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2020 JustCoding Pocket Guide

Product Code: CDIPG20CV

Quick Overview

2020 JustCoding Pocket Guide provides essential information for the coder to excel in any setting.
ISBN 978-1-68308-974-2
Pages 412 + 4 Tabs
Publication Date Feb 21, 2020

Price: $165.00

2020 JustCoding Pocket Guide

2020 JustCoding Pocket Guide

The essential resource for coding professionals

Brought to you by the JustCoding team, this powerful CDI resource provides the key information you need to accurately and efficiently code claims. Understand ICD-10 and E/M coding requirements for both inpatient and outpatient settings. Walk through diagnostic criteria, official coding guidelines and documentation requirements so that you can accurately validate and code your most common diagnoses.

2020 JustCoding Pocket Guide breaks down complex coding topics into easy-to-understand concepts so that coding professionals can accurately and efficiently do their job.

Table of Contents

Introduction................................................................. 1

Official Coding Guidance............................................. 3

Selection of the Principal Diagnosis............................. 13

Reporting Additional Diagnoses................................... 20

Present on Admission Reporting Guidelines.................... 23

Diagnostic Coding & Reporting Guidelines for Outpatient Services          29

Selection of the First-Listed Diagnosis.......................... 30

Code Assignment for Special Patient Populations: Pregnancy, Childbirth, and the Puerperium        34

Code Assignment for Special Patient Populations:

Conditions Originating in the Perinatal Period................. 40

Code Assignment for Special Patient Populations: Congenital Malformations, Deformations, and

Chromosomal Abnormalities....................................... 43

Evaluation and Management Services.......................... 44

Proposed Changes to E/M Reporting for CY 2021

and Beyond........................................................... 54

Compliant Query Practice.......................................... 55

Why Do We Query?................................................. 58

The Role of Clinical Indicators in Queries...................... 59

Three Types of Query Formats.................................... 60

Compliant Verbal Queries.......................................... 62

Use of Query Templates............................................. 62

Maintaining Compliant Practice................................... 63

The Process of Clinical Validation................................. 63

Key References-Arranged by Diagnosis Code               67

Clostridium Difficile Colitis (A04.7-)............................. 67

Sepsis (A41.-)........................................................ 69

HIV Disease (B20)................................................... 79

Neoplasms (C00-D49).............................................. 84

Anemia (D60-D64).................................................. 94

Pancytopenia (D61.81-).......................................... 101

Coagulation Disorders (D65-D69).............................. 104

Neutropenia (D70.-).............................................. 108

Diabetes Mellitus (E08.-, E09.-, E10.-, E11.-, E13.-)..... 112

Malnutrition (E40-E46)........................................... 119

Morbid Obesity (E66.01, E66.2)................................ 127

Cystic Fibrosis (E84.-)............................................ 131

Acid-Base Disorders (E87.-)..................................... 134

Electrolyte Disorders (E87.-)..................................... 138

Delirium (F05, R41.0)............................................. 147

Alcohol and Drugs (F10-F19)................................... 150

Nicotine Dependence (F17.2-).................................. 156

Major Depressive Disorder (F32-F33)......................... 157

Intellectual Disabilities (F70-F79)............................... 162

Transient Ischemic Attack (G45.9)............................. 166

Cerebral Palsy (G80.-)........................................... 169

Encephalopathy (G93.40)........................................ 172

Cerebral Edema (G93.6)/Brain Compression (G93.5)..... 179

Hypertensive Crisis (I16.-)................................... 183

Myocardial Ischemia (I21-I23).............................. 187

Pulmonary Hypertension (I27)............................. 196

Cardiac Arrest (I46.-).......................................... 200

Atrial Fibrillation (I48.-)........................................ 203

Heart Failure (I50.-)............................................ 207

Cerebrovascular Accident (I61.-, I62.-, and I63.-)..... 215

Pneumonia (J12-J18)....................................... 219

Asthma (J45.-).................................................. 227

Bronchitis/COPD (J20.-, J44.-)............................ 231

E-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)/Vaping-Associated Pulmonary Injury (VAPI)

