Home Health & Hospice Articles by Topic: ICD-10
-
Homecare Direction, Issue 2, February 14, 2020
Agencies should make a partnership with physicians to educate them about the Patient-Driven...
-
Homecare Direction, Issue 2, February 14, 2020
Coding for diabetes and associated conditions can be tricky — and with PDGM in effect, the...
-
Homecare Direction, Issue 2, February 14, 2020
A diabetes code was the most commonly coded primary diagnosis in both the wound and endocrine...
-
Homecare Q&A, Issue 1, January 27, 2020
M43.26 refers to a natural/pathological fusion of the spine, not a surgical fusion.
-
Homecare Q&A, Issue 1, January 27, 2020
If wound care is your primary focus of care, you can select Z48.00 (Encounter for change or...
-
Homecare Direction, Issue 1, January 14, 2020
Muscle weakness (generalized) was the most commonly used primary diagnosis that would be...
-
Homecare Direction, Issue 1, January 14, 2020
Muscle weakness is one of the most commonly seen and assigned primary diagnosis codes in home...
-
Homecare Direction, Issue 12, December 6, 2019
Coders will now be able to assign six R-codes for dysphagia as a primary diagnosis under the...
-
Homecare Q&A, Issue 11, November 25, 2019
There are two ways to update a primary diagnosis. Medicare has said that agencies can update the...
-
Homecare Q&A, Issue 11, November 25, 2019
I don’t think so because they seem to be somewhat grudging to do it within the rulemaking...
-
Homecare Direction, Issue 11, November 8, 2019
Agencies should consider establishing processes for how to handle changes in a patient’s...
-
Homecare Direction, Issue 10, October 11, 2019
Code a psychiatric condition if a patient’s been diagnosed with one, whether or not...
-
Homecare Q&A, Issue 9, September 23, 2019
Unfotunately we do not have answers to this yet. There are instances where coding guidance tells us...
-
Homecare Direction, Issue 9, September 4, 2019
Several key changes were made to coding guidance as part of the FY2020 ICD-10-CM Guidelines for...
-
Homecare Q&A, Issue 8, August 26, 2019
Yes. It’s kind of complex the way billing is going to work. If the clinician conducts a SOC...
-
Homecare Q&A, Issue 8, August 26, 2019
It depends on the agency’s policy but if the patient’s change is really significant...
-
Homecare Q&A, Issue 8, August 26, 2019
It will depend a lot on documentation. This may be something to query. For example, even if...
-
Homecare Q&A, Issue 8, August 26, 2019
It’s going to be important that coders get familiar with what a valid diagnosis is in PDGM...
-
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...
-
Homecare Q&A, Issue 7, July 29, 2019
Honestly, because we don’t get a lot of documentation for atrial fibrillation, it may...
-
Homecare Q&A, Issue 7, July 29, 2019
Unfortunately this is an instance of where we have conflicting regulations.
-
Homecare Direction, Issue 7, July 8, 2019
Starting Oct. 1, 2019, coders will have 25 new codes to specifically capture deep tissue injuries...
-
Homecare Direction, Issue 7, July 8, 2019
Z47.1 (Aftercare following joint replacement surgery) and I10 (Essential (primary) hypertension...
-
Homecare Direction, Issue 7, July 8, 2019
Industry experts believe the use of outsourced coding will grow as a result of how the...
-
Homecare Q&A, Issue 6, June 28, 2019
Intake could say to the referral source, “Does the patient have any neuropathy? Does the...
-
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...
-
Homecare Direction, Issue 6, June 6, 2019
When coding for diabetes with an associated manifestation, check for an existing combination code...
-
Homecare Direction, Issue 5, May 8, 2019
Coders may soon have a way to specifically capture deep tissue injuries. Twenty-five codes...
-
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...
-
Homecare Direction, Issue 4, April 8, 2019
Incomplete information in medical records and having to call clinicians and/or physicians for...
-
Homecare Direction, Issue 2, February 5, 2019
Code the fact that a patient was diagnosed as morbidly obese with E66.01 (Morbid (severe) obesity...
