Q: A physician documented that a pregnant patient is obese, and the patient’s chart has a listed body mass index (BMI) score. Can we assign an ICD-10-CM BMI code in this instance or should this never be done for an obstetrics patient?
Q: In a previous question, you said you can destroy paper records like charts as soon as they are scanned into the EMR if your state considers electronic storage media legally acceptable for medical records. My organization is currently rewriting our policy on shredding charts; is there any reference to this in HIPAA that we can use to back this up?
Q: Considering the fiscal year 2019 update to the ICD-10-PCS Official Guidelines for Coding and Reporting for Transfer procedures, how should we now report a pedicled transverse rectus abdominis myocutaneous (TRAM) flap procedure in ICD-10-PCS?