Susan Belley, M.Ed., RHIA, CPHQ, and Audrey Howard, RHIA, write that a majority of inpatients during this omicron surge are admitted for reasons other than COVID-19 and are incidentally found to be COVID-19-positive—making this an opportune time to review ICD-10-CM reporting for COVID-19 as a secondary diagnosis.
Wednesday, January 19, 2022
 

CE Articles

Refine ICD-10-CM reporting for COVID-19 as a secondary diagnosis

Susan Belley, M.Ed., RHIA, CPHQ, and Audrey Howard, RHIA, write that a majority of inpatients during this omicron surge are admitted for reasons other than COVID-19 and are incidentally found to be COVID-19-positive—making this an opportune time to review ICD-10-CM reporting for COVID-19 as a secondary diagnosis.

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Shore up the clinical validation of sepsis
Alba Kuqi, MD, MSHIM, CDIP, CCS, CCDS, CRCR, CICA, CSMC, RHIA, CCM, says that when reporting sepsis in ICD-10-CM, it’s important that evidence of sepsis is found throughout the body of a patient’s medical record. A clinical validity query may be necessary if the provider confirms the diagnosis of sepsis, but clinical evidence is lacking in the documentation.
Increasing communication and collaboration among coding, CDI, and quality teams
Departmental silos are prevalent in the healthcare world and can lead to unvoiced frustrations and counterproductive work. This article reviews how different organizations have various approaches to breaking down these walls.
Healthcare News: CDC updates guidelines for new COVID-19 ICD-10-CM codes
The Centers for Disease Control and Prevention (CDC) recently released multiple addenda with new tabular and index instructions and updates to the ICD-10-CM Official Guidelines for Coding and Reporting to complement the updated ICD-10-CM code set to become effective April 1.
Q&A: Reporting HIV, HIV-related illness in ICD-10-CM
Q: If a physician documents a patient as HIV positive, should the ICD-10-CM code Z21 be reported? What about if they document the patient is HIV positive with an HIV-related illness—would that be reported with ICD-10-CM code B20?
 

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SelectCoder Tip of the Week

Tardive dyskinesia due to use of medications, also referred to as lingual-facial-buccal dyskinesia, which presents as uncontrollable movements of the mouth, tongue, jaw, and cheeks, should be coded using G24.01 (drug-induced subacute dyskinesia) followed by the appropriate code to identify the drug causing the dyskinesia. This effect is commonly found following the use of neuroleptic medications.

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