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Showing posts from November, 2014

Pancreas

Pancreas ICD-9     557.0 Acute Pancreatitis In  ICD-10 the options include: B25.2 ….. Cytomegaloviral pancreatitis                      Excludes 1 congenital cytomegalovirus infection (P35.1) cytomegaloviral mononucleosis (B27.1-)      K85.0 ….. Idiopathic acute pancreatitis K85.1 ….. Biliary acute pancreatitis K85.2 ….. Alcohol induced acute pancreatitis K85.3 ….. Drug induced acute pancreatitis K85.8 ….. Other acute pancreatitis K85.9 …. Acute pancreatitis, unspecified

IS POINT AND CLICK ENOUGH ?

Making the best use of electronic medical records has always been a challenge and the federal government has been scrutinizing charting on many levels. The points of interest to the auditors are: Cloning a chart note to the next date of service   Problem lists being used as the billing diagnosis codes, versus only billing codes that represent the evaluation and management of the condition(s) that were considered at the time of the treatment plan Incomplete comments that may not be adequate for auditing purposes: Examples of incomplete comments, but not limited to : Stable                                       Improving                        ...

Acute and chronic respiratory failure

Acute and chronic respiratory failure                        ICD-9     518.84 Acute and chronic respiratory failure                        The options in ICD-10 include:                      J96.20 ….. Acute and chronic respiratory failure, unspecified whether                                  with hypoxia or hypercapnia                     J96.21 ….. Acute and chronic respiratory failure with hypoxia             J96.22 ….. Acute and chronic respiratory failure with hypercapnia