Sepsis and systemic inflammatory response syndrome are historically difficult to document and report in ICD-10-CM. AlbaKuqi, MD, CCS, CDIP, CCDS, CRCR, CICA, CSCM, breaks down sepsis definitions and outlines a process for query creation.
Reconciling CDI reviews and queries against final coding is an important but sometimes overlooked step. Use these expert tips to refresh or develop your organization's CDI and coding reconciliation process.
Because of the prevalence of eating disorders, coders should become familiar with their types, symptoms, codes, and relevant guidelines. They appear in ICD-10-CM under category F50 (eating disorders), but codes for individual symptoms appear throughout the manual.
A broken nose is a break in the bone or cartilage over the bridge of the nose or over the septum—the structure that separates the nostrils. Debbie Jones, CPC, CCA, explains how to select the most specific CPT codes for nasal fracture and dislocation treatments.
Coding a chart with a sepsis diagnosis requires careful attention to detail. Use this tips to review sepsis documentation, ICD-10-CM coding requirements, and quality measures for public reporting.
Every organization’s priorities will differ, but any outpatient CDI program must determine how to measure the improvement associated with its efforts. Outpatient CDI will directly contribute to the facility’s overall quality performance and risk adjustment models.