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Kim Carrier

Coding Tip: Anticoagulation and Antiplatelet Therapy

Coding Tip: Anticoagulation and Antiplatelet Therapy

Anticoagulants and antiplatelets are used for the prevention and treatment of blood clots that occur in blood vessels.  Oftentimes, anticoagulants and antiplatelets are referred to as “blood thinners,” but they don’t actually thin the blood at all. These drugs slow down the body’s process of making clots. Their main function is to keep the patient’s blood from clotting or turning into solid clumps of cells. These drugs do this by interfering with either fibrin or platelets in the blood.

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Coding Tip: Endarterectomy During Coronary Artery Bypass

Coding Tip: Endarterectomy During Coronary Artery Bypass

Lately we have seen several cases where the endarterectomy was assigned along with the coronary artery bypass (CABG) procedure when being performed on the same vessel to facilitate the CABG. A coronary artery endarterectomy is not always performed during a CABG procedure, so when it is performed it becomes confusing as to whether to code it separately or not.

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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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