This page addresses follow-up questions and additional information pertinent to our webinar
Easing the Pain of Wound Care Coding - Diagnosis Coding.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q: Any advice that might help us navigate these long scanned notes? Sometimes they are over 100 pages long!
A: Try using the control-F feature. That should be able to get you to key words like “diagnosis” to bring you right to a diagnosis.
Q: What about a partial thickness ulcer? What depth would that be reported as?
A: I would report these as “other specified depth” since it’s not a depth recognized in ICD-10
Q: What if a patient has a debridement every other visit. My 7th character may go from “A” to “S” back to “A”. Is that ok?
A: Absolutely! 7th character “A” is defined as initial, but I like to think of it as “active” because that makes more sense. Don’t stress if your 7th character flips back and forth – it’s ok!
Looking for additional information on this topic?
Terri Reid, CCS, CCS-P, CDIP, AHIMA-Approved ICD-10-CM/PCS Trainer
Senior Coding Quality Auditor
Terri comes to Haugen group with 25+ years of health information management experience in coding, auditing and education. She spent a number of years volunteering as an EMT and working in an Emergency Department before she transitioned into a career coding ED records. It wasn’t long before she was trained to code SDS and IP records eventually using her clinical background to help pioneer a concurrent query program at a level I trauma facility in the northeast. With the implementation of ICD-10, she helped develop coding protocols as well as provide education to physicians on the impact of their documentation.
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