Archived Daily Tips
ICD-10-CM Coding Tip July 14, 2017
The place of occurrence for an assisted living facility is Y92.098.
ICD-10-CM Coding Tip July 18, 2017
When a patient has COPD with asthma only code asthma when the specific type of asthma is documented. J45.909, unspecified asthma, uncomplicated isn't a type of asthma.
ICD-10-CM Coding Tip July 19, 2017
The diagnosis code for a personal history of a hyperplastic colon polyp is Z87.19 - personal history of other diseases of the digestive system.
ICD-10-CM Coding Tip July 20, 2017
The chapter specific guideline for Chapter 12 for reporting two separate codes for an evolving pressure ulcer of the same site as it evolves to a higher stage does not apply to home health reporting.
ICD-10-CM Coding Tip July 21, 2017
Respiratory distress is not the same as acute respiratory distress syndrome (ARDS). Assign code R06.00, Dyspnea, for adult and child respiratory distress.
ICD-10-CM Coding Tip July 24, 2017
Per the American College of Cardiology and the American Heart Association, a patient with "Stage A heart failure" is at a risk to develop the condition, but does not have it. The appropriate diagnosis is Z91.89, Other specified personal risk factors, not elsewhere classified, for the increased risk.
ICD-10-CM Coding Tip July 26, 2017
A type 2 myocardial infarction (T2MI) is coded as I21.4, Non-ST elevation (NSTEMI) myocardial infarction.
ICD-10-CM Coding Tip July 27, 2017
If the provider diagnoses 'uncontrolled diabetes' without further specification you will need to query the provider for clarification. There is no default code for 'uncontrolled diabetes.'
ICD-10-CM Coding Tip July 31, 2017
If a patient has different types of conductive and sensorineural hearing loss in the right and left ears assign code H90.6, mixed conductive and sensorineural hearing loss, bilateral.
ICD-10-CM Coding Tip August 1, 2017
The aftercare Z codes should not be used for aftercare conditions such as injuries or poisonings, where 7th characters are provided to identify subsequent care. For example, for aftercare of an injury, assign the acute injury code with the 7th character 'D' (subsequent encounter).
ICD-10-CM Coding Tip August 3, 2017
If the intent of the poisoning is unknown or unspecified, code the intent as accidental intent. The undetermined intent is only for use if the documentation in the record specifies that the intent cannot be determined.