Coders are often stumped on whether a historical medical condition is still present vs. totally cured. Whether a current ICD-10-CM code is assigned vs. a historical code affects reimbursement as well as patient liability, so coders strive to get it right.
This Q&A session gives insights on considerations for assigning codes for historical conditions. It also provides tips on problem solving through these coding dilemmas as well as providing guidance on when to query.
The attendee will be able to:
1. Establish an internal coding decision process
2. Apply coding guidelines for:
a. Z-codes Personal History of
b. Chronic conditions
c. Long-term treatment
d. Positive test results
e. Observation vs. History of vs. Screening vs. Follow up vs. Surveillance
f. Screening vs. Diagnostic colonoscopies
g. Genetic mutations
h. Kidney transplant status and End Stage Renal Disease (ESRD)
3. Determine when to query
Audience: Coders, Coding Managers, Billing professionals, Clinical Documentation Specialists, Providers and Clinicians involved in the revenue cycle