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Prediabetes and PolyneuropathyPolyneuropathy due to prediabetes evidenced by abnormal gait, increased sensitivity to pain in left upper extremity and left lower extremity. What are the correct ICD-10-CM code assignments for polyneuropathy due to prediabetes? Per 3Q...
Metabolic Encephalopathy and Toxic Metabolic EncephalopathyIf toxic encephalopathy and metabolic encephalopathy are due to two separate causes; both codes can be used fully capture the patient’s condition. Example from 2Q 2024 Coding Clinic: A patient presented to the...
Cerebral Petechial HemorrhageAs far as ICD-10-CM is concerned, a petechial hemorrhage of the brain is the same as a hemorrhagic stroke. A separate code is assigned for intracerebral hemorrhage when the provider documents a petechial hemorrhage of the brain. Example...
Mediastinal ThymolipomaPer 3Q 2024 Coding Clinic: Definition Mediastinal Thymolipoma: A thymolipoma is a rare, benign neoplasm of the anterior mediastinum. Code Assignment ICD-10-CM code for a mediastinal thymolipoma (confirmed via pathology): Assign code D15.2,...
Neobladder Formation ProcedurePer 3Q 2024 Coding Clinic: Code Example A neobladder is formed using intestine that is still connected to its original vascular supply: A patient underwent laparoscopic radical cystectomy, along with formation of an orthotopic...
Prone Transpsoas (PTP) Interbody FusionPer 3Q 2024 Coding Clinic: Code Example A patient presented for an L3-L4 anterior lumbar interbody fusion via lateral retroperitoneal transpsoas approach: The patient was placed in the prone position in anticipation of a...
Anorexia NervosaNew Codes Implemented October 1, 2024: Code Assignment for Describing the Type & Severity of the Anorexia: Anorexia nervosa, restricting type: F50.010: mild; with a BMI greater than or equal to 17kg/m2 F50.011: moderate; with a BMI of 16.0-16.99...
Obesity ClassesNew Codes Implemented October 1, 2024: Code Assignment for Describing E66.81, Obesity class: E66.811, Obesity, class 1 (BMI of 30–34.9 kg/m², considered low risk) E66.812, Obesity, class 2 (BMI of 35–39.9 kg/m², considered moderate risk) E66.813,...
Bulimia NervosaNew Codes Implemented October 1, 2024: Code Assignment for Describing the Severity of the Bulimia: F50.20, Bulimia nervosa, unspecified. F50.21, Bulimia nervosa, mild; with 1-3 episodes of inappropriate compensatory behavior per week. F50.22, Bulimia...
Recrudescence of a Prior StrokePer Coding Clinic, Second Quarter 2024: Recrudescence of an infarction refers to the recurrence of stroke-related deficits from a previous/old stroke. Therefore, it is appropriate to assign sequela(e) codes for conditions documented as...
Toxic and Metabolic Encephalopathy Per Coding Clinic, Second Quarter 2024: When a patient has both toxic encephalopathy and metabolic encephalopathy and they are due to TWO SEPARATE CAUSES, both should be coded. Code Example: A patient presented to the...
Cerebral Petechial Hemorrhage Per Coding Clinic, Second Quarter 2024: Definition: A petechial hemorrhage of the brain is the same as a hemorrhagic stroke therefore, a separate code is assigned for intracerebral hemorrhage when the provider documents a...