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ICD-10 Coding Alert

Neurology Spotlight:
Don't Let This Single Diagnosis Code Muddy Your Selection
Use this multiple sclerosis primer to perfect your MS coding. Coding a multiple sclerosis... Read more
Gynecology Study:
Steer Clear of This Gynecology Pitfall
Despite ‘endometrial thickening,' hyperplasia diagnosis may not apply. Your ob-gyn prov... Read more
Ophthalmology and Optometry Coding:
Find Your Way Around These Eye Diagnoses
Evaluate your knowledge of these rarer diagnoses. Even if you see only some diagnoses mor... Read more
Coding Quizzer:
Test Your Brain Tumor Coding Knowledge
Top tip: Look to anatomical location. Even though brain tumor ICD-10 coding may seem simp... Read more
Answer Key:
Check Your Brain Tumor ICD-10 Knowledge Here
Bring your brain tumor coding expertise to the next level. Compare your answers with the a... Read more
Reader Question:
Utilize These AFib Codes
Question: Did ICD-10 2020 add any new codes for atrial fibrillation? If so, what are they?... Read more
Reader Question:
Wait for this Report Before Coding
Question: The op note states that a patient undergoing a lumpectomy has a history of DCIS.... Read more
Reader Question:
Look to This Code for Olfactory Nerve Neoplasm
Question: The physician documents that the patient has a malignant neoplasm of her right o... Read more
Reader Question:
Use Z Codes in This Situation
Question: Our insurer is now rejecting claims if they see tertiary diagnoses mentioned in ... Read more
You Be the Coder:
See Which Code is Unnecessary with this Dx Combo
Question: A private payer has denied our claim for a level-three new patient evaluation an... Read more
Primary Care Coding:
Know These Specifics for Eating Disorders
Understand the differences between these disorders to code conditions correctly. Even if ... Read more
Diagnosis Spotlight:
Shore Up Pediatric UTI Coding
Keep these tips handy for this common diagnosis. Urinary tract infections (UTIs) are comm... Read more
OB-GYN Focus:
Distinguish Between These Menopause-related Conditions
Use these tips to tell the difference between osteoporosis and osteopenia. Test your know... Read more
Reader Question:
Easy Bruising May Point to Something Bigger
Question: Our provider recently mentioned “easy bruising” in his clinical notes. Is th... Read more
Reader Question:
Definition of Chronic May Vary
Question: When should I code for an acute form of a condition as opposed to a chronic form... Read more
Reader Question:
Nail Correct Dx and Procedure Codes for Cath Surgery
Question: Our physician provided anesthesia while another physician inserted a vertebral a... Read more
Reader Question:
If CPAP Doesn't Help, Use This Z Code
Question: We recently saw a patient who was unable to see any improvement with the CPAP ma... Read more
You Be the Coder:
Know When to Code This Fracture Type
Question: My surgeon documented an initial encounter for an anterior displaced type II den... Read more
Otolaryngology Focus:
Test Your Skills With These Scenarios
Utilize your problem-solving skills to make sense of the coding process. The adage about ... Read more
Urology Coding:
Know Patient's Perspective For Coding Accuracy
These difficult-to-pinpoint situations may require coding signs and symptoms. Some medica... Read more
Emergency Department Spotlight:
Code Pulmonary Hypertension With These Factors In Mind
Hint: I27.- is a good starting point. Knowing how to code pulmonary hypertension means re... Read more
Reader Question:
Know Whether Limb Difference Acquired or Congenital
Question: Our pediatrician saw a patient and documented that the patient's left femur... Read more
Reader Question:
For Ineffective CPAP, Use This Code
Question: What's the diagnosis code for CPAP intolerance? Oregon Subscriber Answer: Cont... Read more
Reader Question:
Differentiate Between These Conditions Surrounding Vascular Dementia
Question: A 75-year-old established patient is experiencing reduced memory and functioning... Read more
Reader Question:
Coding H. Pylori Tests May Depend On Payer
Question: We often perform H. pylori tests – which diagnosis codes apply to these visits... Read more
You Be the Coder:
This Increasingly Common Condition Has No Dx Code
Question: A mother came in with her daughter concerned that she was spending too much time... Read more
Back to Basics:
Add Context With Z Codes
Round out your claims by providing as much information as possible. Take your coding accu... Read more
Anesthesia Spotlight:
Ensure Diagnoses Demonstrate Medical Necessity
Hint: Knowing payer policy will help boost your odds of success. Documentation is always ... Read more
General Surgery Focus:
Know These New Codes For 2020
Use these codes beginning Oct. 1. There are myriad new codes for you to incorporate into ... Read more
Reader Question:
Use This Option for This Unspecified Condition
Question: Which ICD-10 code should we report if the physician did not specify the bacteria... Read more
Reader Question:
Find More Information for this Incorrect Dx
Question: Anytime a mother fails to bring the fetus down into the pelvis to deliver v... Read more
Reader Question:
