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Coding Advice & Resources | HIA News

Coding Tip: Cardiac Arrest and Cardiac Shock

Coding Tip: Cardiac Arrest and Cardiac Shock

In the past, there had been an Excludes1 note at I46.- Cardiac arrest that excluded R57.0, Cardiac shock. HIA had also received a letter from AHA on a case in the past that had stated that only I46.- Cardiac arrest would be coded if both were documented. In addition, the Third Quarter Coding Clinic page 26 had a similar case that asked if both could be coded, and AHA had instructed that only I46.9, cardiac arrest, cause unspecified would be coded if both were documented and that the CDC would be looking at possible revision to the Excludes1 note.

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Client X: Let’s Talk Numbers

Client X: Let’s Talk Numbers

A higher CMI corresponds to increased consumption of resources and increased cost of patient care, resulting in increased reimbursement to the facility from government and private payers, like CMS. We know that documentation directly impacts coding.

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New ICD-10-PCS Procedure Codes for COVID-19

New ICD-10-PCS Procedure Codes for COVID-19

The Centers for Medicare & Medicaid Services (CMS) announced new procedure codes for treatments of COVID-19 – effective as of August 1, 2020. Among the new codes are Section X New Technology codes for the introduction or infusion of therapeutics including Remdesivir, Sarilumab, Tocilizumab, transfusion of convalescent plasma, as well as introduction of any other or new therapeutic substances for the treatment of COVID-19.

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Part 5: Reasons for AKI Denials and Prevention | AKI Series

Part 5: Reasons for AKI Denials and Prevention | AKI Series

Why are so many AKI records being denied? It’s hard to give one answer for why so many AKI records are being denied lately, but most appear to be due to the multiple sets of criteria available for use in determining if a patient has AKI, as well as physician documentation. As stated in Part 3 of this series, there are three main criteria/classifications used to diagnose AKI.

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Part 4: Is Documentation Present to Report Acute Kidney Injury/Failure? | AKI Series

Part 4: Is Documentation Present to Report Acute Kidney Injury/Failure? | AKI Series

In previous parts of this series we looked at the definitions of AKI/ARF, causes, coding and sequencing, and the common clinical indicators that patients present with that are diagnosed with this condition. In Part 4, we will look at the documentation that should be present to report the diagnosis without fear of denial, as well as when a query is needed to clarify the diagnosis.

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