FW: I-10 and contrast specificity?
Is this what you are referring to?
Sharon Salinas, CCS
Health Information Management
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
FAX: 213-202-6490
ssalinas@barlow2000.org
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, November 20, 2013 11:53 AM
To: Salinas, Sharon
Subject: RE: [cdi_talk] I-10 and contrast specificity?
We were told the contrast material will always be listed on our MARS (EPIC), and the coders will be given a reference chart to determine whether the media is high or low osmolality. Our contact in Radiology stated that they almost always use low, and asked if we could code by exception i.e. assume low osmolar unless someone says differently?
Our ICD-10 Education Coordinator stated, “We can create a facility-specific coding policy if you can assure us that radiologists always use low osmolar for IV contrast and will document high osmolar when used; however, the ideal solution is to have the contrast agent & it’s osmolality on every report."
So to answer your question, I haven't seen any official guidance regarding defaulting to 'low', but it sounds like a possible (but not ideal) solution.
Thanks,
Donna Fisher, CCS, CCDS
CDI Coordinator
UFHealth Shands Hospital
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, November 20, 2013 1:29 PM
Subject: [cdi_talk] I-10 and contrast specificity?
Hi all,
For those of you working on I-10 documentation issues, how are you handling the contrast specificity for cath procedures (for example)? Our coding manager has said that she saw that we should default to ‘Low’ if it is unspecified but I haven’t been able to locate this information.
Anyone familiar with this?
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
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: ssalinas@barlow2000.org If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12538092.1a48df689a710d0d4e067dc4c85563ef@hcprotalk.com
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
Sharon Salinas, CCS
Health Information Management
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
FAX: 213-202-6490
ssalinas@barlow2000.org
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, November 20, 2013 11:53 AM
To: Salinas, Sharon
Subject: RE: [cdi_talk] I-10 and contrast specificity?
We were told the contrast material will always be listed on our MARS (EPIC), and the coders will be given a reference chart to determine whether the media is high or low osmolality. Our contact in Radiology stated that they almost always use low, and asked if we could code by exception i.e. assume low osmolar unless someone says differently?
Our ICD-10 Education Coordinator stated, “We can create a facility-specific coding policy if you can assure us that radiologists always use low osmolar for IV contrast and will document high osmolar when used; however, the ideal solution is to have the contrast agent & it’s osmolality on every report."
So to answer your question, I haven't seen any official guidance regarding defaulting to 'low', but it sounds like a possible (but not ideal) solution.
Thanks,
Donna Fisher, CCS, CCDS
CDI Coordinator
UFHealth Shands Hospital
-----Original Message-----
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, November 20, 2013 1:29 PM
Subject: [cdi_talk] I-10 and contrast specificity?
Hi all,
For those of you working on I-10 documentation issues, how are you handling the contrast specificity for cath procedures (for example)? Our coding manager has said that she saw that we should default to ‘Low’ if it is unspecified but I haven’t been able to locate this information.
Anyone familiar with this?
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
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: fishdl@shands.ufl.edu If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-10613338.454106085fe4f76f2d4a071b0a8b9ff6@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: ssalinas@barlow2000.org If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12538092.1a48df689a710d0d4e067dc4c85563ef@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923