Coding and CDI Tips
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Coding and CDI Tips
Coding Corner Tips: Recrudescence of a Prior Stroke
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...
Coding Corner Tips: Toxic and Metabolic Encephalopathy
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...
Coding Corner Tips: Cerebral Petechial Hemorrhage
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...
CDI Tips & Friendly Reminders: Encephalopathy
EncephalopathyEncephalopathy: "Any diffuse disease of the brain that alters brain function or structure" according to the National Institute of Neurological Disorders of Stroke. The term encephalopathy covers two broad groups of conditions: Acute encephalopathy - is...
Coding Corner Tips: Hill-Sachs and Bankart Lesion
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...
Coding Corner Tips: Esophagogastric Junction Outflow Obstruction
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...