Understand Service to Choose Diagnosis Code
Question: Notes indicate that a pain management provider saw a patient recovering fro... Read more
Reader Question:
Use These Codes for Diaper Rash Dx
Question: Our pediatrician recently saw an infant that presented with a severe case o... Read more
You Be the Coder:
Look to Provider, not Time Period
Question: When should I code for an acute form of a condition as opposed to a chronic form... Read more
Neurosurgery Spotlight:
Note Updates For These Dx Codes
Look to Z Code additions for these situations. Your neurosurgery practice depends on show... Read more
Coding Practice:
Use These Strategies for Malignant Melanoma Claims
Utilizing the correct ICD-10 option will illuminate your way. If you find yourself stuck ... Read more
Pediatrics Update:
Learn Updates For Frequent Diagnoses
Many codes for congenital deformities receive minor but important changes. The overall IC... Read more
Ob-Gyn Spotlight:
These Conditions Receive New Codes
From pyuria to travel situations, the new codes enable more specificity. If you've ever w... Read more
Reader Question:
Code This Cancer First
Question: A patient developed hypoinsulinemia and diabetes after our surgeon performe... Read more
Reader Question:
Clarify Atherosclerosis Dx
Question: How do I know when it's appropriate to code I25.11 versus I25.10? I'm still... Read more
You Be the Coder:
Demystify Tick Bite Coding
Question: A patient came in to see our physician after being bitten by a tick. The patient... Read more
Radiology Focus:
Know These Rules For Follow-ups and Aftercare
Hint: Don't forget sequencing codes. Delivering patient care includes follow-ups and afte... Read more
Pulmonary Coding:
See Beyond Extensive Diagnostic Testing for Pulmonary Hypertension Coding
Keep digging through the symptoms until you find the diagnosis, then code. Selecting the ... Read more
Gynecology Quizzer:
Test Your Z Code Knowledge
Z codes may not deserve their claims reputation. Coders usually rely on Z codes as the su... Read more
Reader Question:
Know This Key Indicator
Question: What's our ICD-10 coding option if the cardiologist documents a bifascicula... Read more
Reader Question:
Prioritize This Word In Your Code Search
Question: The anesthesiologist documented “repair of biceps tear” as the procedur... Read more
Reader Question:
Use This Code for This Vague Dx
Question: When a patient reports to the orthopedist complaining of neck pain, what is... Read more
You Be the Coder:
Don't Wait On This To Submit Claims
Question: We have a coder who wants to hold charts when patients don't have definitiv... Read more
Back to Basics:
Don't Confuse Contusion Coding Intricacies
Make sure you're coding the diagnosis, not a symptom. Test your contusion coding knowledg... Read more
Ophthalmology Update:
Check Out Proposed New Corneal Codes
A hereditary condition and transplant complications may face coding changes. Corneal dyst... Read more
Neurosurgery Quizzer:
Test Your Concussion Know-How
Tip: Knowing whether the patient maintained consciousness plays a big role. Check out the... Read more
Radiology Focus:
Understand These Guidelines Surrounding Septic Embolism
Hint: Knowing the anatomy is half the battle. Don't be overwhelmed by the challenge of co... Read more
Reader Question:
Know This Code For This Heart Condition
Question: The cardiologist documented a typical atrial flutter. Which ICD-10 code should w... Read more
Reader Question:
Assumptions May Result In Denials
Question: Our anesthesiologist provided anesthesia while another physician inserted a vert... Read more
Reader Question:
Code Copd Plus This Condition Differently
Question: What is the ICD-10-CM code to report for chronic obstructive pulmonary disease (... Read more
Reader Question:
Don't Despair Over This Omission
Question: In ICD-9, we had an option to report esophageal hemorrhage, but we can't fi... Read more
You Be the Coder:
Remember Pregnancy Matters when Coding Unrelated Complications
Question: A pregnant patient came in through the emergency department ED for right lo... Read more
Primary Care:
Say Hello to Hay Fever
Use these tips to get a handle on seasonal allergy coding. Don't wait until the soundtrac... Read more
Gastroenterology Focus:
Brush Up On These Common GI Coding Situations
Hint: Coding for medical necessity in ASCs may smooth payer interactions. Ambulatory surg... Read more
Pediatrics Spotlight:
Know These Differences Between Attention Disorders
Distinguish these subtleties to ensure accurate coding. Diagnosing and coding attention-d... Read more
What Do You Think:
Test Your Sciatica Coding Skills
Don't forget to check whether sciatica is accompanied by lumbago. Brush up on the both th... Read more
Reader Question:
Know This Particular Combo Code
Question: A payer has denied our claim for a pain management office visit with the reason ... Read more
Reader Question:
Code the Dx, not the Complication
Question: A patient had a repeat Cesarean section due to pre-eclampsia. What is the correc... Read more
Reader Question:
'Translate' This Term to Understand Appropriate Code
Question: After a level-three evaluation and management (E/M) service for a new patient, t... Read more
