Home Health & Hospice

Home Health & Hospice Articles by Topic: ICD-10

Removal of some PDGM primary codes, comorbidity groups proposed

  • Homecare Direction, Issue 8, August 7, 2019

    It’s more important than ever for agencies to take steps to ensure they are prepared for the...

There has been some confusion around how to code various types of atrial fibrillation. Will new FY2020 codes help clear up some of that confusion?

  • Homecare Q&A, Issue 7, July 29, 2019

    Honestly, because we don’t get a lot of documentation for atrial fibrillation, it may...

Should we code all diagnoses or only those affecting the plan of care?

  • Homecare Q&A, Issue 7, July 29, 2019

    Unfortunately this is an instance of where we have conflicting regulations.

Final FY 2020 ICD-10-CM changes include hundreds of new tabular instructions

  • Homecare Direction, Issue 7, July 8, 2019

    Starting Oct. 1, 2019, coders will have 25 new codes to specifically capture deep tissue injuries...

20 most common primary diagnoses in home health

  • Homecare Direction, Issue 7, July 8, 2019

    Z47.1 (Aftercare following joint replacement surgery) and I10 (Essential (primary) hypertension...

More agencies will turn to outsourced coding as a result of PDGM

  • Homecare Direction, Issue 7, July 8, 2019

    Industry experts believe the use of outsourced coding will grow as a result of how the...

How can intake help us avoid unspecified abnormalities of gait as a primary diagnosis?

  • Homecare Q&A, Issue 6, June 28, 2019

    Intake could say to the referral source, “Does the patient have any neuropathy? Does the...

What should intake do with a primary diagnosis of M62.81?

  • Homecare Q&A, Issue 6, June 28, 2019

    Since we know that’s going to be not acceptable as a primary diagnosis under PDGM, that is a...

Assign diabetes mellitus combination codes, avoid coding errors

  • Homecare Direction, Issue 6, June 6, 2019

    When coding for diabetes with an associated manifestation, check for an existing combination code...

FY2020 proposed code changes: Pressure-induced deep tissue injuries

  • Homecare Direction, Issue 5, May 8, 2019

    Coders may soon have a way to specifically capture deep tissue injuries. Twenty-five codes...

Charts coded in an average day

  • Homecare Direction, Issue 4, April 8, 2019

    About 40% of coders code six to 10 charts in an average day, while about 30% of coders code about...

Coders: Documentation issues cause a major productivity slowdown

  • Homecare Direction, Issue 4, April 8, 2019

    Incomplete information in medical records and having to call clinicians and/or physicians for...

Get coding right for obesity and BMI, stay in compliance

  • Homecare Direction, Issue 2, February 5, 2019

    Code the fact that a patient was diagnosed as morbidly obese with E66.01 (Morbid (severe) obesity...

Pulmonary v. essential: All hypertension is not created equal

  • Homecare Direction, Issue 1, January 4, 2019

    Be sure to both assign I10 (Essential (primary) hypertension) and I27.20 (Pulmonary hypertension...

Coding guidance update: Learn the new rules for coding body mass index

  • Homecare Direction, Issue 12, December 5, 2018

    Assign a code for a patient’s body mass index (BMI) only when there is also a documented...

Avoid the ache of lost case-mix points when coding septic arthritis

  • Homecare Direction, Issue 10, October 4, 2018

    Confirm the bug responsible for a patient’s septic arthritis infection and the specific...

What should I do if I take on a patient with a diagnosis that fits within one of the six clinical groups under PDGM?

  • Homecare Q&A, Issue 14, September 21, 2018

    The 2019 proposed PPS rule references this concern in several areas.

FY2019 coding guidelines: Changes align with recent Coding Clinic guidance

  • Homecare Direction, Issue 9, September 1, 2018

    Starting Oct. 1, coding guidelines will no longer allow for a connection to be assumed between...

Increase coding specificity to protect payment, ensure valid episodes under PDGM

  • Homecare Direction, Issue 9, September 1, 2018

    Analyze your agency’s most commonly used primary diagnosis codes as a first step toward...

Remember to assign 'Y' codes to justify care, protect reimbursement

  • Homecare Direction, Issue 8, August 1, 2018

    Use Y84.2 (Radiological procedure and radiotherapy as the cause of abnormal reaction of the...

How would you code a hematoma in the following situation?

  • Homecare Q&A, Issue 11, July 15, 2018

    Your agency should call the physician and see if this has now elevated to an open wound.  

How do you code a wound in a specific situation involving venous insufficiency?

  • Homecare Q&A, Issue 11, July 15, 2018

    In the specific scenario you describe, it would continue to be coded as a trauma wound that is...

Final list of 2019 ICD-10-CM codes includes 38 changes not in proposed list

  • Homecare Direction, Issue 7, June 29, 2018

    A total of 473 code changes will take effect on Oct. 1, including 279 new codes, 143 revised codes...

How to code conditions resolved by surgery: No one-size-fits-all solution

  • Homecare Direction, Issue 6, June 4, 2018

    Look to see whether the condition for which a patient had surgery is still being treated as a clue...

Surgical wound infection codes set to expand dramatically in FY2019

  • Homecare Direction, Issue 5, May 2, 2018

    Home health coders could have 435 ICD-10-CM code changes to deal with starting Oct. 1, with 247 new...

Coding corner: Data reflects coding trends that could spell trouble down the road

  • Homecare Direction, Issue 4, April 12, 2018

    If you’re frequently assigning I11.0 (Hypertensive heart disease with heart failure) in...

