Only code the mild intermittent asthma. We should always code to the highest degree of specificity available in the documentation.

@medicalcodingclarified thank you so much Mam🤝

Do not code anemia in CKD for this situation because the physician specified that the anemia was iron deficiency. Since the physician specified the cause, the presumed causal relationship to CKD has been broken.

Thank you so much❤

I am sorry, I do not understand your question. Did you have a coding question? This sounds like a medical question, and I am not a physician.

What is I67. 9 ? What is their symptoms?

Merry christmas ❤

Thank you! 😊

Hi, No, we can't assume a relationship between bleeding and anticoagulation medication. There is no presumed causal relationship in ICD 10. The provider must state that the bleeding is related to the anticoagulation medication before assigning D68.32. My company submitted the question to the coding clinic regarding the documentation of bleeding "while on" anticoagulation, and the response was to query the provider.

Thank you! 😊

Thank you, Merry Christmas and Happy New Year to you as well!

Thank you, and Merry Christmas to you as well!

Thank you! 😊

Thank you 😊 I am happy to hear that my video helped you!

Thank you! 😊

@@entertenimiento4792 ONLY assign I70.212 as the is the specific type of PVD.

Thank you! 😊

@@KristinColyarCPB-CPCStudent You're welcome! 😊

Thank you! 😊

J44.89 you can also use an additional code for the asthma if the specific type or severity is documented. Do not use an additional code for unspecified asthma

Thanks! 😊

Thank you! 😊

Thank you! 😊

I dont have a definitive answer for you. I recently submitted this question to coding clinic for clarification. I have researched and diagnostically class 3 obesity and morbid obesity are exactly the same thing, with the only distinction being that the term "class 3 obesity" is considered to be less stigmatizing. From that standpoint, it seems that when they created the new obesity class codes, maybe E66.01 should have been deleted. However, it is worth noting that E66.01 specifically describes morbid obesity due to excess calories, providing a level of specificity that E66.813 lacks as it does not identify the underlying cause of the class 3 obesity. Another point to consider is the impact of E66.01 on risk adjustment, as the new code has not yet been integrated into existing models. In the absence of official guidance, my recommendation would be to capture both codes if they are both documented due to the risk adjustment issue. While it does seem redundant, both codes are listed at the same indentation level in the alphabetic index, with no exclusion notes in the tabular that would prohibit assigning both. I will let you know when I hear back from the coding clinic. I am sure that many others have submitted questions, and I would not be surprised if the answer is published in the next issue.

For the sbo with cancer, I can't say what a principal diagnosis is without reviewing the medical record, however when coding complications of cancer, the guidelines tell us that unless otherwise instructed by the classification, complications of cancer should be sequenced before the cancer if the care was only directed at the complication with no care directed at the malignancy.

Sure, I can add that to my list. 😊

Sure, I can add that to my list. There are not any sequencing rules between I12.0 and E10.65 or between I12.0 and E11.22. Sequence according to the circumstances of admission. I do have a video that explains sequencing instructional notes that might help. kzbin.info/www/bejne/oHfPkGebq8t5q7Msi=Wy-GShe_O39Z6v34

Sure, I can add that to my list of future topics.😊

Yes, work and family obligations have not left me much time this last couple of months, but I am hoping to get back on track and make more videos soon. 😊

Thank you! 😊

Thank you! 😊 I will add that to my list, and I am thinking of doing a GI bleed one next.

Thank you, I will add that to my list 😊

Hi! I do have a sepsis video, here is the link. 😊 kzbin.info/www/bejne/nqOlqH2uoMR1rKssi=_WXSGIZKb6ITE_1-

You're welcome, and thank you for watching! 😊

Thank you! 😊

Sure, I can add that to my list. Thanks!

Thanks, I am happy to hear that my video helped you! 😊

There are not any differences that I am aware of, but my experience is with inpatient only, I have never done profee.

That is great, congratulations!

Yes, that is correct.

Yes, that is correct.

@@medicalcodingclarified thank you mam!

Sure, I will add that to my list. 😊

There is no coding guideline that requires a diagnosis be included in the discharge summary. Unless your facility has an internal guideline requiring that the diagnosis be included in the DCS, you can code the sepsis that the physician verified via query.

Thank you! ☺️