ICD-10 Coding Alert

Specialty Spotlight:
Try These Tips When Coding Truckers’ Conditions
More than 50% of truck drivers smoke cigarettes. Folks who drive trucks as a vocation oft... Read more
Knowledge Test:
Plumb Your GI Diagnosis Coding With These 3 Questions
Hint: You may need to rely on signs and symptoms instead of a distinct Dx. One of the fo... Read more
Diagnosis Deep Dive:
Consider ‘Communication’ When Coding Hydroceles
Plus, tips for coding the condition when caused by infection. If you ever code for urolog... Read more
Reader Questions:
Follow This Path for Coding This Cancer Situation
Question: A 72-year-old patient was referred to our radiology practice to have a magnetic ... Read more
Reader Questions:
Fancy This Diagnosis for Pigeon Keeper
Question: A patient arrived at our emergency department (ED) with inflammation of the lung... Read more
Reader Questions:
Remember This Alternate Name for Migraine With Aura
Question: Our pain management provider diagnosed a patient with “retinal migraine.” I'... Read more
You Be the Coder:
Crosswalk ‘Severity’ and ‘Chronic’ Like This
Question: How do I code acute or chronic lower back pain? Even with the new ICD-10 codes i... Read more
Seasonal Coding:
Be Ready for Wintry Weather With These Common Diagnoses
Do you know which situations demand classification by lower anatomic site? With wintry w... Read more
Diagnosis Focus:
Learn These Tricks for Coding Hydronephrosis — and Complications
Remember N13.0 when an obstruction is involved. Infections, stones, and strictures all a... Read more
Myth-Busting:
Never Should You Ever Report Aftercare and Monitoring Codes Together
Encounter codes are incredibly persnickety. Although you may think of some terms — like... Read more
Reader Questions:
Language Matters in Guideline Interpretation
Question: If a provider documents hypertension with diabetes mellitus, can I assume, and i... Read more
Reader Questions:
Navigate Payers Setting Their Own Rules With This Advice
Question: ICD-10-CM coding guidelines state that if a patient is seen for the administrati... Read more
Reader Questions:
List This T Code First for Smoke Inhalation
Question: Our emergency department (ED) physician saw a patient presenting with symptoms o... Read more
You Be the Coder:
Remember ‘Screening’ May Catch Payers’ Scrutiny
Question: Our surgeon performed a screening colonoscopy for a 65-year-old Medicare patient... Read more
Code Update:
Report Affected Sides Sans Provider Documentation in These Situations
Hint: Sometimes you may be able to lean on other clinicians' additions to the medical rec... Read more
Knowledge Check:
Explore Your Understanding of Pediatric Z Codes
Note this scenario where documenting military deployment is useful. Your knowledge of cod... Read more
Knowledge Check:
Consider Your Pediatric Z Code Quiz Answers Here
Don't miss a tip on some subtle, useful provider education. Once you've answered the qui... Read more
ED Coding:
Garner Tips on Manifestation and Sequela Diagnoses
Make sure you read the guidelines before you select a code. You may not need to use manif... Read more
Reader Questions:
Look to an H Code for Hearing Loss
Question: Which code should we report for mixed hearing loss? Oklahoma Subscriber A... Read more
Reader Questions:
Know When Relevancy Expires
Question: Our provider documented that a patient had “childhood measles 10 years ago.”... Read more
Reader Questions:
First, Define March Fracture
Question: Encounter notes indicate that the provider treated a patient with a “mar... Read more
You Be the Coder:
Pocket This Migraine Classification
Question: Notes indicate that the provider treated a patient with “retinal migraine.” ... Read more
Code Update:
Update Your Cardiology Coding Possibilities
Don't miss the new Excludes1 notes. Keep your cardiology coding accurate by knowing which... Read more
Diagnosis Focus:
Bolster Your Food Allergy Coding Knowledge
Keep your codes straight with a little clinical knowledge. Food allergies may seem more c... Read more
Specialty Spotlight:
Evaluate These 3 ED Scenarios to Sharpen Your Coding
Hint: Knowing the specific anatomy of the neck will simplify your neck sprain coding. E... Read more
Reader Questions:
Look to Pathologist Dx for Final Word
Question: We're coding an op report for an excised polyp from the rectosigmoid junction t... Read more
Reader Questions:
Rule Out Congenital Condition of Jaw
Question: What is the difference between a developmental disorder of the jaws and an infla... Read more
Reader Questions:
Check Out Codes for Adverse Vaccination Reaction
Question: Our practice has been administering COVID-19 vaccines to our patients who are of... Read more
You Be the Coder:
Note Intraoperative Timing for CVAs
Question: I'm trying to learn when I can report an ICD-10-CM code for an intraoperative or... Read more
Neurology and Pain Management:
Learn These New Codes Before Oct. 1
Find out which codes you can add to your M45 options. It's that time of year again: new I... Read more
