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ICD-10 Coding Alert

Otolaryngology Coding:
Narrow In On Pediatric Conditions
P codes may present a challenge, so review ICD-10-CM instructions for accurate and efficie... Read more
Diagnosis Spotlight:
Don't Let Herpes Complications Cloud Your Ophthalmology Coding
Shingles can affect eye health, so you should know how to code the complications. If you'... Read more
Neurosurgery Focus:
Use These Five Tips to Boost Success of Intervertebral Disorders Submissions
Hint: The presence of Schmorl's nodes can make a difference. When it comes to interverteb... Read more
Reader Question:
Husband's Condition Affects Infertility Coding
Question: What diagnosis code should I use for an office visit where a patient and her hus... Read more
Reader Question:
Be Wary of Cancer When Coding Erythema
Question: What is the best diagnosis code to report for bladder erythema? I'm deliberating... Read more
Reader Question:
Look to Patient Age, Anatomy for Accurate Bronchitis Coding
Question: We had a patient come in with bronchitis and the physician didn't specify the ty... Read more
Reader Question:
Previous Tobacco Use Does Not Dictate COPD Dx
Question: On a chest X-ray, the indication notes an intermittent smoker, but used to be a ... Read more
You Be the Coder:
Chemotherapy Affects Tumor Lysis Syndrome Coding
Question: The physician saw an inpatient with chronic lymphocytic leukemia who was admitte... Read more
Pediatric Spotlight:
Code Pediatric Diabetes Like This
Tip: Pediatric diabetes deserves special attention because age isn't the only factor to co... Read more
Cardiology Focus:
Check Up On MI, Underdosing, And Natural Disaster Aftermath Coding
With a month of actually using ICD-10 updates under your belt, check in to make sure your ... Read more
Musculoskeletal System Coding:
Stabilize Your Fracture Coding with This Guide
Hint: Organize your chapter-specific fracture coding in one place. Most veteran coders ty... Read more
Reader Question:
Pay Attention to Radiculopathy Location
Question: If the neurosurgeon documents lumbosacral radiculopathy, how should I report thi... Read more
Reader Question:
Check 'E' Codes for Cystic Fibrosis
Question: How do I code cystic fibrosis in a pediatric patient? Subscriber... Read more
Reader Question:
No Specific Dx For Calcified Ureteral Stent
Question: Can we report 50590 for freeing a calcified ureteral stent? If so, what diagnosi... Read more
Reader Question:
To Find GIST Code, Start With 'Tumor'
Question: How do I code GIST correctly? Wyoming Subscriber Answer: To find the proper di... Read more
You Be the Coder:
Look To Prior Documentation With Barrett's Esophagus Dx
Question: A patient previously diagnosed with Barrett's esophagus (without dysplastic chan... Read more
Diagnosis Spotlight:
Don't Let Carpal Tunnel Mistakes Freeze Your Reimbursement
You may need a CTS diagnosis before payers will approve therapeutic measures. Coding for ... Read more
Ob-Gyn Update:
Know These Ob-Gyn Guideline Revisions or Risk Disaster
Don't include BMI diagnoses for pregnant patients. You learned the new ICD-10-CM codes th... Read more
Clip And Save:
Utilize These Coding Tips for Hurricanes
Hint: Look to the 7th digit to code claims accurately. If you're worried about coding pro... Read more
Case Study Corner:
See to the Correct Codes for Cornea Dx
Would you choose the best-suited codes for each scenario? Treating cornea diagnoses is an... Read more
Orthopedics Focus:
Keep These Open/Closed Rib Fracture Fix Codes on Hand
Tip: Keep S22.--- in mind when dealing with breaks. Orthopedic practices that treat pati... Read more
Reader Question:
Look to Terminology to Code Spinal Tumors
Question: How do I report malignant meningeal and spinal cord tumors? New York Subscriber... Read more
Reader Question:
Differentiate Between Scalp and Face
Question: Our surgeon removed a Merkel cell carcinoma from the scalp. Should we code this ... Read more
Reader Question:
Understand Staging to Code Pressure Injuries
Question: What's the difference between an unstageable pressure ulcer and a pressure ulcer... Read more
Reader Question:
Code Strain for Achilles Tendon Rupture
Question: The patient came into the office with an initial encounter for a rupture of his ... Read more
