1. Home Town Health – April 2017
Jenan Custer RHIT, CCS, CPC, CDIP AHIMA Approved ICD-10-CM/PCS Trainer Director of Coding Healthcare Coding and Consulting Services (HCCS)

2. Agenda
AHA Coding Clinic Spotlight
CPT Assistant Updates
Hot Topics

3. Home Town Health - April
AHA Coding Clinic
and
CPT Assistant
Spotlight

4. Home Town Health - April
Question:
IP ONLY
…Is "concern for" a term of uncertainty that allows the "subdural empyema" to be coded, since it was documented at the time of discharge?......

5. Home Town Health - April
Answer:
"Concern for" is and uncertain diagnosis
It is coded following the guideline for "uncertain diagnosis" in the inpatient setting
Source:  ICD-10-CM/PCS Coding Clinic, First Quarter ICD Pages: Effective with discharges: February 18, 2018

6. Home Town Health - April
ICD-10-CM Official Guidelines for Coding and Reporting FY 2018
H. Uncertain Diagnosis
If the diagnosis documented at the time of discharge is qualified as “probable”,“suspected”, “likely”, “questionable”, “possible”, or “still to be ruled out”, or othersimilar terms indicating uncertainty, code the condition as if it existed or wasestablished. The bases for these guidelines are the diagnostic workup, arrangementsfor further workup or observation, and initial therapeutic approach that correspondmost closely with the established diagnosis.
Note: This guideline is applicable only to inpatient admissions to short- term, acute,long-term care and psychiatric hospitals.
Source: ICD-10-CM Coding Guidelines

7. Home Town Health - April
Question
…What is reported when the procedure is performed solely for lysis of intestinal adhesions?....

8. Home Town Health - April
Answer
Code 44005, Enterolysis
- or code 44180, Laparoscopy, surgical, enterolysis may be reported, as appropriate
Source:       CPT Assistant, February 2018 Page: 11 Category: Frequently Asked Questions

9. Home Town Health - April
Question
  …..What do you report when this laparoscopic hysterectomy scenario is performed?.....

10. Home Town Health - April
Answer
Report code or 58573
Vaginal cuff closure is part of the hysterectomy, regardless of the approach
Source:  CPT Assistant, February 2018 Page: 11 Category: Frequently Asked Questions

11. Home Town Health - April
Items of Interest….
CMS Paid $367 Million in Non-Compliant OP Physical Therapy click here

12. Home Town Health - April
Items of Interest….
Quarterly HCPCS Code Updates here
- Effective Date 4/1; 3 New Codes:

13. Home Town Health - April
Learning Outcomes
AHA Coding Clinic Spotlight
CPT Assistant Updates
Hot Topics

14. Home Town Health - April
References
ICD-10-CM/PCS
AHA Coding Clinics
CPT Assistant

15. Thank You For Your Time Value Quality We welcome all questions!
Thank You For Your Time