HCC Blog by Caridad

http://www.cms.gov/eHealth/ resources.html scroll down near the bottom of the above mentioned webpage to find this section. CMS eHealth Provider Webinar Series CMS is holding a series of eHealth webinars to educate the health care community about the eHealth programs and resources available. Representatives from each of the eHealth initiatives will present on their program and then offer a Q&A session to participants. The webinars are held bi-weekly from noon to 1:30 pm ET. Past Webinars Past webinar resources are available and can be viewed by clicking on the links below: ICD-10 Resources: Get on the Road to 10 (August 5, 2014) PDF Presentation Webinar Recording (Recording ID: DWGQ5G; Key: eHealth) Administrative Simplification Overview (July 22, 2014) PDF Presentation Webinar Recording (Recording ID: 85WW8M; Key: eHealth) Million Hearts Overview (July 10, 2014) PDF Presentation Webinar Recording (Recording ID: FKS28F; Key: eHealth) Stage 2 Exchange Re...

Stroke and Transient ischemic attack (TIA) To code an acute stroke, use 434.01, 434.11 or 434.91 (these are used at the time of the initial hospital admission or on initial diagnosis in a skilled nursing facility). When the provider documents “Stroke” it is coded as 434.91; “TIA” is coded as 435.9 Past stroke or TIA with no residual deficits could appropriately be documented as “history of stroke” or “history of TIA” and code V12.54. Past stroke or TIA with residual deficits would have two codes – one for history or and one for the late effects.   Watch for the following: Code 434.1 Occlusion of cerebral arteries with cerebral infarction should only be assigned for acute stroke, ie, first admission to hospital or the initial diagnosis at a skilled nursing facility. Code 436 is used for apoplexy and cerebral seizures but not used to report acute stroke. [Definition of apoplexy is: A sudden loss of consciousness followed by paralysis, due to cerebral ...

Chapter 8: Diseases of Ear and Mastoid Process (H6Ø-H95) Some general notes and definitions for this chapter. IF there is a note at the beginning of the chapter that states to use an external cause code following the code for the condition of the ear, that will identify the cause of the ear condition.   The external ear consists of the pinna or auricular, and the external acoustic meatus.   Otitis media is any inflammation of the middle ear not indicating etiology or pathogenesis.   Definitions: Otitis media (OM), acute OM (AOM), OM with effusion (OME) and lacks signs and symptoms of infection.  Chronic suppurative OM is a chronic inflammation of the middle ear lasting at least 6 weeks, associated with otorrhea through a perforated tympanic membrane (TM), and indwelling tympanostomy tube, or a surigal myringotomy.  Further labeled as acute - acute onset, persistent – if there is a relapse within one month of treatment, recurrent - if th...

Chapter 7: Diseases of Eye and Adnexa (HØØ-H59) Glaucoma is an eye condition that develops when too much fluid pressure builds up inside the eye.  The increased pressure is called intraocular pressure. It can damage the optic nerve that transmits images to the brain. It the pressure continues it can cause loss of vision and even permanent blindness. Open-angle glaucoma aka wide-angle glaucoma is the most common. The fluid in the eye does not flow property through the drain of the eye, known as the trabecular meshwork. Angle-closure glaucoma aka acute or chronic angle-closure of narrow-angle glaucoma is less common. The angle between the iris and the cornea is too narrow and can cause poor drainage. Bilateral glaucoma with same type and stage Bilateral glaucoma with same type and stage – when there is bilateral glaucoma and both eyes are documented with the same type and stage, and there is a code from bilateral glaucoma, ignore it and instead report only the code for the...

 ICD-10 Webcast for Internal Medicine and Family Practice Posted This morning, CMS posted a new webcast, aimed at primary care physicians on their  http://www.roadto10.org/  website:   An AHIMA-certified coder presents training focused on unique ICD-10 clinical documentation needs and hot topics for each medical specialty. The five webinars will follow the same outline and objectives catering to each medical specialty with specific examples. Physician Perspective/clinical impact of ICD-10 Documentation requirements for certain conditions Documentation changes and new concepts Use of “unspecified” in ICD-10 This webcast features Dr. Maggie Gaglione, a board certified internist and bariatrics specialist, a physician in private practice in Virginia.  Per Dr. Gaglione: “Comprehensive documentation is key to identifying and assigning the best diagnosis code. By doing our part, and focusing on how we document our patients’ condition we put t...

Mental and behavioral disorders (F1—F19) 3 rd character indicates substance used Example: F10 Alcohol related disorders F11 Opioid related disorders F12 Cannabis related disorders 4 th and 5 th characters indicate the psychopathological syndrome (manifestation of behaviors and experiences) Example: F10.22 Alcohol dependence with intoxication F10.220 Alcohol dependence with intoxication, uncomplicated F10.221 Alcohol dependence with intoxication, delirium Hierarchy of use, abuse and dependence If use and abuse are documented, code only abuse If abuse and dependence are documented, code only the dependence If use and dependence are documented, code only dependence If use, abuse and dependence are all documented, code only dependence Example: F10.1- Alcohol abuse F10.2- Alcohol dependence F10.9- Alcohol use, unspecified -Uncomplicated -With intoxication -With withdrawal -With alcohol-induced psychotic disorder -With alcohol-induc...

HCC University: CMS Offers New ICD-10 Content : As part of their ongoing "Road to 10" series, CMS has posted a newly released webcast on ICD-10 documentation and coding concepts ...