Coding Clinic 2018: Deciphering first and second quarter guidance

October 2nd, 2018

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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 summarizes selected Coding Clinic guidance from the first and second quarters of 2018 and explains why it is relevant to inpatient coding and CDI work. It covers diagnostic coding, procedure coding, uncertainty in diagnoses, device and repair concepts in ICD-10-PCS, and several condition-specific examples that affect severity of illness and MS-DRG assignment. The piece is aimed at inpatient coders, CDI specialists, and others who need to stay current with official coding advice.

Why This Topic Matters

It helps readers understand which 2018 Coding Clinic updates may affect inpatient code assignment, diagnosis reporting, and procedure reporting across common clinical scenarios.

Article Sections

  1. Coding Clinic, First Quarter 2018

    A set of first-quarter guidance topics involving inpatient diagnosis and procedure coding. The section reviews multiple ICD-10-CM and ICD-10-PCS scenarios and their relevance to coding and severity assignment.

  2. Coding Clinic, Second Quarter 2018

    A set of second-quarter guidance topics involving inpatient coding concepts and selected diagnosis/procedure examples. The section focuses on official guidance affecting code assignment, sequencing, and related inpatient coding interpretation.

  3. Summary

    A brief wrap-up of the article’s scope and purpose. It closes by noting that the recap is selective rather than exhaustive.

What You Will Learn

  • Which 2018 Coding Clinic topics were highlighted for inpatient use
  • How selected diagnosis scenarios are discussed in ICD-10-CM terms
  • How selected procedure scenarios are discussed in ICD-10-PCS terms
  • What general inpatient coding concepts were emphasized in the first and second quarters of 2018
  • How the article frames relevance to CDI and MS-DRG-related review

Who Should Read This

  • Inpatient coders
  • CDI specialists
  • Coding managers
  • Hospital reimbursement staff
  • Clinical documentation professionals

Codes Discussed

  • ICD-10-CM: R18.8
  • ICD-10-CM: B18.2
  • ICD-10-CM: K74.60
  • ICD-10-CM: K71.51
  • ICD-10-CM: F10.1-
  • ICD-10-CM: I51.81
  • ICD-10-CM: I10
  • ICD-10-CM: F14.90
  • ICD-10-CM: G96.0
  • ICD-10-CM: D18.1
  • ICD-10-CM: N13.6
  • ICD-10-CM: G93.49
  • ICD-10-CM: G94
  • ICD-10-PCS: 06WY3DZ
  • ICD-10-PCS: 0DQV4ZZ
  • ICD-10-PCS: 0SPW0JZ
  • ICD-10-PCS: 0SRW0JZ
  • ICD-10-PCS: 02H63KZ
  • ICD-10-PCS: 0DW63CZ

Code Ranges Discussed

  • ICD-10-CM: F10.9-
  • ICD-10-CM: F11.9-
  • ICD-10-CM: F12.9-
  • ICD-10-CM: F13.9-
  • ICD-10-CM: F14.9-
  • ICD-10-CM: F15.9-
  • ICD-10-CM: F16.9-
  • ICD-10-CM: O99.32-
  • ICD-10-CM: I11.-

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