The increased complexity and cost of implantable cardiac defibrillator devices is reflected in the higher relative weight and longer length of stay for these MS-DRGs compared to pacemaker MS-DRGs.
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CE Articles
Reassess ICD-10-PCS reporting, MS-DRG assignment for implantable defibrillators

Sarah Nehring, CCS, CCDS, RHIT, writes that the increased complexity and cost of implantable cardiac defibrillator devices is reflected in the higher relative weight and longer length of stay for these MS-DRGs compared to pacemaker MS-DRGs.

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Breathe in ICD-10-CM reporting, clinical criteria for pneumonia
Julian Everett, RN, BSN, CDIP, reviews ICD-10-CM reporting and clinical criteria for pneumonia and its causative agents and associated comorbidities. Everett also details documentation recommendations for providers to ensure inpatient coders can report this disease with the utmost accuracy.
Paying attention to definitions, clinical indicators of acute ischemic syndrome
Alba Kuqi, MD, CCS, CDIP, CCDS, CRCR, CICA, CSCM, explains the definition of acute ischemic syndrome and the clinical indicators that make a difference when reviewing a medical record. In part one of this two-part series, Kuqi takes a look at the myocardial anatomy, stable/unstable angina, and Prinzmetal's angina.
Healthcare News: CMS alters COVID-19 MS-DRG payment requirement
CMS recently released guidance stating that for inpatient novel coronavirus (COVID-19) claims, a positive viral test result is now required in order to be eligible for the 20% increase in the MS-DRG weighting factor. This became effective for all admissions on or after September 1.
Q&A: ICD-10-CM reporting, querying for acute pulmonary edema
Q: When is it appropriate to report both flash or acute pulmonary edema and acute on chronic heart failure (diastolic, systolic, or other) in ICD-10-CM? What other etiologies lead to flash pulmonary edema and how do I know when to query?
 

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SelectCoder Tip of the Week

ICD-10-CM code J04.2 (acute laryngotracheitis) is a specific code and should be assigned when the patient is documented as specifically having laryngotracheitis. This involves inflammation of both the larynx and trachea.

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JustCoding's 2021 ICD-10-PCS Code Updates Webinar

During this 60-minute program on Wednesday, September 9, expert speaker Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, will help you sift through the changes to various MS-DRG classifications and pinpoint noteworthy changes for your facility, review the new and revised code descriptions for the 2021 ICD-10-PCS code set, and answer specific questions during a live Q&A. For more information, call 800-650-6787 or visit the HCPro Healthcare Marketplace.
 

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