1. Home Town Health – February 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
Upcoming audio conferences
Hot Topics

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

4. Home Town Health - February
Question:
 …..What is the appropriate code assignment for cellulitis in a patient with type 2 diabetes?

5. Home Town Health - February
Answer:
MD needs to link cellulitis as a diabetic skin complication
Query when needed
Don’t assume a causal relationship when the condition is NEC
Source: ICD-10-CM/PCS Coding Clinic, Fourth Quarter ICD Pages: Effective with discharges: October 1, 2017

6. Home Town Health - February
Question
….. clarify the diabetes subentry
with “skin complication NEC”…

7. Home Town Health - February
Answer
The “with” guideline does not apply to NEC
Source: ICD-10-CM/PCS Coding Clinic, Fourth Quarter ICD Page:101 Effective with discharges: October 1, 2017

8. Home Town Health - February
Trends and Findings……
Can a coder code a Diagnosis based off of medication use?
- Example
Answer
Source: ICD-9-CM Coding Clinic, Third Quarter 2008 Page: 14 to 15 Effective with discharges: September 19, 2008

9. Home Town Health - February
Save the Date
March 27th 2018
HTH/HCCS Quarterly Webinar:
ED Evaluation and Management Coding
11:00 am EST

10. Home Town Health - February
Items of Interest….
Office of Inspector General (OIG)
- Work Plan Monthly Updates click here

11. Home Town Health - February
Items of Interest….
Jan. 1, 2018 CMS Released Fact Sheet
CAH EHR Incentive Program
Access here
CMS Targeted Probe and Educate
New Resources available

12. Home Town Health - February
Items of Interest….
CMS Releases Quarterly NCCI edits v24.1
Effective 4/1/2018
Access Medicare transmittal here

13. Home Town Health - February
Learning Outcomes
AHA Coding Clinic Spotlight
CPT Assistant Updates
Upcoming audio conferences
Hot Topics

14. Home Town Health - February
References
GEMs.html
AHA Coding Clinics
CPT Assistant

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