As a benefit of membership in the ACDIS CDI Leadership Council, Associate Editorial Director Linnea Archibald sends out “missed connections” emails to Council members with questions from other members on a regular basis. Anyone with experience related to one of the questions was invited to...Read More »
Question: When the patient is admitted with a diagnosis of sepsis, and the history describes a urinary tract infection related to a foley catheter, with documentation also indicating pancreatic cancer, anemia, and dehydration, “History describes a urinary tract infection related to a...Read More »
Q: Do you have any suggestions for when a clinical validation query is sent for sepsis asking for additional supporting documentation if ruled in? We are seeing providers rule sepsis in as a valid diagnosis, but they do not provide additional supporting documentation. We seem to be...Read More »
Q: What is a neobladder reconstruction and how is this procedure reported in ICD-10-PCS?
A: Neobladder reconstruction is the surgical construction of a new bladder using intestinal tissue. This surgery may be performed if a patient has...Read More »
Q: Please advise on the coding guidelines in ICD-10-CM regarding the coding of fractures and their specificity obtained from a radiology report. For example, a patient is diagnosed with ankle sprain but when...Read More »
Q: When you have a patient admitted for observation and then changed to inpatient, do you use the diagnosis that makes them meet inpatient criteria as your primary diagnosis or the observation diagnosis?
