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

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Presentation on theme: "Home Town Health – June 2017 Jenan Custer RHIT, CCS, CPC, CDIP AHIMA Approved ICD-10-CM/PCS Trainer Director of Coding Healthcare Coding and Consulting."— Presentation transcript:

1 Home Town Health – June 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 Spotlight
AHIMA Query Tool Kit

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

4 ….When do you report drug remission versus drug history?
Home Town Health - June Question ….When do you report drug remission versus drug history? Source:  ICD-10-CM/PCS Coding Clinic, Second Quarter ICD Page: 27 Effective with discharges: May 17, 2017

5 Home Town Health - June Answer
Validate how the condition is indexed in the classification “How” the provider is documenting is important Z personal history of nicotine dependence, is for HX of tobacco dependence Be cautious of differences in coding rules

6 Home Town Health - June Question
What is the code assignment for place of occurrence for an assisted living facility?

7 Home Town Health - June Answer Code Y92.098
Defining Place of Occurrence: ALF Source: ICD-10-CM/PCS Coding Clinic, Second Quarter ICD Pages: Effective with discharges: May 17, 2017

8 Home Town Health - June Question
What is the appropriate code assignment for Parkinson's dementia with aggressive behavior?

9 Home Town Health - June Answer Code G20 Also code F02.81
ICD-10-CM Alphabetic Index is causing coder confusion - Possible future revisions to ICD-10-CM Source: ICD-10-CM/PCS Coding Clinic, Second Quarter ICD Pages: 7-8 Effective with discharges: May 17, 2017

10 Is the complex closure separately reportable following a mastectomy?
Home Town Health - June Question Is the complex closure separately reportable following a mastectomy?

11 Home Town Health - June Answer
No, it is not separately reportable if part of the inherent procedure Consider Modifier use to explain work involved to the payer Let Edits help guide you! Source: CPT Assistant, April 2017 Page: 9 Category: Frequently Asked Questions

12 Home Town Health - June Notes from AHIMA…. Updates to the AHIMA
2017 Query Tool Kit……

13 Home Town Health - June Learning Outcomes AHA Coding Clinic Spotlight
CPT Assistant Spotlight AHIMA Query Tool Kit

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


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