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ICD-10-PCS: Let’s Solve the Coronary Artery Bifurcation Issue

ICD-10-PCS: Let’s Solve the Coronary Artery Bifurcation Issue

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA First things first. A bifurcation is like a fork in the road. Webster says that a bifurcation is “the point or area at which something divides into two branches or parts or the point at which bifurcating occurs.” Here are two examples as shown in the drawings. Bifurcated […]

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Coding of Amputations in ICD-10-PCS: Detachment Documentation

Coding of Amputations in ICD-10-PCS: Detachment Documentation

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Coding the root operation of Detachment when the surgeon doesn’t document the ICD-10-PCS terminology of high, mid, or low amputations can be a challenge. Physicians don’t need to document these words, but they do need to give the coder enough documentation to know where the amputation took place. […]

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ICD-10-PCS: Fogarty Catheters Require a Different Approach

ICD-10-PCS: Fogarty Catheters Require a Different Approach

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Fogarty catheters are different than other thrombectomy catheters, such as stent retrievers or aspiration catheters. Because of the differences, the approach which must be assigned to code accurately in ICD-10-PCS is also different. A Fogarty catheter enters the vessel through a cut-down because it contains a guidewire and […]

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ICD-10-PCS: Guideline B4.1c — Where is the Furthest Site?

ICD-10-PCS: Guideline B4.1c — Where is the Furthest Site?

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA I never thought much about the “furthest anatomical site” until ICD-10-PCS Guideline B4.1c was added for 2018. This guideline says that when a procedure is performed on a continuous section of a tubular body part, we assign the body part that corresponds to the furthest anatomical site from […]

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ICD-10 Coding Clinic Update (Q3 2018): DIEP Flap Breast Reconstruction

ICD-10 Coding Clinic Update (Q3 2018): DIEP Flap Breast Reconstruction

Hear Barry Libman, MS, RHIA, CDIP, CCS, President of Libman Education and a nationally-recognized authority on coding and reimbursement issues, discuss “ICD-10 Coding Clinic Update (Q3 2018): DIEP Flap Breast Reconstruction” in this free, brief presentation.   Listen to Barry’s Coding Clinic Update in its entirety for in-depth commentary on selected coding advice and clarifications from […]

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ICD-10 Coding Clinic Update (Q3 2018): Pseudogout of Knee

ICD-10 Coding Clinic Update (Q3 2018): Pseudogout of Knee

Hear Barry Libman, MS, RHIA, CDIP, CCS, President of Libman Education and a nationally-recognized authority on coding and reimbursement issues for long term acute care hospitals, discuss “ICD-10 Coding Clinic Update (Q3 2018): Pseudogout of Knee” in this free, brief presentation.   Want more?  Barry’s Coding Clinic Commentary provides in-depth commentary on selected coding advice and clarifications from AHA […]

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ICD-10-PCS Vascular Coding: Thrombectomy of Lower Extremity

ICD-10-PCS Vascular Coding: Thrombectomy of Lower Extremity

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Vascular Coding: Thrombectomy of Lower Extremity as updated for FY 2018 in this free, brief presentation. Learn more from Lynn! Master the FY 2019 ICD-10 code changes with the NEW ICD-10 Code Updates. Learn more here.

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ICD-10-PCS: Bronchoalveolar Lavage – Problem Solved!

ICD-10-PCS: Bronchoalveolar Lavage – Problem Solved!

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA The controversy regarding Bronchoalveolar Lavage, or BAL, will finally be resolved in October. The BAL procedure is drainage of the cells of the alveoli using an endoscope and specific procedural steps, but the correct body part assignment has been challenging and troublesome. When coded correctly, the DRG seemed inappropriate. […]

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ICD-10-PCS Vascular Coding: Arteriovenous Fistula

ICD-10-PCS Vascular Coding: Arteriovenous Fistula

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Coding of Arteriovenous Fistula as updated for FY 2018 in this free, brief presentation. Learn from Lynn LIVE! ICD-10-PCS Coding of Vascular Procedures (Sept. 13 in Columbia, MD) Acquire the confidence necessary for vascular coding! Demystify the challenges […]

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ICD-10-PCS Vascular Coding: Two-Part Bypass Devices

ICD-10-PCS Vascular Coding: Two-Part Bypass Devices

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Vascular Coding: Two-Part Bypass Devices in this free, brief presentation. Want to learn more from Lynn?  Complete ICD-10-PCS Training: From Beginner to Advanced, authored by Lynn Kuehn, takes you from beginner to advanced in minimal time. Learn more […]

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Coordination and Maintenance Committee Meeting: Registration Now Open for September 11-12, 2018

Coordination and Maintenance Committee Meeting: Registration Now Open for September 11-12, 2018

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Baltimore is the place to be “in the know” in September! The Coordination and Maintenance (C&M) Committee for ICD-10-CM and ICD-10-PCS takes place on Tuesday and Wednesday, September 11 and 12, at the CMS offices in Baltimore, Maryland. And you can attend for free! The C&M meeting is […]

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The Secret to ICD-10-PCS Coding of ECMO in FY2019

The Secret to ICD-10-PCS Coding of ECMO in FY2019

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Coding Extracorporeal Membrane Oxygenation (ECMO) is easy up until the FY2019 update. (I even had the code for ECMO memorized as 5A15223!) Those days will be over for discharges occurring October 1, 2018 and later. The ECMO process actually has three variations and the 2019 ICD-10-PCS code set […]

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Intra-Aortic Balloon Pump (IABP): Not a Device?

Intra-Aortic Balloon Pump (IABP): Not a Device?

by Sandy Macica, MS, RHIA, CCS The AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, Second Quarter 2018, pg. 3, has provided clarification and further advice about the coding of an IABP. Information was originally published in Coding Clinic Third Quarter 2013. In First Quarter 2017, pg. 10, coding specialists were instructed that: • Guidance for external […]

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ICD-10-PCS Vascular Coding: HeRO Device for Dialysis Access

ICD-10-PCS Vascular Coding: HeRO Device for Dialysis Access

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss ICD-10-PCS Vascular Coding: HeRO Device for Dialysis Access as updated for FY 2018 in this free, brief presentation. Want to learn more from Lynn?  Complete ICD-10-PCS Training: From Beginner to Advanced, authored by Lynn Kuehn, takes you from beginner to […]

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Transmyocardial Laser Revascularization (TMLR) in ICD-10-PCS: Cardiovascular Procedure Coding

Transmyocardial Laser Revascularization (TMLR) in ICD-10-PCS: Cardiovascular Procedure Coding

(Running time: 01:00) Nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discusses Transmyocardial Laser Revascularization (TMLR) in ICD-10-PCS: Cardiovascular Procedure Coding. Excerpted from Lynn’s course ICD-10-PCS: Cardiovascular Procedure Coding.

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