Reader Question:
Don't Use These Two Codes Together
Question: What is the ICD-10-CM code to report for chronic obstructive pulmonary disease (... Read more
You Be the Coder:
Utilize Surgery Notes and Pathology Information
Question: Our surgeon took a bladder biopsy using a cystoscope and in the op report, descr... Read more
Podiatry Spotlight:
Choosing the Right Codes for Open Wounds
Tip: Focus on the nail to make an accurate choice. Test your knowledge on the multitude o... Read more
Neurosurgery Focus:
Illuminate Neoplasm Dx and Prevent Denials
Use these five tips to code neoplasms correctly. Navigating the ICD-10 codes for neoplasm... Read more
Character Boost:
See Through Haze Surrounding Migraine Coding
Utilize the sixth character for more accurate coding. Migraine coding may be more involve... Read more
Quick Quiz:
Test Your Knowledge in Applying Cancer History Dx
Hint: Some answers may not require an ICD-10 code. Taking a patient's medical history can... Read more
Reader Questions:
Neck Pain Different from Cervical Disc Disorder
Question: When a patient reports to the PM physician complaining of neck pain, what i... Read more
Reader Questions:
Know Screening Service vs. Diagnostic Tool
Question: Our provider screened a patient for peripheral artery disease (PAD) using b... Read more
Reader Questions:
Specific Diagnosis is Key
Question: What is the best diagnosis code to report for incomplete bladder emptying? ... Read more
Reader Questions:
Prioritize Diagnosis over Symptoms
Question:  patient presented with an itchy, blistered rash on her skin, which sh... Read more
You Be the Coder:
Utilize Indication and Impression
Question: A referring doctor sends a patient to us for a magnetic resonance imaging (... Read more
Diagnosis Primer:
Turn to Z Codes for 'Rule Out' Encounters
Differentiating between counseling and further study will help you choose correctly. Pati... Read more
Quick Quiz:
Test Your Cardiology Dx Skills With 4 Sample Scenarios
Try your hand at coding these queries. Cardiology is one of the trickiest areas of diagno... Read more
Clip and Save:
Capture Full Patient Picture with Z Codes
Z codes are your keys to documenting chronic conditions or underlying physical or social c... Read more
Guidelines Update:
Update Your Hurricane-Related External Cause Coding This Year
Sequencing is one key to successful claims. Each year we see news about catastrophic hurr... Read more
Quick Quiz Answers:
Test Your Cardiology Dx Skills With 4 Sample Scenarios
Check your answers against the experts'. Here are answers to the coding quiz for key card... Read more
Reader Question:
Differentiate Acidosis and Alkalosis For Correct Code Choice
Question: A patient presents with severe asthma (J45.xx) and develops fever (R50.9), wheez... Read more
You Be the Coder:
Bank on Definitive Diagnosis
Question: A 54-year-old woman presented to our provider complaining of difficulty sleeping... Read more
Guideline Update:
Shore Up Your Hypertension Coding, Based on Revised Guidelines
Move beyond the code changes, but don't miss other critical updates. At this point, you'r... Read more
Notes Primer:
Dig Deeper When You See Excludes1 Notes
Rely on new Coding Clinic clarification for help. If you see an Excludes1 note after an I... Read more
Pediatrics Focus:
Follow 3 Tips for Neonate Diagnosis Success
Don't miss crucial guidelines that affect your code selection. When you're reporting diag... Read more
Reader Question:
Switch 'A' to 'D' for Second Dislocation Encounter
Question: A 7-year-old was playing on the monkey bars at a local park when he fell and par... Read more
Reader Question:
Check for Specific Circadian Rhythm Sleep Disorder Details
Question: I just started working at a PM clinic that performs sleep studies, and am trying... Read more
You Be the Coder:
Test Your Tendinitis Typing Skills
Question: During the course of an evaluation and management (E/M) service for a new patien... Read more
ICD-10 Updates:
Check Up On Updates On Infection, Sepsis
Neglect evolving guidelines at your own risk. This time of year offers coders a multi-mon... Read more
Training:
Dial In On External Cause Coding
Utilize external codes to provide more context. External cause codes V00- (Pedestrian con... Read more
Diagnosis Spotlight:
Understand Which Code Choices Apply to Migraines
Hint: Not all symptoms point to the same code. The detailed specificity of ICD-10 is a go... Read more
Reader Question:
Code for Specificity, Follow Payer's Billing Rules
Question: I code for a surgery center and an associated physician clinic. Most of our pati... Read more
Reader Question:
Look to Visit Timing to Clarify Seventh Character Confusion
Question: I am confused about the use of seventh characters when our provider removes sutu... Read more
Reader Question:
Don't Get Stumped on Leukorrhea
Question: Is N89.8 the best ICD-10 code to report for leukorrhea? Codify Subscriber Answ... Read more
You Be the Coder:
Try Utilizing Combo Dx Code for Influenza, Ear Infection
Question: A computed tomography (CT) scan is performed on a patient with a chronic middle ... Read more
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