Home Town Health – June
2017
J ENAN C USTER R H I T , C C S , C P C , C D I P
A H I M A A PPROVED I C D - 1 0 - C M / P C S T RAINER
D IRECTOR OF C ODING
H EALTHCARE C ODING AND C ONSULTING S ERVICES ( H C C S )
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AGENDA
 AHA Coding Clinic Spotlight
 CPT Assistant Spotlight
 AHIMA Query Tool Kit
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HOME TOWN HEALTH - JUNE
AHA Coding Clinic
and
CPT Assistant
Spotlight
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Question
….When do you report drug remission versus drug history?
 Source: ICD-10-CM/PCS Coding Clinic, Second Quarter ICD-10 2017 Page: 27
Effective with discharges: May 17, 2017
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Answer
 Validate how the condition is indexed in the classification
 “How” the provider is documenting is important
 Z87.891 personal history of nicotine dependence, is for HX of
tobacco dependence
 Be cautious of differences in coding rules
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Question
What is the code assignment for place of occurrence for an
assisted living facility?
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Answer
 Code Y92.098
 Defining Place of Occurrence: ALF

Source: ICD-10-CM/PCS Coding Clinic, Second Quarter ICD-10 2017 Pages: 10-11 Effective with
discharges: May 17, 2017
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Question
What is the appropriate code assignment for
Parkinson's dementia with aggressive behavior?
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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-10 2017 Pages: 7-8 Effective with
discharges: May 17, 2017
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HOME TOWN HEALTH - JUNE
Question
Is the complex closure separately reportable following a
mastectomy?
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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
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Notes from AHIMA….
Updates to the AHIMA
2017 Query Tool Kit……
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Learning Outcomes
 AHA Coding Clinic Spotlight
 CPT Assistant Spotlight
 AHIMA Query Tool Kit
© 2015 Healthcare Coding & Consulting Services
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Value
Quality
THANK YOU
FOR YOUR TIME
© 2015 Healthcare Coding & Consulting Services
We welcome all questions!
[email protected]
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