AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor
Gross Hematuria due to Prostate Malignancy
Coding Clinic for ICD-9-CM, Second Quarter 2010, page 3, provided advice to sequence gross hematuria as the principal diagnosis for a patient, who was currently under treatment for prostate cancer and was admitted for gross hematuria with a significant drop in hemoglobin. The patient had been unable to pass urine and was only passing frank blood and clots. While in the hospital, 12 units of blood were transfused, and bladder irrigation was done. Now that hematuria is a Chapter 18 code in ICD-10-CM does the guideline in Section II.A., regarding codes for symptoms, signs, and ill-defined conditions apply, and change the previously published advice in regards to the principal diagnosis? ...
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Article Overview
This coding article reviews a change in how a previously discussed hematuria scenario is approached under ICD-10-CM symptom guidance. It is relevant to inpatient coding professionals, HIM staff, and auditors who work with neoplasm-related admissions, symptom coding, and principal diagnosis selection. The article explains the context of a prior ICD-9-CM advice, the applicable ICD-10-CM guideline framework, and the general impact of Chapter 18 symptom rules on related definitive diagnoses.
Why This Topic Matters
It helps readers understand whether prior symptom-sequencing advice still applies after the transition to ICD-10-CM and how that affects inpatient diagnosis reporting for a cancer-related admission.
What You Will Learn
- How a prior coding advice scenario is revisited under ICD-10-CM
- What general symptom-coding guidance from the ICD-10-CM Official Guidelines is being considered
- How the article frames the relationship between a symptom presentation and a definitive diagnosis in an inpatient setting
- Why the change from ICD-9-CM to ICD-10-CM matters for principal diagnosis discussion
Who Should Read This
- Inpatient coders
- HIM professionals
- Coding auditors
- Clinical documentation review staff
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