Diagnosis Spotlight:
Focus on Pneumonia Cause to Code Accurately
Experts say a diagnosis is not enough, in and of itself. When you see a pneumonia diagnos... Read more
Coding Practice:
Practice Coding These Liver Conditions
Hint: Cirrhosis isn't always the result of alcohol intake. Patients with myriad liver co... Read more
You Be the Coder:
Know That Diarrhea Is Sometimes a Symptom of Colitis
Question: The indication of my provider's report details the patient having both diarrhea ... Read more
Reader Questions:
Look to I44 for Mobitz Block
Question: What ICD-10-CM code should I report for Mobitz block type 1? I saw this diagnosi... Read more
Reader Questions:
Don’t Link Depression and Anxiety As a Default
Question: How do you code a patient who has depression and anxiety? Do you code the two co... Read more
Reader Questions:
Try This Coding Process for This Unusual Diabetes Diagnosis
Question: Our provider recently documented a patient as having both type 1 and type 2 diab... Read more
Diagnosis Spotlight:
Boost Your Understanding of Coding Multiple Sclerosis
Looking for certain medications in documentation may bolster your accuracy. There's only ... Read more
COVID-19:
Boost Your COVID-19 Pathology Coding With New Reference Points
Hint: Active or past SARS-CoV-2 presence matters. Use the latest guidance when coding COV... Read more
Podiatry:
Breakdown Traumatic Fracture Coding With These 5 Rules
Tip: Remember that you may need a seventh character on your ICD-10-CM code. You know that... Read more
You Be the Coder:
Choose This Code for This Root Abscess
Question: What ICD-10-CM code should I report for an aortic root abscess? New Hampshire S... Read more
Reader Questions:
Pay Attention to Excludes1 Note for This Tumor
Question: Our surgeon performed an ileum biopsy, and the pathology report states a diagnos... Read more
Reader Questions:
Page to Section I for VT Dx
Question: My cardiologist documented a diagnosis of ventricular tachycardia. Which ICD-10-... Read more
Reader Questions:
Don’t Get Confused by Different Provider’s Coverage
Question: My ob-gyn admitted a patient in active labor to the hospital. She was seen only ... Read more
Reader Questions:
Dive Deep on Dislocations for Correct Code
Question: What is the difference between pathological dislocations and recurrent dislocati... Read more
Radiology Focus:
Illuminate Malunion/Nonunion Fracture Coding Like This
Hint: Rely on these guidelines for 7th-character confusion. Coding malunion/nonunion frac... Read more
Diagnosis Spotlight:
Follow These 3 Steps for Correct Sciatica Coding
Look to location for a key aspect of accuracy. Double-checking your provider's medical r... Read more
Case Study:
Brush Up on Pathology Coding for Metastatic Ovarian Cancer
Don't try to use surgeons' lay terms on claims. We've all come across terms like “mass... Read more
You Be the Coder:
Don’t Rule Out This Code for Ankle Injury Encounter
Question: An adolescent patient came in after turning his ankle playing soccer. Our pediat... Read more
Reader Questions:
Document Opioid Addiction With This Code
Question: One of our patients is a former opioid addict, and I am not sure what ICD-10 cod... Read more
Reader Questions:
Brush Up on Facial Topography for This Coding Situation
Question: Our provider documented a submental wound in a patient record. I can't find a di... Read more
Reader Questions:
Get the GIST on This Tumor Dx
Question: How do I code a gastrointestinal stromal tumor (GIST)? South Carolina Subscrib... Read more
Coding Practice:
Go Back to Basics to Reduce Denials for Ophthalmology and Optometry Coding
Don't be scared to seek clarification — money may be on the line. Although some diagnos... Read more
Back to Basics:
Need a Documentation ‘Skeleton Key’? Use This Easy Tool
While querying a provider may seem cumbersome, it can be the best way to ensure accuracy. ... Read more
Diagnosis Spotlight:
Dip Your Toe in Greek to Modernize Coding These Conditions
Don't forget this encounter code if you're in this common scenario. You encounter the p... Read more
Reader Questions:
Append This Dx Code to the MRI Code for Osteolysis
Question: Encounter notes indicate that the orthopedist performed a magnetic resonance ima... Read more
Reader Questions:
Know the Reason for a Neck Sprain? Add Code from Chapter 20
Question: My surgeon treated a patient complaining of neck pain. The encounter notes indic... Read more
Reader Questions:
Rely on Knowledge of Heart Anatomy for Atrium Dilation
Question: I'm looking through my cardiologist's medical documentation, and she included a ... Read more
Reader Questions:
New Kidney Disease Codes Must Depend Upon Provider Documentation
Question: I'm confused by the new ICD-10 codes N18.31 and N18.32. I don't see anything in ... Read more
You Be the Coder:
Find Out Why You Shouldn’t Use Code T31 Alone
Question: Our surgeon treated a 14-year-old patient in the emergency room who had a second... Read more
