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While the fiscal year 2019 IPPS proposed rule is considering the downgrade of ICD-10-CM code B20 from an MCC to a CC, it does not mean that diagnosing and coding for HIV has lessened in complexity.
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CE Articles
FY 2019 IPPS proposed rule: Has HIV decreased in complexity?

Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRD, CCDS, writes that while the fiscal year (FY) 2019 IPPS proposed rule is considering the downgrade of ICD-10-CM code B20 (human immunodeficiency virus [HIV] disease) from an MCC to a CC, it does not mean that diagnosing and coding for HIV has lessened in complexity.

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Looking at secondary diagnosis coding
A common question that coders often ask is when to report a secondary diagnosis. In part one of this two-part series, Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, looks at the general coding guidelines related to secondary diagnosis coding found in the 2018 ICD-10-CM Official Guidelines for Coding and Reporting.
Ending clinical validation pushback
Allen Frady, RN-BSN, CCDS, CCS, CRC, reviews various guidance related to clinical validation to help coders and CDI teams better navigate the complex topic.
Healthcare News: MCC/CC list sees potential changes in FY 2019 IPPS proposed rule
The fiscal year (FY) 2019 IPPS proposed rule includes updates to payment rates and quality initiatives, but some of the most extensive changes pertain to MCC and CC additions and deletions.
Q&A: Querying for POA pressure ulcer diagnoses
Q: Is it appropriate to query whether a pressure ulcer was present on admission (POA) if it was not documented until later in the admission?
 

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SelectCoder Tip of the Week

When viral hepatitis is documented as a confirmed diagnosis in a patient with any diagnosis classifiable to ICD-10-CM code category K74.- (fibrosis and cirrhosis of liver), the appropriate code from category B15-B19 (viral hepatitis) should also be assigned.

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