Third Quarter 2018 Coding Clinic tackles diabetes, AMI, and more

Why This Topic Matters

The article helps readers understand which kinds of documentation questions were clarified in Coding Clinic and why those clarifications matter for accurate classification across several common inpatient and outpatient scenarios.

Article Sections

1. Pressure ulcers and diabetes

   Discusses a diabetes-related wound scenario and the related coding clarification from Coding Clinic. The section also references broader distinctions between pressure-related wounds and diabetic ulcer classifications.

2. Diabetes with arteriosclerotic peripheral artery disease

   Covers a diabetes and peripheral vascular disease scenario involving added specificity in the documentation. It also references official ICD-10-CM guideline material on combination coding and specificity.

3. Type 1.5 diabetes

   Reviews a mixed diabetes presentation discussed in Coding Clinic and the terminology used to describe it. The section focuses on the classification topic and related documentation context.

4. AMI and chronic total occlusion of the coronary artery

   Summarizes a cardiovascular coding question involving an acute cardiac event and a chronic coronary condition. It also notes the related ICD-10-CM note and guideline context discussed in the article.

5. Chronic atrial fibrillation

   Addresses a rhythm-related documentation scenario and the Coding Clinic advice discussed for it. The section centers on how the presentation is characterized in ICD-10-CM terms.

6. Persistent seroma

   Covers a postsurgical fluid collection scenario following a prior breast procedure. The discussion highlights the coding topic and the clinical setting in which it arises.

7. Lupus

   Explains a question about lupus documentation and the absence of a default approach in ICD-10-CM. It also mentions the related facility-guidance discussion in the article.

8. General topics

   Includes broader ICD-10-PCS guidance on drains and debridement-related body part classification. The section also references general procedural coding concepts addressed by Coding Clinic.

9. GI conditions

   Discusses gastrointestinal bleeding scenarios, vascular lesions, and related documentation questions. The section also covers how multiple bleeding sites and associated hemorrhage concepts are treated at a high level.

10. Pneumonia

    Reviews a pneumonia documentation question involving an anatomic lobe and organism specificity. The section focuses on the general coding issue raised by the article.