Would you use an aftercare code for debridement of a pressure ulcer or just the pressure ulcer code?

  • Homecare Q&A, Issue 7, April 3, 2018

    Debriding a pressure ulcer does not change the nature of the wound or make it a surgical wound.

How do I code a post-operative hematoma following a left hip joint replacement?

  • Homecare Q&A, Issue 7, April 3, 2018

    Code this as a complication of the joint replacement surgery with M96.840 (Postprocedural hematoma...

Coding corner: Correctly code congenital conditions, avoid coding errors

  • Homecare Direction, Issue 3, March 29, 2018

    It’s not necessary to assign additional codes for symptoms or manifestations that are part of...

How do I sequence this code if it is a sequela of a TBI?

  • Homecare Q&A, Issue 6, March 17, 2018

    Code the TBI first, with S06.9x0S (Unspecified intracranial injury without loss of consciousness...

Coding corner: Let the 7th character speak for injuries, avoid lost reimbursement

  • Homecare Direction, Issue 2, February 23, 2018

    Code the patient’s injury — such as a frac-ture, a laceration or a burn — and...

Would it be correct to assign G91.9 (Hydrocephalus, unspecified) for a patient who's receiving home health services related to a diagnosis of congenital hydrocephalus?

  • Homecare Q&A, Issue 4, February 19, 2018

    It would be incorrect to assign G91.9 (Hydrocephalus, unspecified) for a patient who’s...

I have a coding question on a patient with a little right toe that's become necrotic....

  • Homecare Q&A, Issue 3, February 2, 2018

    You cannot code I96 (gangrene, not elsewhere classified) with a code from the I73.- category...

Coding corner: Use caution when following 'in' convention or risk coding errors, lost reimbursement

  • Homecare Direction, Issue 1, January 26, 2018

    Ensure that medical record documenta-tion clearly documents a cancer patient’s anemia as...

What are the 2018 ICD-10 changes?

  • Homecare Q&A, Issue 2, January 17, 2018

    There are approximately 363 new codes, 142 deletions, and more than 250 code revisions in the 2018...

Implement a back-up plan for coders' time off or prepare for cash flow losses

  • Homecare E-News, Issue 3, January 15, 2018

    Not having a back-up coder on staff or an on-call contract with an outsourcing company to fill in...

Does code Z51.5 (encounter for palliative care) have to be the second diagnosis on a hospice patient?s NOE, or can it be coded further down? (This is for when there is MD supporting documentation for this code.) Thank you for your help and time.

  • Homecare Q&A, Issue 1, January 3, 2018

    Thank you for your question and com-mitment to quality and compliance. Z51.5 does not have to be...

Coding Corner: Relieve the pressure of coding surgically treated pressure ulcers

  • Homecare Direction, Issue 12, December 29, 2017

    Continue to code a pressure ulcer treated with a skin graft as a pressure ulcer that’s...

Coding corner: Commonly used codes will raise red flags in new proposed payment system

  • Homecare Direction, Issue 11, November 2, 2017

    If you’re commonly assigning codes N39.0 (urinary tract infection, site not specified...

Coding corner: Avoid chest pain when new heart attack codes take effect

  • Homecare Direction, Issue 10, October 27, 2017

    Ensure that you make the switch from I21.3 (Myocardial infarction (acute) NOS) to I21.9 (Acute...

Coding corner: FY 2018 coding guide-lines: "In" will be equivalent to "with" starting October 1

  • Homecare Direction, Issue 9, September 18, 2017

    Conditions linked in the Alphabetic Index by the word “in” should be considered...

Coding corner: It takes two (codes) to get arterial ulcers right

  • Homecare Direction, Issue 8, August 21, 2017

    Coding an arterial ulcer requires a minimum of two codes: one for the specific condition that...

Prepare for dozens of new and deleted codes not previewed in the proposed set

  • Homecare Direction, Issue 7, July 17, 2017

    Starting October 1, 2017, you’ll be able to capture the severity of non-pressure chronic...

In Focus: CMS expands list of manifestation codes under ICD-10 effective October 2016

  • Homecare E-News, Issue 32, August 22, 2016

    This week, the Centers for Medicare & Medicaid Services (CMS) issues Transmittal 3591. It...

Inside story | Coding diabetes and related conditions

  • Homecare E-News, Issue 26, July 11, 2016

     The American Hospital Association (AHA) Coding Clinic has clarified the proper way to code...

Weekly Roundup

  • Homecare E-News, Issue 25, June 27, 2016

    In this week's roundup: CMS revises ICD-10 codes. CMS officially finalized the first major...

Inside story | Proper coding for depression

  • Homecare E-News, Issue 13, March 28, 2016

    ICD-10-CM classifies depression under Disorder, depressive, major (MDD), but more information is...

How would we code a trip and fall over a cat in ICD-10?

  • Homecare Q&A, Issue 20, October 16, 2015

    How would we code a trip and fall over a cat in ICD-10?  

The Weekly Roundup

  • Homecare E-News, Issue 39, October 5, 2015

    This past Thursday (October 1, 2015), began the live implementation of ICD-10 across the...

How will OASIS-C1/ICD-10 differ from the data set iteration currently in use?

  • Homecare Q&A, Issue 0, June 9, 2015

     To accommodate the extended effectiveness of ICD-9 after the Protecting Access to Medicare...

Will home health remain exempt from overtime compensation in most circumstances like it has for 40 years?

  • Homecare Insider, Issue 1, January 5, 2015

    Will home health remain exempt from overtime compensation in most circumstances like it has for 40...