ICD-10-CM Coding Causal Relationships Explained!!!
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- Опубліковано 25 чер 2023
- This video helps clarify the confusion around coding conditions as related in ICD-10. It specifically explains ICD-10-CM Guideline I.A.15 and provides examples to demonstrate how to apply it. By watching the video, viewers can enhance their medical coding skills and better understand when to code causal relationships.
The information and opinions presented are based on my experience, training, and interpretation. Although the information has been researched and reviewed for accuracy, I accept no liability concerning errors, omissions, misuse or misinterpretation. This information is intended as a guide: it should not be considered a legal/consulting opinion or advice.
I'm still in school but I am soaking up all I can learn from you😊 Thank you for the great information.
Thank you! I am so glad that you find my videos helpful! ☺️
Thank you so much for your dedication to the video. The information is really helpful
Thank you, I am glad it was helpful! 😊
Just subscribed! Love how you explained and with examples.
Thank you ! 😊
Thank you for the explanation. You are awesome! 😊
Thank you so much for saying that, I really appreciate it! I am so happy that my video helped you.😊
I love how clear and concise your explanations are. I am about to take the CCS and wanted to review causal relationships. This video helped me understand even better a concept I thought I knew inside and out; there were a couple of "minor" instructions you explained that I had forgotten that would make a "major" difference in answering a test question that involved this concept. Thank you!
Thank you! I am so happy to hear that my video helped you. Good luck with your test!
You’re awesome! Thank you so much ❤
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Super helpful! Thank you!
Thank you! I am so happy to hear that 😃
please include mal nutrition too. thank you very muuch.
Sure,I will add that to my list. Thanks for the idea! 😊
Ok what about pt admitted with gi bleed and the egd shows gastritis (or duodenitis, gastric ulcer, esophagitis). Is there a casual link with those and the bleed? (Same with colonoscopy and diverticulosis..so on)? I see the CC 1992 saying yes but 2005, 2007, 2018 CC have put a question for me on this.
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.
Pt has dm with foot ulcer and cellulitis of said foot. We query the doctor for clarification if the cellulitis is due to dm.
That is correct! Cellulitis and diabetes do not have a presumed causal relationship, so if the documentation is not clearly indicating, the relationship a query is necessary.
I have a question about DM 2 and cataracts. Do we need physicians to specify the link between them to use DM with retinopathy complication because retinopathy is a broad term, or we just automatically link them together
Hi! Yes, both cataract and retinopathy are linked to DM in the alphabetic index by the word with so they should be coded as related unless the physician has specified a different cause. For example if both cataract and DM2 are documented in the record, you would assign E11.36, however if both are documented in the record and the physician further specifies that the cataract is age related, that denotes that the cataract is not due to DM and the conditions would be coded separately. I hope that helps! 😊
I am really confused between retinopathy complications and ophthalmic complications in diabetes. What is the difference between them because they are about diseases of the eyes? Thank you
@@nguyenhenry3781 When the Alphabetic Index links specific conditions by the terms "with" or "in" there is an assumed causal relationship and the conditions should be coded as related unless the physician gives a different cause. However, the "with" guideline does not apply to NEC index entries that encompass a wide range of conditions (like ophthalmic complication NEC). Just because there is an index entry for ophthalmic complication NEC under diabetes does not mean that you just go ahead and assign this code for any diabetic patient who also happens to have an eye condition. If a condition is not explicitly listed in the alphabetic index under the word with or in, the physician must document the connection. When the physician has documented the condition as a diabetic complication, you can then assign a diabetic complication NEC code. So, for example "retinopathy" and "cataract" are specific Ophthalmic conditions that are linked to diabetes by the word "with" so if a patient has both diabetes and one of those conditions code as related unless the physician gives a different cause. However, "glaucoma" which is also an Ophthalmic condition does not have its own specific index entry linking it to DM by the word "with", so if a patient had both diabetes and glaucoma, you would not code them as related unless the physician specifically stated the glaucoma was due to diabetes. If the physician did state that they are related, that is when you would then use the ophthalmic complication NEC code.
If iron deficiency and cancer are both documented do you have to pick up D509 and the cancer in neoplasm do you need both?
Hi! You would only code the iron deficiency anemia. Since the provider has documented the cause of the anemia as due to iron deficiency this means that it is not due to the cancer and the presumed causal relationship between anemia and neoplasm has been broken
Can you explain cva and when to code a sequels of cva
Sure, I can add it to my list! Also, if there is a specific question that you have, I did start a Facebook group linked on my channel page.
Still confusing. I suppose I just need more practice with Excludes 1 & Excludes 2.
Is there a particular concept that you are struggling with?