Understanding Medicare and Its Different Parts

Medical coders need to follow the coding guidelines and any instructions from third-party payers. This includes understanding Medicare and its different parts.  Providers are usually reimbursed by third-party payers in support of the individuals that the entity insures. The two main types of payers are commercial and government plans.  Commercial insurance plans, such as HMOs, […]

Understanding Gender Dysphoria and Gender Reassignment Procedures

Being stuck in a body that doesn’t seem to fit is not all that unusual these days. Therefore, understanding gender dysphoria and gender reassignment procedures is necessary to correct coding.   What Is Gender Dysphoria Gender Dysphoria (formerly known as gender identity disorder) and transgender are terms used to describe a strong, persistent feeling of discomfort in […]

A Simple Belly Ache or Crohn’s Disease With An Abscess?

Coding for Crohn’s disease with an abscess doesn’t have to be difficult as long as you know the coding guidelines and what to look for in the documentation. Anatomy of the digestive system will also help here.  Question: Patient is a 72-year-old male admitted to the hospital after having complaints of a “belly ache.” Patient has […]

Identify Hypothermia and Correctly Report Diagnoses in ICD-10-CM

Learn how to identify hypothermia and assign the appropriate ICD-10-CM codes here. My Uncle Jim lives in Maine where the winters get exceptionally cold. Last year he needed to save some money, so he turned his heat down to 62 degrees. That decision almost cost him his life. When Uncle Jim’s daughter, my cousin Julie, […]

Pica Eating Disorder and Correct Coding in ICD-10

A person diagnosed with pica has a need to eat such non-food items as dirt or chalk. Learn the definition, etiology, diagnosis, and treatment of pica eating disorder and correct coding in ICD-10. Billing information is also provided.  What is Pica? Most of us are aware of such eating disorders as anorexia and bulimia. One involves […]