Health Information Management

Coding Clinic offers specific ICD-10 guidance

HIM-HIPAA Insider, May 19, 2014

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Coding Clinic's Fourth Quarter 2013 issue focuses considerable attention on ICD-10-CM coding.
Diabetes and osteomyelitis
Take note of the guidance on p. 114 as it's a huge change. Coding Clinic, First Quarter 2004 allows us to assume the relationship of diabetes and osteomyelitis when both are present, unless a physician says otherwise. However, Coding Clinic says that we can no longer make that assumption in ICD-10. This underscores the fact that we can't assume the guidance Coding Clinic issued for ICD-9 will also be true in ICD-10.
The discussion on p. 118 asks whether hemoptysis can be reported when it occurs with pneumonia. Coding Clinic says it should be added as an additional code, as it is not routinely associated with the diagnosis of pneumonia. The takeaway here is about what is integral vs. nonintegral, and this helps us know that hemoptysis is not routinely associated with pneumonia.
Continue reading "Coding Clinic offers specific ICD-10 guidance" on the HCPro website. Subscribers to Briefings on Coding Compliance Strategieshave free access to this article in the May issue.

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