You Be the Coder:
Don't Get Tripped Up By Combo Code
Question: What is the correct way to code for type 2 diabetes and a urinary tract infectio... Read more
ICD-10 Update:
Know These New Ways to Document Abuse, Exploitation
Cyberbullying finally gets its own code. Last month, we highlighted many of the additions... Read more
Diagnosis Spotlight:
Take This Path for Logical Fracture Coding
Underlying causes key to differentiate pathological from stress, trauma fractures. Fractu... Read more
Case Study Corner:
Use These 5 UTI Dx Tips to Prove Urinalysis Necessity
Here are the codes you need before you report the test. Proving medical necessity for tes... Read more
Reader Question:
Sequence for Primary Dx in This ARF Scenario
Question: We saw a patient who we had admitted to the hospital for a COPD exacerbation and... Read more
Reader Question:
Extend Your Myalgia Coding with Expanded M79.1 Options
Question: How will the 2019 ICD-10 revisions affect orthopedic diagnosis coding? SuperCod... Read more
Reader Question:
Learn This Acronym for Accurate Systolic Heart Failure Coding
Question: A patient presented with dyspnea and peripheral edema and said she has had a cou... Read more
Reader Question:
Add This Code When Strep Throat Causes Abscess
Question: How do I code a patient with strep throat, tonsillitis, and a peritonsillar absc... Read more
You Be the Coder:
Distinguish TMJ Types with These Codes
Question: How should I report a diagnosis of temporomandibular joint (TMJ) disorder? Nort... Read more
Ob-Gyn ICD-10 Update:
Multiply Your Multiple Gestation Reporting Options with These New Codes
Obstetric surgical wound infection codes receive overhaul, too. 320 additions. 172 revise... Read more
Primary Care ICD-10 Update:
Keep These New Exam Codes on Your Radar Screen
ICD-10 expands depression, developmental disorder encounter subcategories. One of the goa... Read more
Pediatric ICD-10 Update:
Add These New Neonatal Withdrawal, Transitory Disorders Codes on Oct. 1
Coding newborn exposure to therapeutic, addictive drugs to get more specific. The transit... Read more
Cardiology ICD-10 Update:
Take Note of These Cerebral Infarction, Cerebrovascular Disease Code Changes
Add new codes I63.81 and I63.89 to your knowledge base. The field of cardiology may not h... Read more
Post-Procedure ICD-10 Update:
Pick These New Post-Procedural Infection Codes When Pertinent
Additional category codes provide complication specificity. Coders who frequently turn to... Read more
Bust These Myths for Clear-Cut Cardiac Coding
Don't let these common misconceptions get in the way of precision heart failure reporting.... Read more
Coding Quiz:
Test Your COPD Coding Knowledge with This 3-Question Quiz
Can you provide the correct diagnoses in these scenarios? Chronic obstructive pulmonary d... Read more
Diagnosis Spotlight:
See Through These Scenarios, Sharpen Your Retinal Condition Coding
And don't forget to add laterality for a precise dx. Coding retinal diagnoses requires un... Read more
Coding Quiz Answers:
Check Your Responses to Our COPD Coding Quiz
Grab your answers and see if you can call yourself an expert. Answer 1: Although the code... Read more
Reader Question:
Crush This Coding Conundrum by Choosing the Correct Character
Question: An established patient with an injured forearm reports to the PM specialist. The... Read more
Reader Question:
Code Continued, not Completed, Until Condition Concludes
Question: A patient we have been treating for a severe case of eczema came back to our pra... Read more
Reader Question:
Apply Specific Dx to Specific X-Ray Image in This Multiple Fracture Encounter
Question: We have a patient who underwent a 3-view ankle X-ray for a left, displaced later... Read more
Reader Question:
Report R Codes in This Rule-Out Dx
Question: Our pulmonologist frequently circles rule-out diagnoses on his charts and then d... Read more
Reader Question:
Know Sequencing, Symptoms in This HIV-Positive Encounter
Question: The physician saw an HIV-positive patient for treatment of numerous chronic mout... Read more
You Be the Coder:
Understand Guidelines to Accurately Document Adverse Effects
