Archive for May, 2010

May 26, 2010

New Codes Are Officially Out

The 2011 code changes are officially here!

The CDC and NCHS released all of the changes … additions, subtractions, definitions and wording adjustments … earlier today. After a link problem (you couldn’t get to the changes! you can now access changes.

The link incorrectly states that Errata has been posted, but it’s the Addenda for 2011.

Take a peek, and come back here for analysis …

Scroll down to the bottom for the addenda.

May 19, 2010

Coding and OASIS puzzle quiz!

Sometimes we need to think through some of the tasks we do over and over … what do they mean? This OASIS and coding quiz gives you a chance to think and solve a puzzle!

HHCoding2010puzzle

May 9, 2010

M1308 Exercises

Is M1308 (Current Number of Unhealed (non-epithelizalized) Pressure Ulcers at Each Stage) still a question you need to think your way throught?

Do this exercise to get some extra practice for this new OASIS item.

m1308exams

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May 6, 2010

A look at gait

Abnormality of gait is one of the most talked about, most misused, and abused code. In this post, I want to look at different types of gait, and which can be used with 781.2. This will show the importance of reading notes in the your manual to understand where to go to find your code.

First, let’s look at types of gait:

  • Ataxic: Unsteady or uncoordinated walk;
  • Paralytic: Loss of motor ability while walking;
  • Spastic: Legs held together and moving in a stiff manner;
  • Staggering: Swaying and loss, then recovery, of balance.

If you look in your code book, you see that 781.2 excludes ataxia …. (look up the codes listed to see where you should go for that!) and difficulty walking. Go elsewhere, if that’s what your patient has.

Always remember to look at your category for more instructions … Category 781 EXCLUDES disorders specifically related to: back, hearing, joint, limb, neck, vision, and pain in the limb. If these are the root of the problem, go to the codes indicated to find the correct code; do NOT use 781.2

Start with the exclusions, and you’ll be a better coder.