(J68.-, J69.-, J80.-, J81.-, J84.-)......................... 235

Acute Respiratory Distress Syndrome (J80)........... 241

Pneumothorax (J93.-)......................................... 245

Post-Procedural Respiratory Failure (J95.82-)........ 249

Respiratory Failure (J96.-)................................... 251

Intestinal Obstruction (Ileus) (K56.-)..................... 260

Acute Liver (Hepatic) Failure (K72.-)..................... 263

Pancreatitis (K85.-)............................................ 268

Gastrointestinal Bleed (K92.-, R19.5).................... 273

Chronic Skin Ulcers (L97.-, L89.-)......................... 277

Rhabdomyolysis (M62.82, T79.6XX-)................... 285

Pathological Fractures (M80.-, M84.-)................... 288

Acute Kidney Injury (AKI)/Acute Renal Failure

(ARF) (N17.-)....................................................... 291

Acute Tubular Necrosis (ATN) (N17.0)......................... 297

Chronic Kidney Disease (CKD) (N18.-)........................ 301

Coma (R40.2-)/Persistent Vegetative State (R40.3)........ 306

Shock (R57.-)....................................................... 311

Systemic Inflammatory Response Syndrome

(SIRS) (R65.1-)..................................................... 315

Fractures (S00-S99).............................................. 318

Organ Injuries (S36.-, S37.-).................................... 324

Burns and Corrosions (T20-T32)............................... 327

Poisonings/Adverse Reactions/Toxic Effects/

Underdosing (T36-T65)........................................... 331

Resistance to Antimicrobial Drugs (Z16.3-).................. 334

Body Mass Index (BMI) (Z68.-)................................. 337

Comorbidity List....................................................... 339

FY 2020 CMS HCCs.............................................. 339

Comorbid Conditions Offering Impact......................... 343

MS-DRG Table.......................................................... 353

Alphabetic List of Conditions

Acid-Base Disorders (E87.-)..................................... 134

Acute Kidney Injury (AKI)/Acute Renal Failure

(ARF) (N17.-)....................................................... 291

Acute Liver (Hepatic) Failure (K72.-)........................... 263

Acute Respiratory Distress Syndrome (J80)................. 241

Acute Tubular Necrosis (ATN) (N17.0)......................... 297

Alcohol and Drugs (F10-F19)................................... 150

Anemia (D60-D64).................................................. 94

Asthma (J45.-)..................................................... 227

Atrial Fibrillation (I48.-)........................................... 203

Body Mass Index (BMI) (Z68.-)................................. 337

Bronchitis/COPD (J20.-, J44.-)................................ 231

Burns and Corrosions (T20-T32)............................... 327

Cardiac Arrest (I46.-)............................................. 200

Cerebral Edema (G93.6)/Brain Compression (G93.5)..... 179

Cerebral Palsy (G80.-)........................................... 169

Cerebrovascular Accident (I61.-, I62.-, and I63.-)......... 215

Chronic Kidney Disease (CKD) (N18.-)........................ 301

Chronic Skin Ulcers (L97.-, L89.-)............................. 277

Clostridium Difficile Colitis (A04.7-)............................. 67

Coagulation Disorders (D65-D69).............................. 104

Coma (R40.2-)/Persistent Vegetative State (R40.3)........ 306

Cystic Fibrosis (E84.-)............................................ 131

Delirium (F05, R41.0)............................................. 147

Diabetes Mellitus (E08.-, E09.-, E10.-, E11.-, E13.-)..... 112

E-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)/Vaping-Associated Pulmonary Injury (VAPI) (J68.-, J69.-, J80.-, J81.-, J84.-)...................................... 235

Electrolyte Disorders (E87.-)..................................... 138

Encephalopathy (G93.40)........................................ 172

Fractures (S00-S99).............................................. 318

Gastrointestinal Bleed (K92.-, R19.5).......................... 273

Heart Failure (I50.-)............................................... 207

HIV Disease (B20)................................................... 79

Hypertensive Crisis (I16.-)....................................... 183

Intellectual Disabilities (F70-F79)............................... 162

Intestinal Obstruction (Ileus) (K56.-)........................... 260

Major Depressive Disorder (F32-F33)......................... 157

Malnutrition (E40-E46)........................................... 119

Morbid Obesity (E66.01, E66.2)................................ 127

Myocardial Ischemia (I21-I23).................................. 187

Neoplasms (C00-D49).............................................. 84

Neutropenia (D70.-).............................................. 108

Nicotine Dependence (F17.2-).................................. 156

Organ Injuries (S36.-, S37.-).................................... 324

Pancreatitis (K85.-)............................................... 268

Pancytopenia (D61.81-).......................................... 101

Pathological Fractures (M80.-, M84.-)....................... 288

Pneumonia (J12-J18)............................................ 219                                                

Pneumothorax (J93.-)............................................ 245

Poisonings/Adverse Reactions/Toxic Effects/Underdosing

(T36-T65)............................................................ 331

Post-Procedural Respiratory Failure (J95.82-).............. 249

Pulmonary Hypertension (I27).................................. 196

Resistance to Antimicrobial Drugs (Z16.3-).................. 334

Respiratory Failure (J96.-)...................................... 251

Rhabdomyolysis (M62.82, T79.6XX-).......................... 285

Sepsis (A41.-)........................................................ 69

Shock (R57.-).................................................... 311

Systemic Inflammatory Response Syndrome (SIRS)

(R65.1-)............................................................ 315

Transient Ischemic Attack (G45.9)............................. 166

 

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