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Welcome to CodeWrite, AHIMA's monthly e-newsletter created exclusively for coding professionals.
American Recovery and Reinvestment Act: Timelines to Know
On February 17 President Barack Obama signed the American Recovery and Reinvestment Act (ARRA), one of the single largest health information technology laws in recent history. A total of $19.2 billion dollars will be dedicated to the implementation and support of health information technology over the next three-five years. This article will outline some of the important implementation dates for the healthcare industry. Read more.
Pressure Ulcer Stages
A pressure ulcer is an area of skin that breaks down when an individual stays in one position for too long. This condition is most common in individuals who are in a wheelchair or bedridden. The ulcer occurs due to the constant pressure against the skin that reduces the blood supply to that area and the affected tissue dies.
In ICD-9-CM, pressure ulcers are classified according to site and stage. The most common sites of pressure ulcers are areas with bony prominences, such as the elbow (707.01), upper back (707.02), lower back (707.03), hip (707.04), buttock (707.05), ankle (707.06), and heel (707.07). The stages of pressure ulcers are as follows:
When coding pressure ulcers, both the site (707.00-707.09) and the stage (707.20-707.25) must be coded, with the site sequenced first.
Melanie Endicott (email@example.com), MBA/HCM, RHIA, CCS, CCS-P, is a practice resources specialist at AHIMA.
Neoplasm Review Crossword Puzzle
Click here to access the crossword puzzle and answer key.
Check your knowledge. Compare ICD-9-CM codes to ICD-10-PCS codes.
What is the correct procedure code for Kyphosis and Lordosis?
Coding Challenges for Discussion
Skin Ulcer Coding
Question: A physician documents “pre-ulcerative” skin lesion of the heel. The lesion is debrided. How is this diagnosis coded?
Question: What is the correct diagnosis code for decubitus ulcer of the coccyx? Should it be 707.03, Decubitus ulcer of the lower back, or 707.09, Decubitus ulcer, other site?
Question: A patient is admitted to the hospital with a stage II pressure ulcer of the heel. During the hospitalization, the pressure ulcer worsens and becomes a stage III. Based on the Official Coding Guidelines, we would be assigning the code for the highest stage for that site. What would be the correct POA indicator assignment for the stage III code?
Question: The physician debrided a coccyx wound with sharp excision down to the fascia and bone. How should the debridement down to the bone be coded?
CodeWrite Continuing Education Quiz
To purchase this month’s CodeWrite quiz, log in to myAHIMA and select “CE Quizzes” followed by “Purchase Quizzes.” Choose CodeWrite Community News, November 2009 from the list of available items. Once you have completed your purchase you will be directed to the quiz page.
If you need more information about taking quizzes, please visit our quiz page.
AHIMA General Information
Facilitation of accurate and consistent coding practice is a key element in carrying out this mission, so as an association we provide educational resources and representation in key national groups to support this goal. To ensure that its members meet professional standards of excellence, AHIMA issues professional credentials in health information management, including both entry-level and specialist certification related to coding. Active, associate, and student memberships are available. You can earn credentials through a combination of education, experience, and acceptable performance on national certification exams. Current AHIMA credentials include:
Registered Health Information Administrator (RHIA)
Coding roundtable participation is not restricted to membership in AHIMA. The Internet-based Communities of Practice, containing a wealth of coding information and resources, is one of many membership benefits. For more information on AHIMA membership, visit www.ahima.org or call (312) 233-1100.
Participation in the coding community and the coding roundtables ensures an integrated network of coding professionals working together to raise the standard of excellence in the coding profession. By joining together, coding roundtables can solve common problems and provide input to groups and agencies that make a difference in our workplace and the industry we serve.
AHIMA respects its members' and nonmembers' Internet privacy and right to choose which communications they want to receive. You are currently subscribed to ahima_list5_codewrite as %%EMAILAddr_%%. If you prefer not to receive AHIMA CodeWrite click unsubscribe and you will be removed.
Copyright © 2009 by the American Health Information Management Association. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, photocopying, recording, or otherwise, without the prior written permission of the publisher.
Calendar of Events
November 10—Physician Practice E/M Guidelines audio seminar
November 12—ICD-10 Implementation for Hospitals virtual meeting
November 16-18—AHIMA Academy for ICD-10
November 19—Coding Clinic Update audio seminar
December 3—2010 Procedure and Service Code Updates audio seminar
December 8—2010 Procedure and Service Code Updates audio seminar
December 10—CY10 CMS OPPS Update audio seminar
December 15—Advanced Coding Scenarios: An Expert Review audio seminar
December 17—ICD-10 Implementation for Hospitals virtual meeting
For more information and full agendas visit www.ahima.org/meetings/.
Convention & Exhibit Dates and Locations
October 1–6, 2011
Navigate the Transition to ICD-10
Use AHIMA’s ICD-10 Web pages as a resource to help guide you through the transition to ICD-10-CM and ICD-10-PCS.
Connect and Network with Your Peers
AHIMA offers many opportunities for you to network with others online, ask questions and learn from your peers, and hear about the latest news from AHIMA.
Communities of Practice
The Communities of Practice is a benefit of AHIMA membership. If you are already a member, go to http://cop.ahima.org. Your user name is your AHIMA member ID including the initial zero(s). For information on becoming a member, click here.
Become a Fan of AHIMA
Check out AHIMA’s Official Facebook page. There is also an AHIMA Careers page dedicated to students and recent graduates pursuing a career in the health information field. Become a fan of one (or both) of these pages and join in the discussions.
Follow AHIMA Resources on Twitter
Become a follower of the AHIMA Resources Twitter page