Thank you Claire! You clearly explain it better than my instructor.. 😂 i like that you keep your videos short,simple and easy to understand and with good examples/scenarios. I appreciate your work! keep it up!
At minute 2.17 you note to code any other dx and cardiomegaly is one of the dx. I see this often. Does cardiomegaly code to heart disease? The auto coding puts that as heart disease even if heart disease is not specifically mentioned. Thank you
If the patient has cardiomegaly and also has hypertension, there is a presumed causal relationship, and the cardiomegaly is coded as hypertensive heart disease. If the provider has documented a different cause of the cardiomegaly, the presumed causal relationship is broken, and the conditions are coded separately.
Yes, you would. CHF is a chronic condition without a cure that will always impact patient care/medical decision making. If there is documentation in the medical record to indicate that the patient has CHF, it should be coded, even if it is only listed in the history section as long as there is no contradictory information.
As a standalone statement, "CHF with cardiomyopathy" is somewhat vague as to whether it is meant to convey a cause and effect relationship. Certainly not as definite as "CHF due to cardiomyopathy." I would use context within the documentation to interpret that statement, and if there is uncertainty, query the provider for clarification.
Hi, Claire Can we do code or we canot code any condition for example like CHF exacerbations only saying procedure note in diagnostic list not any other physician assessment and plan or we can raise query
If you are talking about the problem list, I would use caution when coding from that because it is often copy pasted from previous encounters. Be sure that the diagnosis is supported elsewhere in the record and query if needed.
Becoming a big fan of yours, Claire. 😊🙂
Thank you so much!
Thank you Claire! You clearly explain it better than my instructor.. 😂 i like that you keep your videos short,simple and easy to understand and with good examples/scenarios. I appreciate your work! keep it up!
Thank you so much, I really appreciate you saying that! 😊
Another great video. Thanks.
Thank you 😊 I really appreciate that!
At minute 2.17 you note to code any other dx and cardiomegaly is one of the dx. I see this often. Does cardiomegaly code to heart disease? The auto coding puts that as heart disease even if heart disease is not specifically mentioned. Thank you
If the patient has cardiomegaly and also has hypertension, there is a presumed causal relationship, and the cardiomegaly is coded as hypertensive heart disease. If the provider has documented a different cause of the cardiomegaly, the presumed causal relationship is broken, and the conditions are coded separately.
What if it’s a history of CHF? But patient has HTN? Di I still code both? Thank you!!
Yes, you would. CHF is a chronic condition without a cure that will always impact patient care/medical decision making. If there is documentation in the medical record to indicate that the patient has CHF, it should be coded, even if it is only listed in the history section as long as there is no contradictory information.
Can you please review MI’s that occur within 28 days of the initial MI?
Sure, I can add that to my list of topics!
Due to ischemic cardiomyopathy. Is that the same as with and considered not with htn? Chf with cardiomyopathy let’s say?
As a standalone statement, "CHF with cardiomyopathy" is somewhat vague as to whether it is meant to convey a cause and effect relationship. Certainly not as definite as "CHF due to cardiomyopathy." I would use context within the documentation to interpret that statement, and if there is uncertainty, query the provider for clarification.
Thank you so much for both! Very helpful and informative! I love listening to your videos!
You're welcome! It makes me happy to hear that! 😊
Hi, Claire
Can we do code or we canot code any condition for example like CHF exacerbations only saying procedure note in diagnostic list not any other physician assessment and plan or we can raise query
If you are talking about the problem list, I would use caution when coding from that because it is often copy pasted from previous encounters. Be sure that the diagnosis is supported elsewhere in the record and query if needed.
Thank you 😊
You're welcome!
Can you make a video about STEMI vs NONSTEMI, please. thank you
Yes! I am actually working on one for this topic right now! Hopefully, it will be ready sometime in the next couple of weeks.
Can you do one on chronic pain
Sure! I will add it to my list of topics to work on. Thanks!