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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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