by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA
The most challenging change for diagnosis coding in FY2019 is the large subject of infections following procedure. This change involves both obstetrical surgical wounds and all other surgical wounds; as well as sepsis, severe sepsis, and septic shock following procedures. In addition to new and updated codes in these areas, there are two guideline changes and multiple coding notes that each give small pieces of the guidance on these complex issues.
The codes for infections following a procedure have been expanded to include broad descriptions of the type of wound involved. Additional codes are used to identify any associated sepsis, severe sepsis, or septic shock, with the guidelines directing the sequencing and details of this code assignment. Also, be sure to review all coding notes found in the tabular regarding these new codes.
This subject is so detailed that I’ve developed a series of cases to use as examples in how to assign these new codes in the various situations. I’ll walk you through these case examples in the complete ICD-10-CM FY2019 Updates. Sign up now, or better yet, consider the Advanced Coding Subscription to assure you have access to all the 2019 code set updates and some special bonus content.
ICD-10 Code Updates
Learn from Lynn! Master the FY 2019 ICD-10 code changes. Detailed explanations of complex coding concepts from Lynn Kuehn, a nationally recognized coding educator. ICD-10-CM and ICD-10-PCS available; or buy both and save! Learn more here.