-
Homecare Direction, Issue 1, January 4, 2019
Be sure to both assign I10 (Essential (primary) hypertension) and I27.20 (Pulmonary hypertension...
-
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...
-
Homecare Direction, Issue 10, October 4, 2018
Confirm the bug responsible for a patient’s septic arthritis infection and the specific...
-
Homecare Q&A, Issue 14, September 21, 2018
The 2019 proposed PPS rule references this concern in several areas.
-
Homecare Direction, Issue 9, September 1, 2018
Starting Oct. 1, coding guidelines will no longer allow for a connection to be assumed between...
-
Homecare Direction, Issue 9, September 1, 2018
Analyze your agency’s most commonly used primary diagnosis codes as a first step toward...
-
Homecare Direction, Issue 8, August 1, 2018
Use Y84.2 (Radiological procedure and radiotherapy as the cause of abnormal reaction of the...
-
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.
-
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...
-
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...
-
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...
-
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...
-
Homecare Direction, Issue 4, April 12, 2018
If you’re frequently assigning I11.0 (Hypertensive heart disease with heart failure) in...
-
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.
-
Homecare Q&A, Issue 7, April 3, 2018
Code this as a complication of the joint replacement surgery with M96.840 (Postprocedural hematoma...
-
Homecare Direction, Issue 3, March 29, 2018
It’s not necessary to assign additional codes for symptoms or manifestations that are part of...
-
Homecare Q&A, Issue 6, March 17, 2018
Code the TBI first, with S06.9x0S (Unspecified intracranial injury without loss of consciousness...
-
Homecare Direction, Issue 2, February 23, 2018
Code the patient’s injury — such as a frac-ture, a laceration or a burn — and...
-
Homecare Q&A, Issue 4, February 19, 2018
It would be incorrect to assign G91.9 (Hydrocephalus, unspecified) for a patient who’s...
-
Homecare Q&A, Issue 3, February 2, 2018
You cannot code I96 (gangrene, not elsewhere classified) with a code from the I73.- category...
-
Homecare Direction, Issue 1, January 26, 2018
Ensure that medical record documenta-tion clearly documents a cancer patient’s anemia as...
-
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...
-
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...
-
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...
-
Homecare Direction, Issue 12, December 29, 2017
Continue to code a pressure ulcer treated with a skin graft as a pressure ulcer that’s...
-
Homecare Direction, Issue 11, November 2, 2017
If you’re commonly assigning codes N39.0 (urinary tract infection, site not specified...
-
Homecare Direction, Issue 10, October 27, 2017
Ensure that you make the switch from I21.3 (Myocardial infarction (acute) NOS) to I21.9 (Acute...
-
Homecare Direction, Issue 9, September 18, 2017
Conditions linked in the Alphabetic Index by the word “in” should be considered...
-
Homecare Direction, Issue 8, August 21, 2017
Coding an arterial ulcer requires a minimum of two codes: one for the specific condition that...
-
Homecare Direction, Issue 7, July 17, 2017
Starting October 1, 2017, you’ll be able to capture the severity of non-pressure chronic...
-
Homecare E-News, Issue 32, August 22, 2016
This week, the Centers for Medicare & Medicaid Services (CMS) issues Transmittal 3591. It...
-
Homecare E-News, Issue 26, July 11, 2016
The American Hospital Association (AHA) Coding Clinic has clarified the proper way to code...
-
Homecare E-News, Issue 25, June 27, 2016
In this week's roundup:
CMS revises ICD-10 codes. CMS officially finalized the first major...
-
Homecare E-News, Issue 13, March 28, 2016
ICD-10-CM classifies depression under Disorder, depressive, major (MDD), but more information is...
-
Homecare Q&A, Issue 20, October 16, 2015
How would we code a trip and fall over a cat in ICD-10?
-
Homecare E-News, Issue 39, October 5, 2015
This past Thursday (October 1, 2015), began the live implementation of ICD-10 across the...
-
Homecare Q&A, Issue 0, June 9, 2015
To accommodate the extended effectiveness of ICD-9 after the Protecting Access to Medicare...
-
Homecare Insider, Issue 1, January 5, 2015
Will home health remain exempt from overtime compensation in most circumstances like it has for 40...