Question: A patient arrives for an evaluation and management (E/M) visit following chemoth... Read more
Neoplasm Coding:
Perfect Your Neoplasm Dx Coding with These Practical Pointers
Histology, sequencing, and site key to specificity. New and veteran coders in different s... Read more
Diagnosis Spotlight:
Simplify Stomach Pain Coding with These 3 Hints
Know severity, location, and guidelines for accurate documentation. Abdominal problems ar... Read more
Understand Principal Dx for Specific Sequela Selection
Hint: let ICD-10-CM guidelines inform your seventh character choice. Coders are often cal... Read more
Reader Question:
Know These Keywords for OM Dx
Question: We see a lot of ear infections in the ED, and often the physician will only docu... Read more
Reader Question:
Code B20 When HIV Patient Is Symptomatic
Question: How do I know when to code for AIDS (B20), not HIV (Z21)? West Virginia Subscri... Read more
Reader Question:
Choose Combo Codes for RA of Knee and Rheumatoid Disease
Question: I have encounter notes in front of me that indicate the provider treated a patie... Read more
You Be the Coder:
Apply These Diagnostic Codes After Treatment
Question: For how long after treatment can we use the cancer diagnosis code C56.9 for a pa... Read more
Musculoskeletal System Coding:
Decide Displacement, Degeneration for Definitive Disc Disorder Documentation
And add anatomical location for greater accuracy. Even though there are only two main ICD... Read more
Diagnosis Spotlight:
Sharpen Your Skills by Coding These ED-Specific Scenarios
Test your ICD-10 knowledge by finding the solutions to these 4 different situations. Whet... Read more
Improve Your Weight Dx Reporting by Understanding BMI
Know how the height/weight calculation impacts your coding choices. You're probably famil... Read more
Reader Question:
Follow Guidelines, Know Anatomy, Record Chronic Frontal Sinusitis Correctly
Question: We have a patient with diagnoses of chronic frontal sinusitis with ocular and bi... Read more
Reader Question:
Take This Advice When Searching for TBI Codes
Question: What are the rules surrounding traumatic brain injury (TBI) coding? I can't figu... Read more
Reader Question:
Ask These 4 Questions, Code This Fracture Dx with Precision
Question: Noted indicate that the orthopedist treated a patient with a closed oblique frac... Read more
Reader Question:
Code for Toxicity, Exposure When Noted in Chalcosis Dx
Question: Our ophthalmologist saw a patient in the hospital who had been admitted by a gas... Read more
Reader Question:
Look to This Code for "Corkscrew Esophagus"
Question: Our physician diagnosed a patient with a "corkscrew esophagus." We have never se... Read more
You Be the Coder:
Know Rheumatic, Nonrheumatic for Accurate Valve Disorder Coding
Question: How should you report nonrheumatic mitral valve insufficiency? Connecticut Subs... Read more
Avoid These Errors for Correct Atherosclerosis Coding
Combo codes key when angina added to dx. You know that when your provider documents a pat... Read more
Case Study Corner:
Reach for These Codes When Hard Times Hit
Know cause to code this underdosing scenario. It's a term that has only been in use in IC... Read more
ICD-10 Coding:
Take These Steps to Find Pressure Ulcer Coding Relief
Sequence, then specify site, side, and severity for success. When a patient spends a lot ... Read more
Reader Question:
Run to These Codes for Foot Pain Dx
Question: Our pain management specialist has diagnosed a patient with metatarsalgia. What ... Read more
Reader Question:
Look Beyond Index to Find WARI Code
Question: Our provider recently diagnosed a patient with wheezing associated respiratory i... Read more
Reader Question:
Document Smoking History in This Malignant Neoplasm Encounter
Question: Our physician diagnosed a malignant bronchial neoplasm for a patient who has bee... Read more
Reader Question:
Stay on the Right Side of These Extremity Pain Codes
Question: The physician saw a new patient with a complaint of right-sided extremity pain; ... Read more
Reader Question:
Pick This Code for Antepartum Non-Immune Rubella
Question: How do you code rubella non-immune status in a pregnant patient? I can only thin... Read more
Reader Question:
Use This Handy Code to Report Myositis Encounters
