ICD 10 Documentation Specialty Introduction

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Presentation transcript:

ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries

ICD 10 Documentation Specialty Introduction ICD 10 is being mandated by CMS. Compliance date is set at October 2015. ICD-9 Diagnosis Codes = 14,000 ICD-10 Diagnosis Codes = 69,000 ICD-9 Procedure Codes = 3,800 ICD-10 Procedure Codes = 71,000 The CDI team is here to help with inpatient provider documentation specificity needed in I-10. Based on Conifer ICD 10 Updated queries, the attached pages will assist with the documentation needed in I-10.

Table of contents Neutropenia 25 Non pressure ulcer 26 Malnutrition 27 Anemia 4 Aplastic Anemia 5 BMI – high 6 BMI –low 7 Cellulitis 8 Colitis 9 Coma 10 Crohn’s Disease / Regional Enteritis 11 Debridement 12 Dementia 13 Diabetes 14 Diverticulitis 15 Encephalopathy 16 Heart failure- acute 17 Heart failure-chronic 18 Hepatitis 19 HIV-AIDS 20 Influenza 21 Meningitis 22 Mental Status- Altered 23 Metabolic—acidosis/ alkalosis 24 Neutropenia 25 Non pressure ulcer 26 Malnutrition 27 Osteomyelitis 28 Pancreatitis 29 Pneumonia- Aspiration 30 Pneumonia- Hypostatic /passive/ stasis 31 Pneumonia-Specificity 32 Pressure Ulcer 33 Prostatitis 34 Purpera 35 Renal Failure—acute 36 Renal failure-chronic 37 Respiratory- Bronchitis 38 Respiratory- COPD 39 Respiratory- Emphysema 40 Respiratory failure 41 Sepsis 42 Shock 43 Substance abuse 44 Urosepsis 45 UTI 46 Hospital specific Documentation Specialists contact info 47-54

ICD10 documentation specificity needed ICD10 Documentation Needed ICD9 Documentation Anemia [ ] Acute blood loss anemia [ ] Post-op anemia related to acute blood loss [ ] Anemia: [ ] Aplastic [ ] Nutritional [ ] Drug induced (specify)________ [ ] Hemolytic: [ ] Hereditary [ ] Acquired [ ] Autoimmune [ ] Non-autoimmune [ ] Enzyme disorder [ ] Anemia due to Neoplasm: [ ] Primary [ ] Secondary [ ] Due to Chemotherapy [ ] Due to Radiotherapy [ ] Chronic anemia – other etiology: Same as in ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed ICD9 Documentation Aplastic Anemia Identify Specificity [ ] Acquired pure red cell aplasia: [ ] Chronic [ ] on Treatment [ ] Transient [ ] Other [ ] Constitutional: [ ] Congenital [ ] Idiopathic [ ] Acquired [ ] Drug Induced (please specify drug): ________ [ ] Due to other external causes (please specify cause, i.e. radiation, etc): _______________________ [ ] Idiopathic [ ] Unspecified [ ] Sideroblastic Anemia: [ ] Hereditary [ ] Due to disease [ ] Due to drugs/toxins [ ] Congenital [ ] Anemia in Neoplastic Disease

ICD10 documentation specificity needed ICD10 Documentation Needed BMI > 40 with associated diagnosis of: [ ] Morbid (Severe) Obesity [ ] Overweight [ ] Obesity (unspecified) Morbidly Obese [ ] Morbid (Severe) Obesity [ ] Due to excess calories [ ] Familial [ ] Endocrine [ ] with Alveolar Hypoventilation (Pickwickian syndrome) [ ] Drug-induced (Name of drug: _____)

ICD10 documentation specificity needed ICD10 Documentation Needed BMI < 19 with associated diagnosis of: (check one) [ ] Underweight [ ] Protein Calorie Malnutrition: [ ] Mild [ ] Moderate [ ] Severe [ ] Unspecified [ ] Cachexia [ ] Emaciation due to malnutrition Same as ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed Cellulitis Identify location, laterality and if related to Location: _________________ Laterality: [ ] Left [ ] Right [ ] Bilateral [ ] Upper [ ] Lower [ ] Cheek-internal [ ] Cheek-external [ ] N/A_____ [ ] Bacterial - Causative Agent (if known): ____ [ ] Viral [ ] R/T Lymphangitis (chronic / subacute) [ ] R/T Venous Stasis ulcer with PVD [ ] Manifestation of Diabetes [ ] Does not apply to this patient – no cellulitis

