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Coding Advice & Resources | HIA News

A Brief History of Medical Coding

Because the medical coding field is expanding so rapidly at the moment, it may seem like it's a relatively new occupation... but this certainly isn't the case! Medical billing and coding have been around for decades. And just like fifty years ago, it continues to be...

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Coding Tip: Debridement Coding in ICD-10-PCS

Debridement is the medical removal of dead, damaged, or infected tissue to improve the healing of remaining healthy tissue. Debridement may be excisional or non-excisional in coding and include autolytic debridement, enzymatic debridement, mechanical debridement, surgical debridement and maggot therapy. Trying to determine if a surgical debridement is excisional can sometimes be tricky for a coder.

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Coding Tip: PDX Selection in OB Records

Selection of PDX on Delivery Records- The condition that prompted the admission or main circumstances of admission would be the PDX. The only time that the complication of delivery would be the PDX is if the patient was admitted for routine pregnancy and no delivery and then a complication occurs. See pages 3-8 of CC 1Q2016 for further explanation and examples.

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Coding Tip: External Causes of Morbidity (V00-Y99)

This week’s coding tip is on the reporting of Chapter 20: External Causes of Morbidity (V00-Y99). These codes can often times be missed/left off when coding medical records. External cause of morbidity codes provide additional information such as how the injury occurred, the intent, the place it occurred and the status of the patient at the time of the injury.

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