Home Health & Hospice

Home Health & Hospice Articles by Topic: ICD-10

Avoid the ache of lost case-mix points when coding septic arthritis

  • Homecare Direction, Issue 10, October 4, 2018

    Confirm the bug responsible for a patient’s septic arthritis infection and the specific...

What should I do if I take on a patient with a diagnosis that fits within one of the six clinical groups under PDGM?

  • Homecare Q&A, Issue 14, September 21, 2018

    The 2019 proposed PPS rule references this concern in several areas.

FY2019 coding guidelines: Changes align with recent Coding Clinic guidance

  • Homecare Direction, Issue 9, September 1, 2018

    Starting Oct. 1, coding guidelines will no longer allow for a connection to be assumed between...

Increase coding specificity to protect payment, ensure valid episodes under PDGM

  • Homecare Direction, Issue 9, September 1, 2018

    Analyze your agency’s most commonly used primary diagnosis codes as a first step toward...

Remember to assign 'Y' codes to justify care, protect reimbursement

  • Homecare Direction, Issue 8, August 1, 2018

    Use Y84.2 (Radiological procedure and radiotherapy as the cause of abnormal reaction of the...

How would you code a hematoma in the following situation?

  • Homecare Q&A, Issue 11, July 15, 2018

    Your agency should call the physician and see if this has now elevated to an open wound.  

How do you code a wound in a specific situation involving venous insufficiency?

  • Homecare Q&A, Issue 11, July 15, 2018

    In the specific scenario you describe, it would continue to be coded as a trauma wound that is...

Final list of 2019 ICD-10-CM codes includes 38 changes not in proposed list

  • Homecare Direction, Issue 7, June 29, 2018

    A total of 473 code changes will take effect on Oct. 1, including 279 new codes, 143 revised codes...

How to code conditions resolved by surgery: No one-size-fits-all solution

  • Homecare Direction, Issue 6, June 4, 2018

    Look to see whether the condition for which a patient had surgery is still being treated as a clue...

Surgical wound infection codes set to expand dramatically in FY2019

  • Homecare Direction, Issue 5, May 2, 2018

    Home health coders could have 435 ICD-10-CM code changes to deal with starting Oct. 1, with 247 new...

Coding corner: Data reflects coding trends that could spell trouble down the road

  • Homecare Direction, Issue 4, April 12, 2018

    If you’re frequently assigning I11.0 (Hypertensive heart disease with heart failure) in...

Would you use an aftercare code for debridement of a pressure ulcer or just the pressure ulcer code?

  • Homecare Q&A, Issue 7, April 3, 2018

    Debriding a pressure ulcer does not change the nature of the wound or make it a surgical wound.

How do I code a post-operative hematoma following a left hip joint replacement?

  • Homecare Q&A, Issue 7, April 3, 2018

    Code this as a complication of the joint replacement surgery with M96.840 (Postprocedural hematoma...

Coding corner: Correctly code congenital conditions, avoid coding errors

  • Homecare Direction, Issue 3, March 29, 2018

    It’s not necessary to assign additional codes for symptoms or manifestations that are part of...

How do I sequence this code if it is a sequela of a TBI?

  • Homecare Q&A, Issue 6, March 17, 2018

    Code the TBI first, with S06.9x0S (Unspecified intracranial injury without loss of consciousness...

Coding corner: Let the 7th character speak for injuries, avoid lost reimbursement

  • Homecare Direction, Issue 2, February 23, 2018

    Code the patient’s injury — such as a frac-ture, a laceration or a burn — and...

Would it be correct to assign G91.9 (Hydrocephalus, unspecified) for a patient who's receiving home health services related to a diagnosis of congenital hydrocephalus?

  • Homecare Q&A, Issue 4, February 19, 2018

    It would be incorrect to assign G91.9 (Hydrocephalus, unspecified) for a patient who’s...

I have a coding question on a patient with a little right toe that's become necrotic....

  • Homecare Q&A, Issue 3, February 2, 2018

    You cannot code I96 (gangrene, not elsewhere classified) with a code from the I73.- category...

