Considerations for coders in Second Quarter 2019 Coding Clinic

Why This Topic Matters

Quarterly coding updates can affect diagnosis reporting, procedure classification, severity capture, and DRG assignment. This summary helps readers quickly judge whether the full article contains guidance relevant to their coding workflow.

Article Sections

1. Atrial fibrillation

   Discusses atrial fibrillation documentation and the related ICD-10-CM guidance addressed in the newsletter.

2. Asystole

   Reviews Coding Clinic commentary on when an electrocardiogram finding should or should not be coded as a cardiac arrest-related condition.

3. Non-traumatic myocardial injury

   Summarizes guidance on myocardial injury documentation, elevated troponin findings, and related ICD-10-CM reporting.

4. Complication of transplant

   Covers transplant complication reporting, associated secondary diagnoses, and the relationship to Official Guidelines for Coding and Reporting.

5. Hypovolemic Shock

   Addresses guidance on shock, volume depletion, and the interaction with ICD-10-CM exclusion notes.

6. Non-accidental trauma

   Summarizes reporting for suspected abuse-related injury scenarios discussed in the quarterly newsletter.

7. Rhabdomyolysis

   Reviews documentation considerations for traumatic versus unspecified rhabdomyolysis in ICD-10-CM.

8. Complication of artery following a procedure, category T81.-

   Covers post-procedural vascular complications and the ICD-10-CM category discussed for these scenarios.

9. Accidental puncture and laceration

   Discusses procedure-related injury reporting and related ICD-10-CM guidance for unintended complications of care.

10. Cytokine release syndrome (CRS)

    Summarizes discussion of CRS as an adverse effect or complication and the associated diagnosis reporting considerations.

11. ICD-10-PCS questions

    Introduces the procedure-coding portion of the article, which addresses multiple inpatient procedure scenarios.

12. Unroofing of a right anomalous coronary artery

    Covers an ICD-10-PCS procedure question involving coronary artery surgery and approach selection.

13. Balloon angioplasty and stent of a collapsed femoral popliteal bypass graft

    Discusses an ICD-10-PCS revision scenario involving a lower-extremity bypass graft.

14. Reversal of a Roux-en-Y gastric bypass

    Addresses coding for a gastric bypass reversal and related operative components.

15. Feeding tubes used to guide surgery

    Summarizes a question about whether certain temporary surgical aids are captured in procedure coding.

16. Cryoamputation of a leg

    Reviews how a cryoamputation scenario is classified in ICD-10-PCS.

17. Insertion and removal of a wound vac sponge

    Covers endoscopic device placement and removal in the context of gastric perforation management.

18. Placement of a DTRAX interfacet stabilization device

    Discusses how procedure coding is determined when a device is used during a spinal stabilization-related service.

19. Pericardiectomy and extensive lysis of adhesions

    Summarizes combined thoracic and cardiac procedural coding discussed in the newsletter.

20. Kyphoplasty utilizing the KIVA treatment system

    Covers a vertebral augmentation scenario and the corresponding ICD-10-PCS coding discussion.

21. ECMO cannula placement

    Addresses extracorporeal membrane oxygenation coding considerations when cannulation routes differ.

22. Burr hole, durotomy, and BrainPath evacuation

    Reviews a neurosurgical procedure scenario involving inspection and evacuation of brain matter.