2023 ICD-10-CM PCS Coding Clinic Update: Third Quarter

coding clinic update

Also, be sure to sign up for the ICD10monitor Coding Clinic Overview online webinar in April to gain more information and knowledge regarding important ICD-10-CM/PCS coding guidance. Spring is here, so it’s a time of change, with new and interesting coding guidance for all. The AHA ICD-10-CM/PCS Coding Clinic serves as the regulatory foundation for application of codes to conditions and procedures and identifies the appropriate situation in which to apply or not apply and submit codes for reimbursement purposes. The coding professional is responsible for maintaining their skills and ensuring that compliant coding is practiced in order to ensure the organization’s revenue and data integrity.

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In this case, both acute pancreatitis and alcoholic gastritis would be reported. A possible, probable, suspected, likely, questionable, or still to be ruled out condition can be coded if still documented as such at the time of discharge. Other similar terms used to describe possible conditions could include consistent with, compatible with, indicative of, suggestive of, and comparable with. AHA Central Office | AHA Coding Clinic serves the medical coding community by providing coding advice and guidance. This virtual master class will address quarterly Coding Clinic updates from CY2021, with attention to the changes that affect home health and hospice coding.


The patient is discharged with the diagnosis of COPD with acute exacerbation/acute bronchitis. There is no mention of pneumonia at the time of discharge or in the DS. In this case, the coder would need to query the MD to clarify if the possible diagnosis of pneumonia was ruled out. It may be that there is documentation in the record to elude to this and no query needed but if unclear it should be queried. The diagnosis of pneumonia would not be able to be reported unless the MD was queried and clarification of the diagnosis was given.

This release also reminds us that new Guidelines will go into effect on April 1, 2023, and 42 new diagnoses codes will be added. Note that the Tixagevimab and Cilgavimab monoclonal antibody is also known as Evusheld. This drug is used for treatment of COVID-19, but is not a substitute for a vaccine. None of the new procedures are identified as a diagnosis-related group operating room procedure under the Inpatient Prospective Payment System for hospital inpatient coding. The expert guidance in ICD-10-CM Coding Clinic helps coders, auditors, and insurers select the correct ICD-10 code every time. Incorrect diagnosis code usage can result in insurer requests for paybacks.

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Note that these new codes include very important instructional notes in the Tabular List. Specifically, these codes are not to be used for individuals who are not eligible for the COVID-19 vaccines, as determined by the healthcare provider; this includes patients with medical exemptions. Spring has sprung, and that brings the first American Hospital Association Coding Clinic on ICD-10-CM/PCS issue of 2022. Now that we are receiving biannual coding updates, we begin April this year with some new codes, and some changes that are very important to read and understand.

  • New codes were added related to problems of the physical environment, inadequate housing, personal history of abuse in childhood, and illiteracy.
  • Patient is admitted with pneumonia and during the admission complains of abdominal pain.
  • The coding professional is responsible for maintaining their skills and ensuring that compliant coding is practiced in order to ensure the organization’s revenue and data integrity.
  • An example in the inpatient setting of discharge documentation stating, “Liver mass possibly hepatic cholangiocarcinoma, pending pathology” should be reported with C22.1, Intrahepatic bile duct carcinoma.

The resources offered are a formal cooperative effort with the American Health Information Management Association, the Centers for Disease Control and Prevention National Center for Health Statistics and the Centers for Medicare & Medicaid Services. The use of ICD-10-CM and ICD-10-PCS applies to all “Covered Entities,” that is health plans, health care clearinghouses and health care providers, that transmit electronic health information in connection with the Health Insurance Portability and Accountability Act transaction standards. A state-funded effort to improve EMS services uses a virtual care platform to connect paramedics with emergency care specialists.

American Heart Association

Accuracy and consistency in morbidity coding are important in both clinical research and practice. However,Health Information Managers sometimes face difficulties in assigning morbidity codes. To assist them,the Korean Medical Record Association operates an online coding clinic bulletin board, on which HIMs can post questions and receive answers. Frequency analysis and Fisher’s exact testing were performed to identify differences among the types of questions posted and the characteristics of the HIMs who posted them. Through statistical analysis, it was found that HIMs working at hospitals with fewer than 500 beds and those with more than 10 years of work experience were found to post more questions than other HIMs.

coding advice

AHA Coding Clinics® for ICD Add-onprovides a complete archive of the ICD coding clinics to support you in assigning the most appropriate code to avoid claim denials and assist with various research projects. This add-on functionality gives users the ability to search using keyword, code or even by newsletter quarter and year. With this add-on users now have rights to view all AHA Coding Clinic® newsletters in their entirety.

Coding Clinic for ICD-10-CM and ICD-10-PCS is the quarterly newsletter published by the American Hospital Association’s Central Office on ICD-10-CM and ICD-10-PCS. Join the Omega HealthCare Compliance Team as we review Coding Clinic 3rd and 4th Q2022. We will do a deep dive and highlight several topics by looking at the clinical side of the disease processes and procedures.