Coding corner: Use caution when following 'in' convention or risk coding errors, lost reimbursement

  • Homecare Direction, Issue 1, January 26, 2018

    Ensure that medical record documenta-tion clearly documents a cancer patient’s anemia as...

What are the 2018 ICD-10 changes?

  • Homecare Q&A, Issue 2, January 17, 2018

    There are approximately 363 new codes, 142 deletions, and more than 250 code revisions in the 2018...

Implement a back-up plan for coders' time off or prepare for cash flow losses

  • Homecare E-News, Issue 3, January 15, 2018

    Not having a back-up coder on staff or an on-call contract with an outsourcing company to fill in...

Does code Z51.5 (encounter for palliative care) have to be the second diagnosis on a hospice patient?s NOE, or can it be coded further down? (This is for when there is MD supporting documentation for this code.) Thank you for your help and time.

  • Homecare Q&A, Issue 1, January 3, 2018

    Thank you for your question and com-mitment to quality and compliance. Z51.5 does not have to be...

Coding Corner: Relieve the pressure of coding surgically treated pressure ulcers

  • Homecare Direction, Issue 12, December 29, 2017

    Continue to code a pressure ulcer treated with a skin graft as a pressure ulcer that’s...

Coding corner: Commonly used codes will raise red flags in new proposed payment system

  • Homecare Direction, Issue 11, November 2, 2017

    If you’re commonly assigning codes N39.0 (urinary tract infection, site not specified...

Coding corner: Avoid chest pain when new heart attack codes take effect

  • Homecare Direction, Issue 10, October 27, 2017

    Ensure that you make the switch from I21.3 (Myocardial infarction (acute) NOS) to I21.9 (Acute...

Coding corner: FY 2018 coding guide-lines: "In" will be equivalent to "with" starting October 1

  • Homecare Direction, Issue 9, September 18, 2017

    Conditions linked in the Alphabetic Index by the word “in” should be considered...

Coding corner: It takes two (codes) to get arterial ulcers right

  • Homecare Direction, Issue 8, August 21, 2017

    Coding an arterial ulcer requires a minimum of two codes: one for the specific condition that...

Prepare for dozens of new and deleted codes not previewed in the proposed set

  • Homecare Direction, Issue 7, July 17, 2017

    Starting October 1, 2017, you’ll be able to capture the severity of non-pressure chronic...

In Focus: CMS expands list of manifestation codes under ICD-10 effective October 2016

  • Homecare E-News, Issue 32, August 22, 2016

    This week, the Centers for Medicare & Medicaid Services (CMS) issues Transmittal 3591. It...

Inside story | Coding diabetes and related conditions

  • Homecare E-News, Issue 26, July 11, 2016

     The American Hospital Association (AHA) Coding Clinic has clarified the proper way to code...

Weekly Roundup

  • Homecare E-News, Issue 25, June 27, 2016

    In this week's roundup: CMS revises ICD-10 codes. CMS officially finalized the first major...

Inside story | Proper coding for depression

  • Homecare E-News, Issue 13, March 28, 2016

    ICD-10-CM classifies depression under Disorder, depressive, major (MDD), but more information is...

How would we code a trip and fall over a cat in ICD-10?

  • Homecare Q&A, Issue 20, October 16, 2015

    How would we code a trip and fall over a cat in ICD-10?  

The Weekly Roundup

  • Homecare E-News, Issue 39, October 5, 2015

    This past Thursday (October 1, 2015), began the live implementation of ICD-10 across the...

How will OASIS-C1/ICD-10 differ from the data set iteration currently in use?

  • Homecare Q&A, Issue 0, June 9, 2015

     To accommodate the extended effectiveness of ICD-9 after the Protecting Access to Medicare...

Will home health remain exempt from overtime compensation in most circumstances like it has for 40 years?

  • Homecare Insider, Issue 1, January 5, 2015

    Will home health remain exempt from overtime compensation in most circumstances like it has for 40...