New guidance tackles common CDI, coding questions

December 12th, 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 recent Coding Clinic guidance and fiscal year 2018 ICD-10-CM and ICD-10-PCS updates relevant to CDI specialists, inpatient coders, and clinical documentation teams. It covers a range of diagnosis categories and official guideline clarifications, with attention to how the updates affect documentation review, classification changes, and interpretation of related terms in the coding system.

Why This Topic Matters

The article helps readers understand which coding and documentation topics were affected by the latest guidance so they can recognize where official coding references and classification updates may impact case review and record abstraction.

Article Sections

  1. FY 2018 code updates

    An overview of the volume of ICD-10-CM and ICD-10-PCS changes taking effect for fiscal year 2018. The section frames the broader scope of the update before moving into selected topics.

  2. Clostridium difficile

    Discussion of recent classification changes related to Clostridium difficile coding and documentation. The section highlights how the topic is addressed in the latest guidance.

  3. Diabetes with ketoacidosis

    Coverage of updated guidance on diabetes cases involving ketoacidosis. The section notes the appearance of new code options and their relevance to CDI review.

  4. Use, abuse, and dependence

    A discussion of substance-related terminology updates and related classification changes. The section focuses on how recent guidance affects this subject area.

  5. Myocardial infarction

    Detailed review of recent myocardial infarction classification updates and related official guidance. The section also references national and specialty organization guidance that informs interpretation of the changes.

  6. Pulmonary hypertension

    An overview of expanded pulmonary hypertension classification distinctions and associated documentation considerations. The section places the updates in the context of secondary pulmonary hypertension.

  7. Heart failure

    Discussion of new heart failure codes and the general distinction among heart failure types. The section ties the changes to documentation and treatment considerations.

  8. Non-pressure chronic ulcer

    Coverage of new severity-related ulcer classification changes for lower limb and buttock ulcers. The section emphasizes the expanded level of detail available in the updated categories.

  9. Acute respiratory distress

    A brief explanation of updated coding distinctions involving acute respiratory distress and related respiratory conditions. The section addresses how the topic is separated in the classification system.

  10. 'With' or 'in' guidance

    Summary of revised guideline language concerning relational terms in the classification system. The section explains that the article addresses how official guidance interprets these terms in documentation and tabular references.

What You Will Learn

  • How recent Coding Clinic updates affect major CDI and coding topic areas
  • Which broad diagnosis categories received new or revised ICD-10-CM guidance
  • How official guidance addresses documentation and classification interpretation
  • What general areas changed in the FY 2018 ICD-10-CM and ICD-10-PCS update cycle

Who Should Read This

  • Clinical documentation integrity specialists
  • Medical coders
  • Coding educators
  • Health information management professionals
  • Inpatient CDI teams

Codes Discussed

  • ICD-10-CM: A04.7.-
  • ICD-10-CM: A04.71
  • ICD-10-CM: A04.72
  • ICD-10-CM: E11.10
  • ICD-10-CM: E11.11
  • ICD-10-CM: I21.0
  • ICD-10-CM: I21.4
  • ICD-10-CM: I21.9
  • ICD-10-CM: I21.A1
  • ICD-10-CM: I21.A9
  • ICD-10-CM: I22
  • ICD-10-CM: I24.8
  • ICD-10-CM: I27.20
  • ICD-10-CM: I27.21
  • ICD-10-CM: I50.810
  • ICD-10-CM: I50.811
  • ICD-10-CM: I50.812
  • ICD-10-CM: I50.813
  • ICD-10-CM: I50.814
  • ICD-10-CM: I50.82
  • ICD-10-CM: I50.83
  • ICD-10-CM: I50.84
  • ICD-10-CM: L97.-
  • ICD-10-CM: L98.4-
  • ICD-10-CM: R06.03

Code Ranges Discussed

  • ICD-10-CM: A04.7.-
  • ICD-10-CM: I21.0 to I21.4
  • ICD-10-CM: I22.-
  • ICD-10-CM: I27.2-
  • ICD-10-CM: L97.-
  • ICD-10-CM: L98.4-

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