HCPro, JustCoding Inpatient - 2017 Issue 40 (October)
Staying compliant with the 2018 ICD-10-CM/PCS codes
October 3rd, 2017
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Article Overview
This article reviews selected 2018 ICD-10-CM/PCS compliance concerns and documentation pitfalls discussed in relation to myocardial infarction classification, pediatric Glasgow Coma Scale reporting, and right heart failure. It is aimed at coders, CDI professionals, and clinical documentation leaders who need to understand how the 2018 updates intersect with official guidance and Coding Clinic commentary.
Why This Topic Matters
The article helps readers identify areas where documentation, terminology, and code selection may no longer align cleanly after the 2018 ICD-10-CM/PCS updates, particularly in clinically ambiguous scenarios. It is relevant for teams trying to reduce compliance risk and improve consistency in diagnosis reporting.
Article Sections
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Type 2 myocardial infarction
Discusses updated ICD-10-CM considerations for myocardial infarction classification, documentation terminology, and related coding guidance sources. It also addresses how the 2018 changes affect review of acute versus subsequent events.
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Pediatric Glasgow Coma Scale
Covers pediatric coma scale reporting considerations, including the relationship between clinical descriptors, coded categories, and documentation practices. It also references guidance sources and concerns about matching numeric scores to recorded descriptions.
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Right heart failure
Reviews coding considerations for right heart failure and related distinctions involving acute, chronic, and acute-on-chronic presentations. It also notes how associated heart failure terminology is discussed in relation to applicable coding guidance.
What You Will Learn
- How the 2018 ICD-10-CM/PCS updates affect selected diagnosis coding scenarios
- Which documentation issues can create compliance risk in myocardial infarction reporting
- Why pediatric coma scale documentation detail matters for accurate code assignment
- How right heart failure terminology is discussed in the context of ICD-10-CM guidance
- Where official guidelines and Coding Clinic references may be relevant to coding review
Who Should Read This
- Medical coders
- Clinical documentation integrity specialists
- Coding auditors
- Health information management professionals
- Physicians and clinical documentation staff
Codes Discussed
Code Ranges Discussed
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