Home Health ICD-9/ICD-10 Alert
New and Old Ulcer Coding
Question: The patient is admitted to the home health agency with a disruption of a surgical wound, which has also cultured out MRSA. The patient also has stage-2 decubitus ulcers on the coccyx. How should I code this prior to, and after, Oct. 1? North Carolina Subscriber Answer: Here's how you'd report the patient's condition prior to Oct. 1, 2004, arranged by OASIS form slot: After Oct. 1, your codes will be the same, with one exception: Instead of 707.0 for the ulcer, you'll assign the more specific 707.03 (Decubitus ulcer, lower back) in 240e. You don't need a V code for surgical aftercare because you're in the home to care for the wound, not the original incision.
Home Health ICD-9/ICD-10 Alert
- 2005 ICD-9 Update:
Experts Show You How to Put the 2005 ICD-9 Codes to Work
In a nutshell: Master the new decubitus ulcer and revised diabetes codes Reporting decubitus ulcers [...] - 2005 ICD-9 Update:
Revise Your CVA Coding
New 5-digit code offers more-specific alternative when 'CVA'is backed by detailed documentation Warning: You may [...] - Coding Case Studies:
Aftercare Versus Complications - Avoid Confusing Aftercare With Surgical Complications
Hint: Be sure you and the physician agree A surgical wound may clearly be infected, [...] - You Be the Coder:
New and Old Ulcer Coding
Question: The patient is admitted to the home health agency with a disruption of a [...] - Coding Tool:
Cover Your Bases When Clinicians and Supervisors Clash Over Correct Coding
You know the scenario: The clinician codes a medical record one way, and her supervisor [...] - Coding Tools:
Hire a Credentialed Coder and Limit Denials to 5% of Claims
Hiring coders may be all the rage, but don't start sifting through resumes without this [...] - Mo' Money With M0245:
Take this case-mix refresher course to make sure your practice is on track CMS says [...] - Coding 101:
Test Your Knowledge of ICD-9 Coding Facts and Terms
Put your skills to the test with this general ICD-9-CM quiz. How well do you [...] - Coding Tools:
Coding Time-Savers You Can Put in Place Today
Use this checklist to cut in half the time you spend thumbing through your ICD-9 [...] - Reader Question:
Signal 'No Diagnosis' to Your FI
Question: When is it appropriate to report signs-and-symptoms codes? Arizona Subscriber Answer: In a nutshell, [...] - Reader Question:
Don't Be Afraid to Ask
Question: I was looking over my clinician's coding and noticed that she assigned a diagnosis [...] - Reader Question:
Report 2 Codes for Polyneuropathy, AIDSReport 2 Codes for Polyneuropathy, AIDS
Question: The medical record said "polyneuropathy of the extremities due to AIDS." The clinician recommended [...]
