HCC Blog by Caridad

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

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                                             Deteriorating No change since last seen          Compliant with treatment plan Labs/radiology reviewed           Above / or / As above Instead comments that speak to an auditor :   Stable on meds Improving since last visit May 15, 2014 No change since last seen June 3,

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