ICD10 documentation specificity needed ICD10 Documentation Needed Colitis Identify Site, Type and Complications Site (if applicable): [ ] Small Intestine [ ] Large Intestine [ ] Other site __ Type: [ ] Colitis due to radiation [ ] Ulcerative Colitis [ ] Infectious Colitis [ ] Toxic Colitis [ ] Ischemic Colitis [ ] Colitis due to ___________________ [ ] Chronic Colitis Complications: [ ] Rectal Bleeding [ ] Intestinal Obstruction [ ] Fistula [ ] Abscess [ ] Other complication _________________ [ ] Unspecified complication

ICD10 documentation specificity needed ICD10 Documentation Needed Coma Identify specificity [ ] Coma / Comatose [ ] Persistent vegetative state [ ] Stupor [ ] Drowsiness [ ] Somnolence [ ] Catatonic stupor [ ] Semicoma [ ] Associated injury (skull fracture, intracranial injury) _________________________________ [ ] Glasgow coma score_____________ Eye opening describe ________ Verbal response describe _________ Motor functioning describe_________

ICD10 documentation specificity needed ICD10 Documentation Needed Crohn’s Disease / Regional Enteritis Identify specificity, site and associated diagnosis [ ] Abscess [ ] Fistula [ ] Intestinal obstruction [ ] Rectal bleeding [ ] Other (specify) _______________ Site: [ ] Small Intestine [ ] Large Intestine [ ] both small and large intestines Associated diagnoses / conditions (specify)________

ICD10 documentation specificity needed ICD10 Documentation Needed Debridement [ ] Excisional Debridement: [ ] Excised [ ] Removed [ ] Cut away [ ] Other: ________ Depth / layer: (deepest layer of debridement): [ ] Skin/SubQ [ ] Fascia [ ] Muscle [ ] Bone   Margins: (please specify): ___ / __ x __ x ___   Instruments used: [ ] Scissors [ ] Scalpel [ ] Curette [ ] Tweezers/forceps [ ] Soft tissue clipper [ ] Other: _____ [ ] Non-excisional Debridement - Removal by flushing, brushing, or washing   [ ] Incision and Drainage only (No Debridement): Depth: [ ] Skin & Sub Q only [ ] Into soft tissue [ ] Escharectomy Same as ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed Dementia Identify type and accompanying behaviors Type of Dementia (check all appropriate): [ ] Vascular (due to cerebrovascular infarct or HTN) [ ] Frontotemporal [ ] Pick’s Disease [ ] In Substance Use/Abuse/Dependence Specify substance: ____________________ [ ] With Lewy Bodies (in Parkinson’s Disease) [ ] In other specified diseases (such as Alzheimer’s,, Parkinson’s, or other degenerative nervous system disease) [ ] Unspecified (such as Senile or Pre-senile) [ ] Unable to determine type of Dementia Accompanying Behaviors (check all appropriate): [ ] Behavioral disturbances (aggressive, combative, violent) [ ] Psychosis [ ] Delirium [ ] Delusions [ ] Hallucinations [ ] Depression [ ] Wandering [ ] Other behaviors: ___________________

ICD10 documentation specificity needed ICD10 Documentation Needed Diabetes IDENTIFY TYPE, ETIOLOGY, CONTROL and any MANIFESTATIONS TYPE: [ ] Type I [ ] Type II [ ] Insulin Use Etiology: [ ] Drug / chemical induced [ ] Due to underlying condition (specify)________ [ ] Other specified type_____ Control: [ ] Inadequate [ ] Out of control [ ] Poor [ ] Hypoglycemia [ ] Hyperglycemia Manifestation: [ ] Ketoacidosis [ ] Neurological complications (specify) __ [ ] Kidney complication (specify) ______________ [ ] Skin complication (specify) ____________________ [ ] Other (specify)________________________ [ ] Gastropathy/ Gastroparesis [ ] Osteomyelitis [ ] Cellulitis [ ] CKD

