Brush up on Coding Clinic’s First Quarter guidance

May 16th, 2017

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews selected Coding Clinic First Quarter 2017 guidance for ICD-10-CM and ICD-10-PCS, with emphasis on inpatient coding, CDI review, and payer or auditor discussions. It focuses on broad topics such as device coding, respiratory diagnosis sequencing, COPD and asthma combinations, and documentation considerations that affect MS-DRGs, APR-DRGs, and clinical validation workflows.

Why This Topic Matters

The guidance discussed can affect diagnosis sequencing, procedure coding, and reimbursement-related grouping outcomes. It is especially relevant for coders, CDI specialists, and compliance teams that need to align documentation review with current Coding Clinic interpretations.

Article Sections

  1. Impella

    Discusses Coding Clinic guidance related to Impella device coding in the context of procedures, postoperative duration, and related inpatient classification impacts.

  2. Sequencing of pneumonia in the setting of chronic obstructive pulmonary disease

    Reviews guidance on pneumonia and COPD sequencing, including exceptions and related respiratory diagnosis categories discussed in Coding Clinic and ICD-10-CM references.

  3. COPD with specified forms of asthma

    Covers Coding Clinic discussion of COPD with asthma, including the need to recognize specified asthma documentation and related ICD-10-CM table and index references.

  4. Summary

    Provides the author’s closing observations encouraging review of the issue with coding and CDI teams.

What You Will Learn

  • How Coding Clinic guidance is framed for device-related procedure coding
  • How respiratory diagnosis sequencing issues are discussed in relation to COPD and pneumonia
  • How COPD and asthma combinations are addressed in ICD-10-CM guidance
  • Why documentation specificity matters for CDI and compliance review

Who Should Read This

  • Inpatient coders
  • CDI specialists
  • Coding compliance staff
  • Revenue integrity teams
  • Clinical documentation teams

Codes Discussed

  • ICD-10-PCS: 5A0-
  • ICD-10-PCS: 5A0221D
  • ICD-10-PCS: 02HA3RZ
  • ICD-10-PCS: 02PA3RZ
  • ICD-10-PCS: 02HA3RS
  • ICD-10-CM: J44.0
  • ICD-10-CM: J44.9
  • ICD-10-CM: J69
  • ICD-10-CM: J69.0
  • ICD-10-CM: J69.1
  • ICD-10-CM: J69.8
  • ICD-10-CM: J95
  • ICD-10-CM: J12.9
  • ICD-10-CM: J15.9
  • ICD-10-CM: J45
  • ICD-10-CM: J45.-

Code Ranges Discussed

  • ICD-10-CM: J09–J18
  • ICD-10-CM: J60–J70
  • MS-DRG: 177–179
  • MS-DRG: 193–195

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