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...

Hill-Sachs and Bankart Lesion Per Coding Clinic, Second Quarter 2024:   Definition:  Hill-Sachs lesions, also known as Hill-Sachs defects, are posterolateral humeral head depression fractures that occur secondary to an anterior shoulder dislocation. The fracture...

Esophagogastric Junction Outflow Obstruction Per Coding Clinic, Second Quarter 2024: Definition:  An EGJOO is a motility disorder, which involves incomplete relaxation at the esophagogastric junction and poor peristalsis, as well as a physiologic barrier preventing...

Deep Brain Stimulation for Parkinson’s Disease Per Coding Clinic, Second Quarter 2024:   A patient with Parkinson’s disease presents for stage II deep brain stimulation system implantation (generator implantation and lead attachment). The patient is status post...

Endocardial Wireless Stimulation for WiSE®-CRT Per Coding Clinic, Second Quarter 2024: WiSE®-CRT: This system consists of an ultrasound transmitter and battery, which is placed in a pocket in the subcutaneous tissue. The other component, the receiver electrode, which...

April 2024 ICD-10-PCS Coding UpdatesUpdates include 41 new ICD-10-PCS procedure codes. Examples include: New Device for Palladium-103 Radioactive Implant in the brain: Palladium-103 GammaTiles® is used for brain tumors. New Qualifier for Irreversible Electroporation...

New code for Resistant Hypertension Valid for October 1, 2023 discharges Code and Definition: I1A.0 Resistant hypertension   May be documented as: Apparent treatment resistant hypertension, Treatment resistant hypertension, True resistant hypertension. The...

New codes for Coronary Microvascular Dysfunction Valid for October 1, 2023 dischargesCoronary Microvascular Dysfunction: Otherwise known as microvascular angina or Cardiac syndrome X.  Symptoms Include: Coronary Microvascular Dysfunction/Disease (CMD), otherwise known...

Complication Comorbidity Update Examples Include: Social Determinants of Health (SDOH) codes, Z59.00. Homelessness unspecified, Z59.01. Sheltered homelessness and Z59.02, Unsheltered homelessness will be considered CC’s (complication/comorbidity) beginning with...

Lesson on Ventricular Assist Devices Devices Include:   Left ventricular assist device (LVAD): Most common type. Surgically implanted in the heart and takes over the work of the left ventricle, one of the heart's two lower chambers. Right ventricular assist...

New Code for Insertion of Magnetic Lengthening Device into EsophagusUpdates: New codes are valid for October 1, 2023 discharges.   Notes: It is implanted at the lower esophageal sphincter (LES), a circular band of muscle that closes the last few centimeters of...

New Technology Code: External Sheath for CABG Updates: New codes are valid for October 1, 2023 discharges.   Notes: It is important to submit accurate ‘new technology’ codes because CMS provides an extra incremental payment (in addition to the MS-DRG payment) for...