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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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