Morbid Obesity along with joint replacements

Snook@fmchealth.orgSnook@fmchealth.org
edited April 2016 in CDI Talk Archive
Good Friday everyone. I have a question. Of course many hip and knee replacements have obesity. But should morbid obesity be queried for and documented when the BMI is 40 or greater? There is no CC or MCC when it is documented but should we query anyway for this diagnosis? It is so common among this patient population.

Mary L. Snook RN-BC
Clinical Documentation Improvement Specialist
Fairfield Medical Center
740-689-4443 snook@fmchealth.org



Comments

  • laura.bohls@prairielakes.comlaura.bohls@prairielakes.com
    edited April 2016
    Our facility queries for all diagnosis regardless of CC or MCC to show complete and accurate picture of the patients.

    Laura Bohls, RN
    Clinical Documentation Specialist
    605-882-5454


  • katysuegood@gmail.comkatysuegood@gmail.com
    edited April 2016
    Yes, we advocate for querying consistently regardless of DRG impact. Besides, there is the potential to increase your SOI/ROM (depending on other dx) by adding morbid obesity.

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404

  • m.leblancm.leblanc
    edited April 2016


    I totally agree with the comments so far. It is important to capture all CC
    and MCC diagnosis as well as some none CC and MCC diagnosis that meet the
    definition of secondary diagnosis in order to accurately reflect the SOI and
    ROM. We always want to be sure we are reflecting the clinical picture of the
    patient (So many times the documentation is clear to CDI but we need have
    the same picture based off the codes and DRG). It is important to remember
    that many payers and quality reporting agencies can focus on things like
    single CC or MCC capture rates, Symptom DRGs, as well as others.



    Thanks,

    Mark

    MARK LEBLANC, RN, MBA, CCDS

    DIRECTOR CDI SERVICES



    952-353-3505

    m.leblanc@thewilshiregroup.net







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