Coding Tip: Importance of Reporting Glasgow Coma Scale

Prior to October 1, 2016, the coma scale was only reported in conjunction with traumatic brain injuries, acute cerebrovascular disease or sequelae of cerebrovascular disease codes. Coders should now be reporting the Glasgow Coma Scale when documented on any case where there is monitoring of the central nervous system regardless of the medical condition requiring the monitoring.

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Coding Tip: Reporting Pressure Ulcers

A change has been made in how coders will report pressure ulcers when the stage of the ulcer changes during the admission. Per the ICD-10-CM Official Guidelines for Coding and Reporting FY 2017 Page 51, if a patient presents with a pressure ulcer at one stage and during the admission it progresses to a higher stage, two separate codes would be reported.

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