ICD10 documentation specificity needed ICD10 Documentation Needed Diverticulitis IDENTIFY Acuity, Severity, Site and Type Acuity: [ ] Acute [ ] Chronic [ ] Acute on Chronic Severity: [ ] Bleeding [ ] No bleeding [ ] Abscess [ ] No abscess [ ] Perforation [ ] No perforation Site: [ ] Ileum [ ] Small Intestine [ ] Large Intestine [ ] Unspecified Intestine Type: [ ] Meckel’s diverticulum with diverticulitis [ ] Meckel’s diverticulum without diverticulitis

ICD10 documentation specificity needed ICD10 Documentation Needed Encephalopathy IDENTIFY Acuity, Etiology and Severity Acuity: [ ] Acute [ ] Subacute [ ] Chronic Etiology: [ ] Hypertensive [ ] Metabolic [ ] Toxic [ ] Toxic Metabolic [ ] Hepatic [ ] Hypoxic [ ] Septic [ ] Alcohol [ ] Drugs (specify)_______________ [ ] Post procedural (specify)______________ Severity: [ ] with coma [ ] without coma

ICD10 documentation specificity needed ICD10 Documentation Needed ACUTE HEART FAILURE [ ] Acute Systolic Heart Failure [ ] Acute Diastolic Heart Failure [ ] Acute Systolic and Diastolic Heart Failure ACUTE ON CHRONIC HEART FAILURE [ ] Acute On Chronic Systolic Heart Failure [ ] Acute On Chronic Diastolic Heart Failure [ ] Acute On Chronic Systolic and Diastolic Heart Failure SAME as ICD 9 with the addition OTHER ETIOLOGIES OF HEART FAILURE [ ] Heart Failure Due To Valvular Disease [ ] Right Heart Failure / Acute Cor Pulmonale [ ] Right Heart Failure / Chronic Cor Pulmonale [ ] Rheumatic Heart Disease [ ] Endocarditis (valvular) [ ] Myocarditis [ ] Pericarditis

ICD10 documentation specificity needed ICD10 Documentation Needed CHRONIC HEART FAILURE [ ] Chronic Systolic Heart Failure [ ] Chronic Diastolic Heart Failure [ ] Chronic Systolic and Diastolic Heart Failure SAME as ICD 9 with the addition of etiology Etiologies: [ ] Hypertension [ ] Valvular disease [ ] Rheumatic heart disease

ICD10 documentation specificity needed ICD10 Documentation Needed Hepatitis IDENTIFY Acuity, Etiology and associated diagnosis Acuity: [ ] Acute [ ] Chronic Etiology: [ ] Alcoholic [ ] Drug induced (specify)____ [ ] Viral (type A,B,C,E)_______ Associated Diagnosis: [ ] with hepatic coma [ ] without hepatic coma [ ] with delta agent [ ] without delta agent

ICD10 documentation specificity needed ICD10 Documentation Needed HIV-AIDS [ ] HIV infection/disease symptomatic related condition [ ] AIDS [ ] Non-HIV related condition [ ] Asymptomatic HIV infection status [ ] Non-specific serologic evidence of HIV Similar to ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed Influenza IDENTIFY Organism and associated factors [ ] Influenza caused by ______ (specify organism) [ ] Influenza-associated Encephalopathy [ ] Influenza-associated Pneumonia

ICD10 documentation specificity needed ICD10 Documentation Needed Meningitis Identify Type, Organism and Present on Admission [ ] Viral Meningitis [ ] Specify organism (i.e. adenovirus, enterovirus, measles, etc.) ___________ [ ] Bacterial Meningitis - Acute [ ] Specify organism (i.e. gram negative, staph, strep, e coli, etc.)___________ [ ] Due to (please specify cause) _________ [ ] Aseptic - Acute [ ] Late effect [ ] Septic [ ] Present on Admission [ ] Yes [ ] No [ ] Unable to determine

ICD10 documentation specificity needed ICD10 Documentation Needed Altered Mental Status IDENTIFY SPECIFICITY Altered Mental Status: [ ] Delirium [ ] Mild Cognitive Impairment [ ] Drug-Induced Delirium [ ] Mental Disorder (Specify): __________ [ ] Other (Specify): ________ Altered Level of Consciousness: [ ] Coma [ ] Somnolence [ ] Persistent Vegetative State [ ] Stupor (Catatonic) [ ] Transient Alteration of Awareness Encephalopathy: [ ] Alcoholic [ ] Due to Drugs [ ] Hepatic [ ] Hypertensive [ ] Anoxic / hypoxic [ ] Other (Specify): ___________ [ ] Metabolic / Septic [ ] Traumatic [ ] Hypoglycemic

