Відео

Yes, that is correct.

Yes, that is correct.

@@medicalcodingclarified thank you mam!

There is no coding guideline that requires a diagnosis be included in the discharge summary. Unless your facility has an internal guideline requiring that the diagnosis be included in the DCS, you can code the sepsis that the physician verified via query.

Thank you! ☺️

Sepsis due to a postprocedural infection is assigned to T81.44X followed by a specific code for the sepsis followed by a code for the localized infection which in this case is prostatitis

Thank you! 😊

The official guidelines for inpatient coding allow us to code an uncertain malignancy diagnosis documented at discharge. Some facilities have internal guidelines against it, though. Depending on your facilities' internal guidelines, you may want to query to confirm the pathology result.

Thank you! 😊

Thank you! 😊

Thank you! 😊

Sure, I can add that to my list. Thanks!

Hello! Thanks for your interest, but my schedule does not allow for this type of assistance.

I will work on some in the future. Thanks!

Core needle biopsy of lymph node is excision FNA aspiration of tissue is extraction

You can code both

@@medicalcodingclarified thank you

Sure, I can add that to my list. Thanks!

E11.8 would have very limited use. It would be assigned if the physician stated that the patient had diabetes with complications, but there was no documentation of what the complications are and no documentation of conditions that have a presumed causal relationship to diabetes.

@@medicalcodingclarified Thank you!

That is so interesting! I have never thought of that before. I am not sure what the correct answer is. I think in theory, I agree with what you are saying. It might be redundant to add the unspecified sepsis code, but in practice, I think that it is the norm to do this and I have never heard of a denial because of this issue. The coding clinic that you referenced is about coding unspecified asthma with COPD and the answer was the code also type of asthma note under COPD does not apply for unspecified asthma because "Unspecified" isn't a type of asthma. So not exactly the same topic but the concept could be transferable. Although I think with the sepsis coding one could argue that A41.9 Sepsis, unspecified organism does add the additional information that the organism causing the infection is not known. They can't always determine this and the patient would have to be on broad spectrum antibiotics rather than targeting the specific organism. I will have to pick some brains on this one and maybe submit to coding clinic. If I hear anything I will let you know. Thanks for bringing this up!

@@medicalcodingclarified Thank you

No. You can't index compression of thecal sac. I would recommend a query.

Thank you, I plan on doing more like this in the future. 😊 Good luck with your job search. Getting your CCS could definitely help.

Thank you! 😊 And yes, those procedures are definitely on my to-do list.

Hi, I don't have a library of case studies, but there are books that do. I suggest looking on the AHIMA website.

Sure, I can add that to my list. Thanks! 😊

ECMO is coded to section 5 Extracorporeal or Systemic Assistance and Performance, circulatory system, root operation performance

Thank you! 😊

Thanks! This summer has been busy!

@@medicalcodingclarified it'll be more fun when the new codes come in.

Yes, I am working on those now. I will be doing a webinar through my company on Sept 17 if you are interested. Free to register. www.datavant.com/resources/webinar

@@medicalcodingclarified thank you 🌞

Thank you, I am happy to hear that my video helped you!

Sure, I can add that to my list. Thanks for the idea!

Thanks! 😊

Hi, Yes I will soon! This summer has been really busy for me. 😊

Hi! Those disorders that have specific codes in chapter 5 are considered substance induced disorders. For example there is a chapter 5 code for alcohol induced sleep disorder, so if the physician specifies that the patient has insomnia due to alcohol abuse/dependence than you can assign that code. I hope that helps!

@@medicalcodingclarified thanks!

You're welcome! I am happy to hear that my video helped you! 😊

@@Crueltyfree28 Hi! Thank you for subscribing! 😊

Sure, I can add that to my list. Briefly though, you would use E11.59 when the physician has specifically linked a condition that is classified to the circulatory system to diabetes and that condition does not specifically have its own entry linked to diabetes by the word with. For example, hypertension is not one of the conditions listed under diabetes. So there is no automatic link. But if the physician were to specifically document hypertension due to diabetes, you would assign E11.59, because I10 hypertension is a circulatory system disease. Hope that helps!

Thank you! 😊

Hi! I would recommend coding as currently documented. If there is any doubt whether or not the patient currently has combined diastolic/systolic, query is recommended.

@@medicalcodingclarified Thank you Claire..

Thank you! I am happy to hear that my video helped you. 😊

Thank you, I appreciate you saying that! 😊

Hi! The location of the tumor being of the spinal cord would not impact root operation selection. The method used to remove the tumor would be the determining factor. If the method to remove the spinal tumor meets the the definition of root operation excision then yes, it would be coded to excision, body part spinal cord. Think of it as you would any debulking of a tumor. The objective is to remove the tumor from the body part that it is attached to and therefore is coded to that body part. I hope that helps!

That is great, I am happy to hear that! 😊

Thank you! 😊

Hi! You would only code the diabetic ckd. As you said, microalbuminuria is inherent to diabetic nephropathy, and the ckd is the specific type of nephropathy, so no additional code is needed.

@@medicalcodingclarified Appreciate your timely response and all your videos 🤍🤍 Grateful I found ur channel! Thank u 🙏

@@melissar518 Thank you! 😊

This would be root operation revision.

Thanku

40 completed weeks is 40 weeks and zero days. You can assign O48.0 once the patient is 40 weeks and 1 day.

@@medicalcodingclarified thanku

@@medicalcodingclarified and what would be the dx for new born born at 40.5 days or 41.5 days

What would be the dx for new born born at 40.5 weeks of gestation or 41.5 weeks of gestation

P08.21 Post-term newborn. Just make sure coding is based on gestational age documented in the newborn record. You can not use documentation from maternal record.

Not yet, but it is on my to-do list!

I don't really have any advice on job interviews because I have been in my position for ten years, so I concentrate my videos on coding advice only. I know that there are some youtubers that give interview advice. I think coding with Bleu does.

Thank you! 😊

Heel ulcers may be automatically linked to diabetes since the heel is part of the foot, but ulcers of the ankle are classified to the lower limb, not specifically the foot so ankle ulcers do not have the same automatic link to diabetes.

Obviously including this 2024 I-10 rule

Hi Carla, Yes, all of those conditions are automatically linked to bleeding because of the alphabetic index linking each condition to bleeding by the word with. Be careful when reviewing older coding clinics because they were written based on the guidelines, conventions, and instructional notes at the time of publication and may no longer be accurate due to the ongoing yearly updates.