Diagnosis Spotlight:
Follow These Ground Rules for Diabetes Coding
Distinguish Between E10 and E11 … and note this guidance. Knowing the difference betwee... Read more
Neurosurgery Focus:
Utilize These Tips for Coding Malignant Spinal Tumors
Hint: Use C72.0 for malignant neoplasm of the spinal cord. Rely on all medical documenta... Read more
Ob-Gyn Corner:
Unlock The Knowledge of Ultrasound Specificity
Lean on ICD-10 code knowledge. ICD-10 knowledge can help you pinpoint the reason for the ... Read more
You Be the Coder:
Know These Dx Code Options for Allodynia
Question: What is the best diagnosis code for allodynia — and what, exactly, does it mea... Read more
Reader Questions:
Use This Code for This Type of Breast Mass
Question: The surgeon removed a breast mass from a 42-year-old male. The surgical report d... Read more
Reader Questions:
Biological Sex May Not Affect This Diagnosis Code
Question: Which diagnosis should we report for a urinary tract infection (UTI) of a male p... Read more
Reader Questions:
Expand Knowledge of MDM Definition
Question: I know medical necessity is vital to coding, but I'm not sure that I can define ... Read more
Radiology Coding:
Dive Deep on Catheter Complication Coding
Use a combination of anatomy and terminology to find the right answer. Catheter complicat... Read more
Diagnosis Focus:
Use Knowledge of Tachycardia to Zero In on Best Choice
Bonus: Find out what to do if you come across a cardioversion. You know that there are s... Read more
Back to Basics:
Brush Up On These Coding Best Practices
Remember to contact the provider when you need clarification. You know how important diag... Read more
Condition Spotlight:
Pocket This Primer on Stress Fractures
Don't bother scouring the record for indication of trauma. The term “stress fracture... Read more
Reader Questions:
Use These New Chronic Kidney Disease Codes
Question: I'm confused by the new ICD-10 codes N18.31 and N18.32. I don't see anything in ... Read more
Reader Questions:
Distinguish This Type of Dementia
Question: Which ICD-10-CM code should I report for vascular dementia without behavioral di... Read more
Reader Questions:
Consider Professional Training for This Uncomfortable Scenario
Question: In your issue last month, you noted that if confusion exists in the medical reco... Read more
You Be the Coder:
Find These Dx Codes for Whipple Procedure
Question: A patient developed hypoinsulinemia and diabetes after our surgeon performed a W... Read more
Emergency Medicine:
Use Discernment When Coding GI Pain
Keep these tips handy for these common scenarios. Many folks end up in the emergency roo... Read more
Symptom Spotlight:
Make ‘Back Pain’ Easier to Code
Hint: Get to know the M54.- codes. Coding accurately requires specificity, and using some... Read more
Pediatrics Corner:
Bolster Your Pediatric Eye Condition Knowledge
See these codes clearly so you're ready to deploy them when needed. Pediatricians are of... Read more
Reader Questions:
Keep ICD-11 On the Backburner
Question: I listened in on a webinar recently where the speaker said to prepare now for IC... Read more
Reader Questions:
Consider These Variables With Medication Complications
Question: I'm working on an office visit for a patient previously treated with antibiotics... Read more
Reader Questions:
Know These Options for STI Coding
Question: Our provider wants to report code A64 when they test a patient for a sexually tr... Read more
You Be the Coder:
Never Report This Code Alone on a Claim
Question: I'm reading an impression that notes atherosclerotic heart disease of the native... Read more
Diagnosis Spotlight:
Use This Question-and-Answer Set to Code Bell’s Palsy
Hint: Bell's palsy is different than other facial nerve disorders. There's only one ICD-1... Read more
Orthopedic Corner:
Understand How ICD-10 Knowledge Affects Injection Coding
Utilize these tips to code these common injection encounters. If you ever feel like you... Read more
Cardiology Focus:
Look to These Particulars When Coding CVAs
Use these tips to better navigate category I69-. Cerebrovascular accidents (CVAs), also k... Read more
Reader Questions:
Follow These Steps for Coding This Heart Disease Combo
Question: My cardiologist documented the patient as having hypertensive heart disease with... Read more
Reader Questions:
Know These Rules for an Observation Dx
Question: Should we report the observation diagnosis codes (Z03-Z05) as primary diagnoses ... Read more
Reader Questions:
Follow This Path Toward Meniscus Dx
Question: Encounter notes indicate that the patient suffered from a meniscus tear in his l... Read more
Reader Questions:
Use This Secondary Code in This Scenario
Question: I know that Z23 is the primary diagnosis code for immunizations, but does it ge... Read more
You Be the Coder:
Know This Term When Coding Neoplasms
Question: The pathology report for a urinary bladder specimen simply states “neoplasm”... Read more
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