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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

Acute, but ill-defined, cerebrovascular disease

 ICD-9-CM Diagnosis Code 436 Acute, but ill-defined, cerebrovascular disease Apoplexy, apoplectic:              Apoplexy, apoplectic: NOS                                         seizure Attack                                       Cerebral seizure Cerebral   Once the acute stage is passed, you can code any late or residual effects from the original occurrence. Reference: ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions.

Malignant Neoplasm Guideline

Malignant Neoplasm Guideline When the primary malignancy has been previously excised or eradicated from its site and there is no adjunct treatment directed at that site and no evidence of any remaining malignancy at the primary site, use the appropriate code from category V10, Personal history of malignant neoplasm, to indicate the former site of the primary malignancy.  Documentation of the extension, invasion, or metastasis to another site is coded as a secondary malignant neoplasm to that site. The metastatic site may be sequenced as the principal diagnosis if treatment is directed toward the metastatic site. Assign a code for the malignancy if a patient is receiving treatment (eg, chemotherapy, Rx, radiation therapy) for a malignancy that has already been excised. Do not assign a code from category V10, Personal history of malignant neoplasm, because the patient would not still be under treatment if the malignancy were actually a history of malignancy. It may b...

FREE ICD-10-CM & PCS Training Course

Codebusters offers a FREE, yes FREE, ICD-10-CM & PCS Training Course at  Training Course It is a "ICD-10 Training Online Course by Linda Kobayashi, RHIT, CCS: The focus is on Inpatient coding, covering diagnosis and procedure codes extensively. Conditions and complications from all 22 chapters of ICD-10-CM and associated procedures are rigorously covered through life-like coding scenarios. The full course is broken up into two sections, the first covering ICD-10-CM Chapters 1-9 and the second covering Chapters 10-19 (External cause codes are present as secondary diagnoses throughout the course)." PCS is used for inpatient procedures (in the hospital). Check out their Course Flyer

Type 2 diabetes mellitus

Type 2 diabetes mellitus Use additional code to identify: Insulin Use (Z79.4) ICD-9    250.52 Diabetes with ophthalmic manifestations type 2 uncontrolled ICD-10  E11.3 Type 1 diabetes mellitus with ophthalmic complications E11.311 …Type 2 dm with unspecified diabetic retinopathy with macular edema E11.319 ... Type 2 dm with unspec diabetic retinopathy without macular edema E11.36 …Type 2 dm with diabetic cataract E11.39 ... Type 2 diabetes mellitus with other diabetic ophthalmic complication E11.65 … Type 2 diabetes mellitus with hyperglycemia Guidelines state:    “The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system.” “They should be sequenced based on the reasons for a particular encounter.”  “The age of a patient is not the sole determining factor, though most type 1 diabetics develop ...