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, […]

Coding For Multiple E/M Services and an Injection

How strong are you at coding for multiple E/M services? Test your knowledge and see if you can determine the right way to code this scenario. Hint: There are CPT, HCPCS, and ICD-10-CM codes needed.      Question:  A 51-year old female patient is seen for a follow-up visit for her seronegative rheumatoid arthritis that […]

Making Assumptions About Hypertension and Heart Disease in ICD-10-CM

If you understand the FY 2021 ICD-10-CM coding guidelines involving causal relationships and the word “with” in the Alphabetic Index of the ICD-10-CM coding manual, coding for hypertension and heart disease in ICD-10-CM should not be difficult. Question:  Patient has congestive heart failure due to hypertension. Assign the ICD-10-CM code(s). Answer: I11.0, I50.9 Hypertension is another […]

Glasgow Coma Scale Coding in ICD-10-CM: Change For FY 2021

A change took effect related to Glasgow coma scale coding in ICD-10-CM for FY 2021. This post has been updated to reflect the change. What is the Glasgow Coma Scale? The Glasgow Coma Scale (GCS) is a scoring system used by medical practitioners to describe the level of consciousness in a person following a traumatic […]

Taking the Pain Out of Gunshot Wounds in ICD-10

Coding for gunshot wounds in ICD-10 begins with knowing that a gunshot wound is more than an “open wound.” What is a Gunshot Wound? Basically, a gunshot wound is physical trauma caused by a firearm. The National Institutes of Health (NIH) defines a firearm-related injury as “a gunshot wound or penetrating injury from a weapon […]