by kkluglein | Oct 15, 2020 | Blog, Tips & Expertise
Q: Question about fatty liver disease. It’s my understanding that fatty liver disease is often the first stage in liver disease and can progress to cirrhosis. If the provider documents fatty liver disease as well as cirrhosis, should you code both or is the...
by kkluglein | Oct 2, 2020 | Blog, Tips & Expertise
Q: You mentioned that Yescarta and Kymriah would group to the new MS-DRG 018 for CAR T-cell therapies. There are 2 new codes for CAR T-cell therapies from the new technology section in 2021. Will those codes also group to MS-DRG 018? A: Two new CAR T-cell...
by kkluglein | Aug 28, 2020 | Blog, Tips & Expertise
Q: For alcohol and drug withdrawal, what is the default code if the doctor does not document use or dependence? A: The alphabetic index lists dependence as the default and this is reiterated in Coding Clinic, Second Quarter 2015: Page 15. However, if documentation...
by kkluglein | Aug 27, 2020 | Blog, Tips & Expertise
Q: Question in regards to the COVID-19 new PCS codes. I am getting push back about coding these PCS codes when the drugs can be picked up via the charge master. What are your thoughts? A: While your organization may be able to pull this data from the charge...
by Kristi Pollard | Jul 21, 2020 | Blog, Tips & Expertise
Q: A patient with a previous hemiarthroplasty (say, right hip) comes in for a THR. Do you code the removal and replacement of the device (head/stem) and just replacement of the liner/cup? A: When a patient presents to upgrade a right hemiarthroplasty to a total...
by Kristi Pollard | Jun 22, 2020 | Blog, Tips & Expertise
Q: Can you explain when the approach for laparoscopically-assisted procedure through an orifice would be used? A: This approach was added to the GI system in fiscal year 2018 to report a laparoscopically-assisted anal-pull through procedure. This procedure is...