ICD10 documentation specificity needed ICD10 Documentation Needed Acidosis/Alkalosis Identify Type of Acidosis or Alkalosis [ ] Acidosis: [ ] Metabolic [ ] Respiratory [ ] Lactic [ ] Renal [ ] Alkalosis: [ ] Metabolic [ ] Respiratory

ICD10 documentation specificity needed ICD10 Documentation Needed Neutropenia Identify Cause [ ] Congenital [ ] Secondary to chemotherapy (list chemotherapeutic drug: __________) [ ] Drug induced (list drug: ________________) [ ] Due to infection (infection site: _______ Organism: _________________________) [ ] Cyclic [ ] Does not apply to this patient [ ] Unspecified

ICD10 documentation specificity needed ICD10 Documentation Needed Non Pressure Ulcer Identify Location, laterality, depth, type and gangrenous Location [ ] Back [ ] Buttock [ ] Lower limb [ ] Ankle [ ] Calf [ ] Heel/ midfoot [ ] Thigh [ ] Other__________ Laterality [ ] Left [ ] Right [ ] Bilateral [ ] Upper [ ] Lower [ ] N/A Depth [ ] Skin only [ ] Fat exposed [ ] Muscle Necrosis [ ] Bone Necrosis Type [ ] Diabetic [ ] Vascular r/t PVD [ ] Varicose [ ] Atherosclerosis of lower limb [ ] Postphlebitic syndrome [ ] Postthrombotic syndrome [ ]Chronic venous hypertension [ ] Other (specify) ______ Gangrene [ ] Yes [ ] No

ICD10 documentation specificity needed ICD10 Documentation Needed Malnutrition [ ] Under-nutrition / Malnutrition: [ ] Mild [ ] Moderate [ ] Severe [ ] Unspecified [ ] Protein Calorie Malnutrition: [ ] Mild [ ] Moderate [ ] Severe [ ] Unspecified [ ] Marasmus [ ] Nutritional Edema [ ] Other Malnutrition (please specify) _______________________________ Same as ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed Osteomyelitis Identify site, acuity and if related to diabetes Osteomyelitis site: ____________ [ ] Acute osteomyelitis directly related to diabetes mellitus [ ] Acute osteomyelitis unrelated to diabetes mellitus [ ] Chronic osteomyelitis directly related to diabetes mellitus [ ] Chronic osteomyelitis unrelated to diabetes mellitus

ICD10 documentation specificity needed ICD10 Documentation Needed Pancreatitis Identify acuity, cause, gangrenous and alcohol induced [ ] Acute: [ ] Gallstone [ ] Biliary [ ] Idiopathic [ ] Other [ ] Chronic: [ ] Cystic [ ] Infectious [ ] Interstitial [ ] Recurrent [ ] Gangrenous [ ] Alcohol-induced: [ ] Abuse [ ] Dependence

ICD10 documentation specificity needed ICD10 Documentation Needed Aspiration Pneumonia IDENTIFY SPECIFICITY and any associated illnesses [ ] Aspiration Bronchitis [ ] Pneumonia secondary to______ (specify organism / underlying disease) [ ] Community Acquired (simple) Pneumonia [ ] Healthcare / Hospital Acquired Pneumonia (outside facility / prior hospitalization) [ ] Ventilator associated [ ] Radiation induced [ ] Associated illness: [ ] Respiratory failure [ ] Sepsis [ ] Underlying lung disease [ ] Other specify)_____ [ ] Pneumonia of unknown etiology [ ] Infiltrates without evidence of Pneumonia