New codes described as health-related social needs were added to the T74 code grouping classifying adult and child abuse. These codes identify both confirmed and suspected adult and child financial abuse. They include a seventh character extension clarifying if the encounter was related to an initial, subsequent episode, or addressing a related sequela.

Association for Health Care Resource & Materials Management (AHRMM)

They had a history of lung malignancy that had been removed years ago. During the admission, the patient also complained of headache so a CT of the head was also performed. This showed multiple areas in the brain that were suspicious for metastasis. The patient refused further workup of these sites at this time. At the time of discharge, the physician documented the final diagnoses as pneumonia, history of lung cancer with possible metastasis to the lung and brain. In this case, both the lung metastasis and the brain metastasis would be reported as secondary diagnoses.

The discussion is designed to help facilitate understanding of specific coding clinic topics. The content will provide education that is valuable to coders and auditors in the facility and physician arena. On admission, the patient is thought to have possible pneumonia. The patient is begun on IV antibiotics and responds to treatment.

  • For over 30 years, AHA Coding Clinic provided coding advice in a quarterly publication.
  • Our findings will assist the development of coding procedures, guidelines, education programs, and a more user-friendly database.
  • Spring has sprung, and that brings the first American Hospital Association Coding Clinic on ICD-10-CM/PCS issue of 2022.
  • Weekly medical coding tips and coding education delivered directly to your inbox.

New evidence-based bundle standardizes SICU’s clinical alarm management practices. When clients can depend on quality services delivered the right way, they find success, and that’s how we measure our own. Coding Clinic common email format is , being used 55.3% of the time. The ICD-10-CM Tabular Addenda, codes effective April 1, 2022, can be located here. XW023Y7 – Introduction of other new technology monoclonal antibody into muscle, percutaneous approach, new technology group 7. Noncommercial use of original content on is granted to AHA Institutional Members, their employees and State, Regional and Metro Hospital Associations unless otherwise indicated.

The Official Guidelines for Coding and Reporting are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM and ICD-10-PCS. The instructions and conventions of the classification take precedence over guidelines. Adherence to these guidelines when assigning ICD-10 diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act . The Coding Clinic is to be used as an official resource when the classification and the guidelines do not provide direction. Published since 1984, Coding Clinic brings the latest official coding information to coding professionals, auditors, third-party payers, government agencies, and consultants who are interested in and dedicated to improving the accuracy and uniformity of medical coding.

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See Partial https://traderoom.info/ Freeze for ICD-9-CM and ICD-10 for more information. The theme for the annually observed week reflects the compassion and safe nursing care provided to millions of patients. The American Hospital Association Coding Clinic released their third quarter 2022 publication, but if you are looking for groundbreaking direction or exciting new challenges, you will be disappointed. This release offered no more than six questions related to sequencing, primarily related to the sequencing of cancer and related complications.

Avian influenza, novel influenza, or other identified influenza should not be what is coding clinicd when they are documented as possible/probable or other terms. Only confirmed cases of Avian, novel and other identified influenza should be coded as such. All the terms used above are terms used to describe conditions that the patient may have and that the patient is being treated or monitored for. The rules about coding probable, possible and questionable diagnoses did not change with the implementation of ICD-10-CM. The most used employees email address of Coding Clinic is , being used 55.3% of the time. We are now able to report intraosseous administration of blood products, with the addition of bone marrow to the body systems/region in table 302, Transfusion of the circulatory body system, and 302A3H1, Transfusion of nonautologus whole blood into bone marrow, percutaneous approach.

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About Us AHA Central Office The American Hospital Association’s Central Office serves as the official U.S. ICD-10-CM and ICD-10-PCS are the HIPAA code set standards for hospital reporting of diagnosis and procedures. These coding systems serve an important function for hospital payments, quality reviews, benchmarking measurement and the collection of general medical statistical data. For over 30 years, AHA Coding Clinic provided coding advice in a quarterly publication. Since early 2014, AHA Coding Clinic has solely focused on ICD-10-CM and ICD-10-PCS. AHA Coding Clinic continues to support the field and fill in gaps on the code selection by offering practical examples of frequently asked questions from the AHA Central Office’s clearinghouse service and real-life applications of classification rules and guidelines.

It is a probable condition that is still being documented at discharge. There is also guidance differentiating aftercare Z codes and the seventh character extensions describing a subsequent encounter in injury codes. The Z codes should not be used for aftercare of injuries, the appropriate acute injury code is used with the specification provided by the seventh character extension.


An example was offered as to when such codes should be applied. We would not assign Z60.2, Problems related to living alone, merely due to the fact a patient lives alone. This code would be assigned if the documentation indicated the problems related to living alone, such as inability to perform routine activities of daily living. The ICD-9-CM Coordination and Maintenance Committee implemented a partial freeze of the ICD-9-CM and ICD-10 (ICD-10-CM and ICD-10-PCS) codes prior to the implementation of ICD-10, which would end one year after the implementation of ICD-10. The partial code freeze continued through October 1, 2015, the new planned implementation date. Regular updates to ICD-10 will began on October 1, 2016, one year after the implementation of ICD-10.


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