Recent content by rhondatalley

  1. R

    Secondary hypertesion

    morbid obesity with diabetes and hypertension Unless the provider documents that the diabetes or the hypertension is due to or caused by the morbid obesity, the statement of comorbid conditions, in my opinion, would not reported as secondary hypertension or secondary diabetes. According to...
  2. R

    Best code(s) for ESLD due to alcoholic cirrhosis?

    K70.40 for the liver failure due to alcoholic cirrhosis w/o coma and K70.31 for alcoholic cirrhosis with ascites
  3. R

    Diagnosis HELP!!

    Lumbar stenosis with claudicatio Per the ICD-10-CM® index entry, lumbar spinal stenosis without neurogenic claudication is reported with M48.061. Sciatica associated with intervertebral disc disorders is M51.16 for the lumbar region. Neuroforaminal stenosis (stenosis, intervertebral foramina)...
  4. R

    Wiki Guideline Hypertension, CKD, CHF and Diabetes Mellitus

    HTN, CKD, CHF and DM In the ICD-10-CM® Official Guidelines Section I.A.15, the "with" convention states that conditions that follow "with" after the main term in the index and/or have "with" in the code title are assumed to be linked unless the provider indicates that they are unrelated. There...
  5. R

    Wiki Default coding for Osteoarthritis

    osteoarthritis of wrist The correct code for osteoarthritis of the wrist is M19.03 per the index entry under the main term of osteoarthritis and sub term of wrist. The last digit will be determined by the laterality.
  6. R

    Wiki Type 2 MI/Type 2 NSTEMI/Demand ischemia

    If the documentation states type II MI, this is coded as an NSTEMI. This has been clarified by Coding Clinic for 1st Quarter 2017.
  7. R

    does this support the code?

    Do not recommend coding cellulitis based on this documentation.
  8. R

    Urosepsis due to staph aureus

    Urosepsis is not coded as sepsis. Code UTI and MSSA in diseases classified elsewhere.
  9. R

    Wiki COPD with emphysema

    Emphysema is an included term under the heading of COPD at J44 so if the documentation states COPD with emphysema then it is coded as COPD. However, if only emphysema is documented the correct code is J43.9.
  10. R

    Hypertension with Cardiovascular disease I11.9

    Hypertension with heart disease Effective 10/1/16, Coding Guidelines for ICD10 Chapter 9 state that there is an assumed link between hypertensive and heart disease/heart failure (for codes in the I50. or I51.4-I51.9) as long as the documentation does not state that the heart disease/heart...
  11. R

    ARF D/T Dehydration In A Cancer Patient that also has HTN. How to code?

    You stated that the documentation is for ARF but the code you are referencing is for CKD unspecified stage. (N18.9) There is an auto link for HTN with CKD so if both are documented and the provider does not say the CKD is NOT due to HTN, then it is coded as hypertensive CKD. However, there is...
  12. R

    COPD exacerabtion

    There is also Coding Clinic advice in 2016 that if the patient has COPD with infection and COPD with exacerbation, code both J44.0 (plus the underlying infection) and J44.1.
  13. R

    Esophageal, Gastric varices and Liver cirrhosis and Portal hypertension and Tips

    Just wanted to add that in I10, there is an instructional note at esophageal varices to code first the underlying disease so it cannot be sequenced first. There is not a note at the code for gastric varices so it can be sequenced first.
  14. R

    Using "d" as a 7th character.

    No limit if the patient is still receiving care during the healing/recovery phase.
  15. R

    DVT vs History of DVT

    This will depend on your documentation and you can look at related radiology to help paint the picture. Many times, patients are placed on anti-coagulants after a DVT or PE to prevent another from occurring. Look to make sure the PE or DVT is not documented as chronic. If not and your...
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