ICD10 documentation specificity needed ICD10 Documentation Needed Hypostatic Passive/ Stasis Pneumonia [ ] Hypostatic Passive/ Stasis Pneumonia [ ] Pneumonia due to (specify organism/ underlying disease)_____________ [ ] Ventilator-associated [ ] Radiation induced [ ] Associated illness: [ ] Respiratory Failure [ ] Underlying lung disease [ ] Other (specify)________________ Same as ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed Pneumonia- identify specificity [ ] Gram Negative Pneumonia [ ] Gram Positive Pneumonia [ ] MRSA Pneumonia [ ] MSSA Pneumonia [ ] Pneumonia due to ________ (specify organism / underlying disease)(e.g. E. Coli, Klebsiella, Pneumococcus, Pseudomonas, Other Staph) [ ] Community acquired (simple) Pneumonia [ ] Healthcare / Hospital Acquired Pneumonia (outside facility / prior hospitalization) [ ] Aspiration pneumonia [ ] Ventilator – associated pneumonia [ ] Radiation induced pneumonia [ ] Associated illness: [ ] Respiratory failure [ ] Sepsis [ ] Underlying lung disease [ ] Other _______________ [ ] Pneumonia of unknown etiology [ ] Infiltrates without evidence of Pneumonia Similar to ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed Pressure Ulcer Identify Location, stage, laterality, POA and gangrene present Decubitus Ulcer: Location: __________ POA: [ ] Yes [ ] No [ ] Unable to determine Stage (I to IV): _______ Laterality: Left_____ Right_____ Bilateral_____ N/A_____ [ ] Gangrene present [ ] Yes [ ] No (Stage I: Erythema; Stage II: Partial thickness; Stage III: Full thickness; Stage IV: Necrosis to muscle/bone)

ICD10 documentation specificity needed ICD10 Documentation Needed Prostatitis Identify acuity, bacterial vs viral and organism if know [ ] Acute Prostatitis: [ ] Bacterial (organism __________ if known) [ ] Viral (organism ______________if known)   [ ] Chronic Prostatitis: [ ] Bacterial (organism ________ if known) [ ] Viral (organism ____________if known)

ICD10 documentation specificity needed ICD10 Documentation Needed Purpura [ ] Allergic Purpura: [ ] Hemorrhagic [ ] Idiopathic [ ] Type (specify)__________________ [ ] Site__________________ [ ] Related process_________________ [ ] Causal organism__________________ [ ] Immune thrombocytopenic purpura [ ] Post-transfusion purpura [ ] Secondary thrombocytopenia [ ] Hereditary

ICD10 documentation specificity needed ICD10 Documentation Needed Acute Renal Failure (ARF) / Acute Kidney Injury (AKI) [ ] Prerenal Azotemia (dehydration, shock, CHF, renal obstruction, creatinine responds to IV fluid) [ ] Acute Tubular Necrosis (ATN) (nephrotoxicity, extended decreased renal perfusion, increasing creatinine (0.5 / day) not responding to fluids, low urine output) [ ] Acute Interstitial Nephritis (AIN) (nephritis in which the interstitial connective tissue is chiefly affected) [ ] Acute cortical necrosis [ ] Acute medullary necrosis [ ] Acute kidney injury [ ] traumatic injury [ ] Nontraumatic injury [ ] Other Etiology or underlying conditions related to the diagnosis of ARF/ AKI:________________ [ ] Acute on Chronic Renal Failure please specify Type of ARF (above) and Stage of CKD ________ Same as ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed Chronic Renal Failure [ ] Chronic Renal Failure (CRF) / Chronic Kidney Disease (CKD) Stage: _______ (I to V or ESRD—see below)   Dialysis dependent [ ] Yes [ ] No CKD- National Kidney Foundation Guidelines for CKD Staging Stage I Kidney damage with normal or increased GFR GFR > 90 Stage II Kidney damage with mildly decreased GFR GFR 60-89 Stage III Kidney damage with moderately decreased GFR GFR 30-59 Stage IV Kidney damage with severely decreased GFR GFR 16-29 Stage V Kidney failure GFR<15 ESRD End Stage Renal Disease On dialysis   Same as ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed Bronchitis   Identify acuity and due to [ ] Acute exacerbation of Bronchitis [ ] Acute on Chronic Bronchitis [ ] Chronic Bronchitis obstructive [ ] Bronchitis due to: [ ] Fumes [ ] Radiation [ ] Viral or Bacterial Organism____________

ICD10 documentation specificity needed ICD10 Documentation Needed COPD   Identify Acuity [ ] Acute exacerbation of COPD [ ] Acute exacerbation of Asthma [ ] COPD – Chronic and stable

