Coding Tips

Coding Tip: “Code First” Instructional Notes in ICD-10-CM

Coding Tip: “Code First” Instructional Notes in ICD-10-CM

There are certain conditions that have instructional notes in the ICD-10-CM tabular/coding conventions that guide the coder in sequencing. This is especially true when the condition has a common manifestation or underlying conditions of a chronic disease. If there is a “code first” note in the tabular, the coder should follow this instruction and sequence the underlying etiology or chronic condition first followed by the manifestation as an additional diagnosis.

read more
Coding Tip: Unspecified Condition Codes and Combination Codes

Coding Tip: Unspecified Condition Codes and Combination Codes

One area that coders struggle with is when to report a separate condition code when an already assigned combination code includes the condition. For example, if an obstetric patient is admitted and delivers, and the physician documents “obstetric patient delivered with anemia,” should both code O99.02 Anemia complicating childbirth and D64.9, Anemia, unspecified be coded or should only O99.02 be assigned?

read more

Pin It on Pinterest