Question: Our provider documented that a patient was suffering from pain, swelling, tender... Read more
You Be the Coder:
Choose This Code for Old MI? Not So Fast
Question: We are experiencing some confusion with the ICD-10 guidelines for myocardial inf... Read more
Specify Trauma, Solidify This Shoulder Strain Dx
Indication and impression differences key to coding this workplace injury. Joint patholog... Read more
Coding Quiz:
Test Your Emergent Condition Knowledge with These 5 Questions
Can you select the right codes to report these frequent ED encounters? Fractures, hyperte... Read more
Diagnosis Spotlight:
Learn Hammertoe Coding Basics with This Guide
Know rigid or flexible, acquired or congenital, for accurate Dx documentation. It's a com... Read more
Coding Quiz Answers:
Check Your Responses to Our Emergent Conditions Coding Quiz
Grab your answers and see if you can call yourself an expert. Answer 1:  To report a... Read more
Reader Question:
Code Signs and Symptoms When Dx Isn't Inclusive
Question: Often, the physician will list several symptoms and signs that the patient is ex... Read more
Reader Question:
Use These Codes for Different Limb Lengths
Question: Notes indicate that the provider performed a level-three new patient evaluation ... Read more
Reader Question:
Know the Signs, Code This GERD Scenario
Question: A patient presented to our ED because of burning throat pain and denied chest pa... Read more
You Be the Coder:
Find Location, Code Ab Pain Dx With Ease
Question: What is the correct ICD-10 code for upper-quadrant abdominal pain? California S... Read more
Diagnosis Spotlight:
Try These Tips to Relieve Hypertension Coding Pressure
Let this guide help refine your sequencing, secondary Dx knowledge. Eleven different type... Read more
Know When, How to Report External Cause
Document cause, intent, place, and status to round out your reporting. Most coders know t... Read more
Code These 2 Scenarios to Enhance Your ENT Education
Parentheses, combo codes provide reporting specificity. Coders are always challenged by e... Read more
Reader Question:
Code Metatarsalgia Dx Without the Pain
Question: What are the ICD-10 options for reporting metatarsalgia? Illinois Subscriber A... Read more
Reader Question:
Pick Pneumonia Codes on Cause, Associated Dx
Question: Can you advise on which diagnosis codes apply for bacterial vs. viral pneumonia?... Read more
Reader Question:
Select Multiple Dx for This VBAC Encounter
Question: A patient had a C-section following a failed VBAC due to fetal distress. She had... Read more
You Be the Coder:
Count on Adverse Effect Guidelines in This Chemo Scenario
Question: A patient arrives for an evaluation and management (E/M) visit following chemoth... Read more
Diagnosis Spotlight:
Ask These Questions for Precision Sleep Apnea Dx Coding
Look to underlying causes, know what to code first. You may think that coding sleep apnea... Read more
Take These 3 Hints, Master UTI Coding
Location, status don't always add up to N39.0. N39.0 (Urinary tract infection, site not s... Read more
Clarify Your Conjunctivitis Coding
These questions and answers will help you pick the perfect pink eye dx. Pink eye. Shipyar... Read more
Reader Question:
Wait for Path Dx Before Coding This Prostate Procedure
Question: Our surgeon performed a TURP procedure. When the patient came in for follow-up c... Read more
Reader Question:
Understand Unspecified, Uncertain for Tumor Dx
Question: A patient presents with a tumor of the sphenoid sinus. The physician biopsies th... Read more
Reader Question:
Know This Hematoma Code When Trauma Unknown
Question: How do I code a diagnosis of hematoma of the sternothyroid muscle? Georgia Subs... Read more
Reader Question:
Determine Location for Correct Calcification Code
Question: What is the best diagnosis for "pelvic calcifications" on radiology scans? The r... Read more
Reader Question:
Code for Mother, Not Newborn, in This Breastfeeding Scenario
Question: My ob-gyn saw a patient who was having problems breastfeeding her infant. What d... Read more
You Be the Coder:
Use These Clear-Cut Codes for Vague Abdominal Dx
Question: A new patient reported to our office complaining of pain in his lower abdomen. A... Read more