ICD10 documentation specificity needed ICD10 Documentation Needed  Emphysema Identify Acuity and Type Acuity: [ ] Acute exacerbation of Emphysema [ ] Chronic and stable Emphysema Type: [ ] Unilateral: [ ] Sawyer-James Syndrome [ ] Unilateral Hyper-Lucent Lung [ ] Unilateral Pulmonary Artery Functional Hypoplasia [ ] Pan lobular [ ] Centrilobar

ICD10 documentation specificity needed ICD10 Documentation Needed Respiratory Failure IDENTIFY TYPE, ACUITY and ETIOLOGY Acute Respiratory Failure: [ ] with Hypoxia [ ] with Hypercapnia Acute On Chronic Respiratory Failure: [ ] with Hypoxia [ ] with Hypercapnia Acute Respiratory Failure caused by: _____ (etiology) [ ] Acute Respiratory Insufficiency following [ ] trauma [ ] other

ICD10 documentation specificity needed ICD10 Documentation Needed Sepsis  Identify causative agent, due to, name organ dysfunction- if applicable [ ] Sepsis (include causative agent if known) _________ Due to: [ ] Device [ ] Implant [ ] Graft [ ] Infusion [ ] Abortion [ ] SIRS due to non-infectious process [ ] with organ dysfunction [ ] without organ dysfunction [ ] Severe sepsis with acute organ dysfunction of: __________________________________________ (Examples: respiratory failure, encephalopathy, acute kidney failure, other) [ ] SIRS due to infection or infectious process [ ] with organ dysfunction [ ] without organ dysfunction [ ] Septic shock [ ] Sepsis related to a device (i.e. port, IV line, pacer / ICD leads, Foley, etc.) _______________________

ICD10 documentation specificity needed ICD10 Documentation Needed SHOCK [ ] Hypovolemic shock [ ] Hemorrhagic shock [ ] Cardiogenic shock [ ] Septic shock (Circulatory failure associated with severe sepsis, represents organ failure) Same as ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed Substance Abuse Identify substance, status, complication and any induced disorders Substance(s): [ ] Alcohol [ ] Opioid [ ] Cannabis [ ] Sedative, Hypnotic, Anxiolytic [ ] Cocaine [ ] Other stimulant [ ] Hallucinogenic [ ] Inhalant-related [ ] Other psychoactive drug: __________ [ ] Unspecified drug Status: [ ] Use [ ] Abuse [ ] Dependence Complications: [ ] Intoxication [ ] Withdrawal [ ] In remission [ ] Uncomplicated [ ] Other complication: ____________ [ ] Unspecified complication Substance-Induced Disorders: [ ] Psychosis: [ ] Delirium [ ] Delusions [ ] Hallucinations [ ] Perceptual Disturbances: [ ] Anxiety Disorder [ ] Sexual Dysfunction [ ] Sleep Disorder [ ] Unspecified substance-induced disorder [ ] Other substance-induced disorder: ________________________________ [ ] No substance-induced disorder

ICD10 documentation specificity needed ICD10 Documentation Needed UROSEPSIS- codes to UTI, please state if [ ] Sepsis from a urinary source Related to: [ ] Urinary obstruction [ ] Indwelling catheter [ ] Self-catheterization [ ] Suprapubic catheter [ ] Localized urinary tract infection (without sepsis) Same as ICD 9

ICD10 documentation specificity needed ICD10 Documentation Needed UTI Identify acuity, site and due to Acuity: [ ] Acute [ ] Chronic [ ] Acute on Chronic Site: [ ] Kidney [ ] Ureter [ ] Bladder [ ] Urethra [ ] Other site __________ [ ] Unable to determine [ ] UTI due to or related to: [ ] Indwelling catheter [ ] Self-catheterization [ ] Neurogenic bladder [ ] Suprapubic catheter

Questions—contact your Clinical Documentation Specialists at your hospital Jewish Hospital---502-587-2833 CDI office Jewish Shelbyville –502-587-2833 Clinical Documentation Specialists Candy Rickard Peggy Barlar Charlotte Hopewell Susan Hinkle Dale Crosby Becki Fudge Sara Goff Manager- Sandy Hodge- Bowman 502-409-2673 Supervisor- Kristen Boles 859-421-1542

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Questions—contact your Clinical Documentation Specialists at your hospital St. Joe Mt. Sterling Clinical Documentation Specialists Lori Barry Manager- Sandy Hodge- Bowman 502-409-2673 Supervisor- Kristen Boles 859-421-1542