Coding Tip: Cellulitis and DM Coding

In the Alphabetic Index of ICD-10-CM, when indexing diabetes there is an entry under “with” for skin complications NEC. This has brought up many question over the past year regarding coding of cellulitis in patients that also have a diagnosis of diabetes. Are these two linked by the definition of “with” in ICD-10-CM?

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Coding Tip: New Codes for Heart Failure in FY2018

For FY2018 there is a  new subcategory I50.8-. This subcategory was created and new codes were developed to identify and report the several different and specific types of heart failure. This will allow differentiating cases of pure right heart failure from left heart failure. The treatment of the two heart failures (left/right) are different as are the causes.

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Coding Tip: How to code Clostridium Difficile Enterocolitis (C.diff)

Clostridium Difficile Enterocolitis (C. diff) is a diagnosis that coders see a lot these days. This is a bacteria that causes inflammation in the large intestine (colitis) and may cause watery diarrhea, fever, nausea and abdominal pain. C. diff causes antibiotic-associated colitis by colonizing the intestine after the normal gut flora is altered by the use of antibiotic therapy. The bacteria is most often found in older patients or those that require prolonged use of antibiotics.

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Coding Tip: COPD and Pneumonia Sequencing FY 2018

How does a coder sequence COPD and pneumonia? As of October 1, 2017 the note under the code J44.0 COPD (chronic obstructive pulmonary disease, with acute lower respiratory infection) was changed from “Use additional code to identify infection” to “Code also to identify the infection”. A “code also” note does NOT give a sequencing directive as the “use additional code” does. The PDX should be assigned based on the circumstances of the admission. Below are some examples that may help you determine the PDX when COPD and pneumonia are both present and responsible for the admission.

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