Category Archives: Coders’ Corner

ICD-10-PCS: Interatrial Shunt Device

ICD-10-PCS: Interatrial Shunt Device

Join nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, for this discussion of ICD-10-PCS coding of the new Interatrial Shunt Device for FY2021. LibmanLightbox offers short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   Implementation is October 1! FY 2021 […]

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Documentation and Coding of Right and Left Heart Failure

Documentation and Coding of Right and Left Heart Failure

by Dr. Richard Pinson, MD, FACP, CCS Q: A patient was admitted for acute paroxysmal atrial fibrillation as principal diagnosis and what was initially thought to be acute on chronic combined systolic and diastolic heart failure, later determined to be right-sided heart failure and left ventricular (LV) dysfunction with advanced interstitial lung disease (ILD) and […]

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New Coding Career? 5 Basic People Skills to Ensure Successful Co-worker Relations

New Coding Career? 5 Basic People Skills to Ensure Successful Co-worker Relations

by Rebecca Harmon, MPM, RHIA, CCA As an educator in both community college and university settings, I had the great privilege of being around students as they prepared to enter the workforce. Some were just emerging from college as fresh-faced new graduates while others were finding a new lease on life with a change in […]

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Inpatient Rehab Coding Challenges: IRF-PAI vs. UB-04 Coding

Inpatient Rehab Coding Challenges: IRF-PAI vs. UB-04 Coding

by Nirmala Sivakumar, CCS, CDIP While freestanding rehabilitation hospitals have a dedicated rehabilitation coder, the coding for rehab units within an acute hospital is done by coders that may not be familiar with IRF-PPS coding guidelines. Many HIM professionals that code for the rehab units are not familiar with how IRFs are reimbursed and may […]

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4 Steps to Making the Most of FY 2021 ICD-10 Coding Updates

4 Steps to Making the Most of FY 2021 ICD-10 Coding Updates

by Angela Gerbert, BS, CCS, CDIP, CIC, COC, CPC-I Changes to the ICD-10-CM and ICD-10-PCS code systems and guidelines for FY 2021 have been released. Many coders are busily reviewing the updates and making preparations for implementation on October 1. For those of us who live neck-deep in coding it is an exciting time. While […]

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Documentation and Coding of Pancytopenia

Documentation and Coding of Pancytopenia

by Dr. Richard Pinson, MD, FACP, CCS Pancytopenia is a simultaneous deficiency of three blood cell lineages: red blood cells, platelets, and neutrophils. Its clinical significance is the triple impact of anemia (decreased tissue oxygen supply), thrombocytopenia (bleeding), and neutropenia (susceptibility to infection). Confusion arises because the literature sometimes defines pancytopenia as low counts of […]

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ICD-10-PCS: The Alphapump Solution to Repeat Paracentesis

ICD-10-PCS: The Alphapump Solution to Repeat Paracentesis

Join nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, for this discussion of ICD-10-PCS coding of the new Alphapump for FY2021. LibmanLightbox offers short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   Implementation is October 1! FY 2021 ICD-10-CM and […]

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Q & A with Dr. Z: Lower Extremity Angiogram Codes

Q & A with Dr. Z: Lower Extremity Angiogram Codes

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: Angiogram (DSA) of the entire left lower extremity and iliac arteries using a 4-French x 45 cm long Rim catheter advanced from the right common femoral artery up and over and down into the left SFA. Selective angiogram of the left Posterior Tibialis, peroneal, […]

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When You Absolutely, Positively, Need to Get it Right: Libman Education ICD-10-CM and PCS Updates for 2021

When You Absolutely, Positively, Need to Get it Right: Libman Education ICD-10-CM and PCS Updates for 2021

by Angela Gerbert, BS, CCS, CDIP, CIC, COC, CPC-I Coding is serious stuff. Getting it right means that your organization will survive, the lights will stay on. If you are one of those coders who recognizes their role in ensuring their organization will continue to be financially viable, then you know that getting it right […]

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Documentation and Coding of Reperfusion Ectopy

Documentation and Coding of Reperfusion Ectopy

by Dr. Richard Pinson, MD, FACP, CCS Q: Can you provide guidance on whether to include reperfusion ectopy (VT) with or without specific treatment when a patient is s/p valve replacement procedure or other cardiac procedure? A: Thanks for this very interesting question. Reperfusion injury is characterized by myocardial, vascular, or electrophysiological dysfunction induced by […]

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Hierarchical Condition Categories: The Roles and Responsibilities of the Internal Auditor

Hear Rose T. Dunn, MBA, RHIA, CPA, FACHE, a nationally recognized HCC expert, provide a free, brief presentation: “Hierarchical Condition Categories:  The Roles and Responsibilities of the Internal Auditor.”   HCC: Auditing in the Risk Adjustment Environment The essential information internal HCC auditors need to ensure their organization receives the reimbursement they are entitled to […]

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ICD-10-CM: New for FY 2021!  Coding for Long Term Use of Antidiabetic Agents

ICD-10-CM: New for FY 2021! Coding for Long Term Use of Antidiabetic Agents

Join nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, for this discussion as we untangle the coding of long term use of various types of antidiabetic agents. Antidiabetic agents all work to help a patient control their Type 2 Diabetes Mellitus. But, what are they and how do we code for their long […]

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Medicare Administrative Contractor Posts Guideline on Billing for Intrathecal Injection of Spinraza

National Government Services (NGS), the Medicare Administrative Contractor for Connecticut, Illinois, Maine, Massachusetts, Minnesota, New Hampshire, New York, Rhode Island, Vermont, and Wisconsin, just posted guidelines for billing for the intrathecal injection of Spinraza. NGS requires CPT code 96450 for the injection procedure and HCPCS code J2326 for the nusinersen. HCPCS code J2326 is reported […]

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Twelve New COVID-19 Therapeutics Added to ICD-10-PCS for Discharges On or After August 1, 2020

Twelve New COVID-19 Therapeutics Added to ICD-10-PCS for Discharges On or After August 1, 2020

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA The Centers for Medicare and Medicaid Services issued an update to the FY2020 ICD-10-PCS code set, effective August 1, 2020 with 12 new codes for COVID-19 therapeutics. The additions include specific codes for Remdesivir, Sarilumab and Tocilizumab for introduction into the peripheral or central veins. Remdesivir is an […]

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