News & Resources

ICD-10 Codes for Lactic Acidosis

A few weeks ago, I introduced my new project; I’m affectionately referring to it as “A Question a Day Keeps the Queries Away.” It is going to be a curriculum for providers, clinical documentation improvement specialists (CDISs), and coders, taught in parallel. It takes me a while to research the topics and decide what each […]

NEWS ALERT: FY 2021 ICD-10-CM Guidelines Released — COVID-19 Coding Guidance Update

ICD-10-CM Official Guidelines for Coding and Reporting FY 2021 have been updated and released, noting many changes related to COVID19 and its observation and screening codes. EDITOR’S NOTE: During recent weeks, the Centers for Medicare & Medicaid Services (CMS) has been announcing revisions to its regulatory requirements on a near-daily basis in an attempt to […]

FY21 ICD-10-CM — More Than Codes

The FY21 ICD-10-CM codes were released by the Center for Disease Control and Prevention (CDC) on July 1, 2020.  The new and updated diagnosis codes are another part of the preparation for FY21 which begins on October 1, 2020. The final codes were very similar to the diagnosis codes that were released earlier this year. […]

To Code or Not to Code? 

A Talk Ten Tuesdays listener recently sent me a question that encouraged a dialogue between us. The question was “can obesity class 3 be assigned the code for morbid obesity?” I had to do a little research, as I did not know the answer immediately. After reviewing the Index of ICD-10-CM and the Tabular to […]

ICD-10-CM Codes Spark Great Interest

Over the past few months, the folks at ICD10monitor have seen an increase in website searches regarding two specific ICD-10-CM codes: U07.1 (COVID-19) and F32.9 (Major depressive disorder, unspecified). Some say that this is a sign of the times, and that may be absolutely true, considering what has gone on in the past four months […]

Clinical Documentation and Coding: The Foundation of Healthcare

Healthcare quality and data come from clinical documentation. Bricks and mortar are the foundation of many a structure. Clinical documentation and coding are similar, as they are also the supportive building blocks in healthcare and can be thought of as foundational as well. In healthcare, over the past 25-30 years we’ve seen the use, need, […]

We are Now in an ICD-10 World – But is Data Better?

Unfortunately, the quality of data is driven less by opportunity and more by incentives for those creating the data. Prior to the implementation of ICD-10, the key selling point of the new coding set was that it provided the opportunity for more detailed data about the nature of each patient’s condition. In theory, this improved […]

January 30: Stop CTE Awareness

CTE is coded as postconcussional syndrome which is F07.81 January 30th is National CTE Awareness Day according to www.stopcte.org. This organization was founded by the family of Patrick Risha who lost his battle with chronic traumatic encephalopathy (CTE) when he was in his 20’s. This young man lived in the suburbs of Pittsburgh, Pa. and […]

A Call for Victory for HIM Professionals in 2018

For HIM and CDI professionals, 2018 looks to offer a gift of the tremendous opportunity for success. For movie buffs, the film Darkest Hour offers a tremendous view into the early days of World War II, when the fate of Western Europe hangs on the shoulders of newly appointed British Prime Minister Winston Churchill, who […]

CDI: Is Your Toolkit Well Stocked?

Hospital services must positively contribute to the revenue cycle and clinical documentation integrity initiatives. A recent outlook report released by Moody’s Investors Services spells continued ongoing financial challenges for non-profit hospitals next year. (Moody’s Survey) The firm downgrade the sector from its current stable status to negative for 2018, attributable to a wide variety of […]