Q:I often find CHF listed under past medical history. Frequently, the patient also has HTN and CAD, so they’re on medications. When I query for the type of CHF, the providers sometime document “no CHF.” I’ve heard before,...Read More »
Q:I have a patient with a UTI with pyuria and an elevated WBC count. There’s also recurrent plugging of the urine catheter secondary to sediment. I know the term “with” can link two diagnoses, but that it does not represent a...Read More »
The World Health Organization is preparing for the official release of the 11th Revision of the International Classification of Diseases, or ICD-11, in June.Read More »
Q:If a patient is admitted with both pneumonia and COPD, does pneumonia need to be coded before the COPD exacerbation? We have been coding COPD exacerbation first based on the advice given in AHA Coding Clinic, Third...Read More »
Much like concurrent CDI reviews, the concurrent coding process necessitates that the coding professional follow the chart throughout the patient’s admission and code it at intervals. The hope is that this process limits the number of clarifications needed after discharge, allowing the...Read More »
