HCPro, JustCoding Inpatient - 2020 Issue 43 (November)
Stay up to date: Review Excludes note changes for FY 2021
November 10th, 2020
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Article Overview
This article explains selected FY 2021 updates to ICD-10-CM Excludes notes and why they matter for inpatient coding, documentation review, and hospital reimbursement-related reporting. It focuses on how Excludes note changes affect several common clinical topics and highlights the broader FY 2021 coding context for hospitals and coders.
Why This Topic Matters
Understanding these FY 2021 tabular list changes helps coders and CDI staff recognize when diagnoses may now be reported together, supporting more accurate record coding and a more complete clinical picture for inpatient cases.
Article Sections
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Excludes1 versus Excludes2 notes
Introduces the two Excludes note types discussed in the article and places the FY 2021 changes in the context of ICD-10-CM guidance.
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Encephalopathy and toxic encephalopathy
Reviews the FY 2021 update affecting encephalopathy-related tabular guidance and its significance for inpatient case reporting and grouping considerations.
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Cardiac arrest and cardiogenic shock
Summarizes the FY 2021 change involving cardiac arrest and cardiogenic shock and discusses related inpatient severity and reporting considerations.
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Pancytopenia and neutropenia
Covers the FY 2021 update involving pancytopenia and neutropenia and its relevance to inpatient diagnosis reporting and MS-DRG impact.
What You Will Learn
- The difference between Excludes1 and Excludes2 notes in ICD-10-CM
- Which FY 2021 tabular list changes are highlighted in the article
- Why certain Excludes note updates matter for inpatient coding and grouping
- How the article frames the reporting impact of several common diagnosis combinations
Who Should Read This
- Inpatient medical coders
- CDI specialists
- Hospital coding educators
- Coding managers
- Revenue integrity teams
Codes Discussed
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