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Free quiz: ICD-10-CM codes for diseases of the oral cavity and salivary glands
Mini-poll: Does your hospital have an inpatient or outpatient CDI program?
Does your hospital have an inpatient or outpatient clinical documentation improvement (CDI) program?
- Yes, we have a CDI program that reviews inpatient records
- Yes, we have a CDI program that reviews inpatient and outpatient records
- No, we do not have a CDI program
- Not applicable, I work in a physician office setting
- I don’t know
Last week’s mini-poll
How do you plan to spend Black Friday this year
- I won’t be doing any shopping: 60%
- Shopping online: 21%
- Shopping whenever I have time: 18%
- Waking up early to get in line: 1%
Thank you to the readers who participated in last week’s mini-poll!
Trivia question: ICD-10-CM code for sodoku
Product of the week: Clinical Documentation Improvement Tips to Identify Patient Safety Indicator Targets webcast
Q&A: Can non-physicians answer queries after discharge?
Healthcare News: Majority of industry stakeholders find smooth transition to ICD-10, according to survey
- Clinical documentation improvement and continuous physician education
- Increase in denials or rejected claims
- Reduced revenue due to coding delays or coding errors
- System testing and information technology fixes
Adding venous thromboembolism to the CDI checklist at your facility
- Altered blood flow
- Vascular endothelial injury
- Alterations in the blood constituents, or hypercoagulable state
A patient with an abnormally increased tendency toward coagulation may be said to experience a hypercoagulable state. Hypercoagulable states can be further specified as primary or secondary. Primary hypercoagulable states are inherited thrombophilia conditions caused by deficiencies or defects of the physiologic anticoagulants or increased coagulation factors, according to the journal Cardiovascular Medicine (2007). The major causes of inherited thrombophilia include factor V Leiden mutation, antithrombin deficiency, protein S and protein C deficiency, and prothrombin gene mutation.
- Clinical evaluation
- Therapeutic treatment
- Diagnostic procedures
- Extended length of stay
- Increased nursing care and/or monitoring
Past is present: ICD-10-CM clears some ICD-9-CM issues while others persist
A holiday checklist for HIM managers
Prepare for JustCoding’s redesign by downloading quiz certificates, preregistering
Free quiz: ICD-10-CM codes for general symptoms and signs
Test your knowledge with this week’s free quiz, which focuses on ICD-10-CM codes for general symptoms and signs. (View)
Mini-poll: Which option best describes the type of facility for which you primarily code?
Which option best describes the type of facility for which you primarily code?
- Large hospital or healthcare system (more than 300 beds)
- Medium-sized hospital or clinic (100-300 beds)
- Small hospital or clinic (fewer than 100 beds)
- Critical access hospital (fewer than 25 beds)
- Provider-based clinic
- Physician's office
Last week’s mini-poll
Does your hospital have an inpatient or outpatient clinical documentation improvement (CDI) program?
- Yes, we have a CDI program that reviews inpatient records: 66%
- Yes, we have a CDI program that reviews inpatient and outpatient records: 10%
- Not applicable, I work in a physician office setting: 12%
- No, we do not have a CDI program: 13%
Thank you to the readers who participated in last week’s mini-poll!
Trivia question: ICD-10-CM code for an aneurysm of the iliac artery
What is the correct ICD-10-CM code for an aneurysm of the iliac artery?
Q&A: Coding from ED documentation and test results
Healthcare News: CMS invites comments on 2-midnight rule payment calculation
Reporting biopsies with ICD-10-PCS
By Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, AHIMA-approved ICD-10-CM/PCS trainer
- 1, obstetrics
- 0, pregnancy
- 9, Drainage
- 0, products of conception
- 3, percutaneous approach
- Z, no device
- U, amniotic fluid, diagnostic
- 0, medical and surgical section
- 0, central nervous system
- 9, Drainage
- Y, lumbar spinal cord
- 3, percutaneous approach
- Z, no device
- X, diagnostic
- 0, medical and surgical section
- 7, lymphatic and hemic system
- D, Extraction
- R, bone marrow, iliac, but it could also be Q for bone marrow, sternum, or S for bone marrow, vertebral
- 3, percutaneous approach, though it could also be 0 for an open approach
- Z, no device
- X, diagnostic
- 0, medical and surgical section
- J, subcutaneous tissue and fascia
- D, Extraction
- D, subcutaneous tissue and fascia, upper arm or various other characters for other specific anatomical sites
- 3, percutaneous approach or potentially reported with 0 for Open
- Z, no device
- Z, diagnostic
- 0, medical and surgical section
- F, hepatobiliary system and pancreas
- B, Excision
- 2, liver, left lobe
- 0, open or 3 for percutaneous approach or 4 for percutaneous endoscopic
- Z, no device
- X, diagnostic
- 0, medical and surgical section
- V, male reproductive system
- B, Excision
- 5, scrotum
- X, external
- Z, no device
- X, diagnostic
- 0, medical and surgical section
- T, urinary system
- B, Excision
- B, bladder
- 8, via natural or artificial opening endoscopic
- Z, no device
- X, diagnostic
- 0, medical and surgical section
- D, gastrointestinal system
- B, Excision
- 6, stomach
- 8, via natural or artificial opening endoscopic
- Z, no device
- X, diagnostic
- 0, medical and surgical section
- H, skin and breast
- B, Excision
- T, breast, right
- 3, percutaneous
- Z, no device
- X, diagnostic
- 0, medical and surgical section
- H, skin and breast
- T, Resection
- T, breast, right
- 0, open
- Z, no device
- Z, no qualifier
An HIM director's holiday wish list
AHA Coding Clinic for ICD-10 covers orthopedic, cardiovascular coding
- R40.21-, coma scale, eyes open
- R40.22-, coma scale, best verbal response
- R40.23-, coma scale, best motor response
- 4, spontaneous eye opening
- 3, eyes open to speech
- 2, eyes open to pain
- 1, no eye opening
- 5, alert and oriented
- 4, confused, yet coherent, speech
- 3, inappropriate words and jumbled phrases consisting of words
- 2, incomprehensible sounds
- 1, no sounds
- 6, obeys commands fully
- 5, localizes to noxious stimuli
- 4, withdraws from noxious stimuli
- 3, abnormal flexion, i.e., decorticate posturing, an abnormal posture that can include rigidity, clenched fists, legs held straight out, and arms bent inward toward the body with the wrists and fingers bent and held on the chest
- 2, extensor response, i.e., decerebrate posturing, an abnormal posture that can include rigidity, arms and legs held straight out, toes pointed downward, and head and neck arched backwards
- 1, no response
- R40.2122, coma scale, eyes open, to pain, at arrival to ED
- R40.2232, coma scale, best verbal response, inappropriate words, at arrival to ED
- R40.2352, coma scale, best motor response, localizes pain, at arrival to ED
- R40.241, Glasgow Coma Scale score 13-15
- R40.242, Glasgow Coma Scale score 9-12
- R40.243, Glasgow Coma Scale score 3-8
- R40.244, other coma, without documented Glasgow Coma Scale score, or with partial score reported
Prepare for JustCoding's redesign by downloading quiz certificates, preregistering
The team at JustCoding is proud to announce a revamped and redesigned website launching soon. The new site will include great new features and make it easier than ever to browse our content, track your CEs, and more.