service should consult attorneys who are familiar with federal and state health laws.

HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC).

35 Village Road, Suite 200, Middleton, MA 01949 | Phone: 800-650-6787

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