HIM1125_Module03.ClintegrityEncoderAndCodingClinic_07.23.23

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Revised 01/31/22 Module 03 Assignment - Clintegrity Encoder and Coding Clinic Overview: Before attempting the Clintegrity Encoder and Coding Clinic Worksheet , you will need to access the Clintegrity Encoder and know how to take a screenshot. Within the assignment instructions there is information on how to take a screenshot. In Coding Foundations, you learned how to access and use the Clintegrity Encoder; however, the password may have changed, so your instructor will provide you with the current username and password. The Clintegrity Encoder is accessed through a website link and not through the VLab like the 3M Encoder. Access the Clintegrity Encoder using the link below: http://quantim.ahima.org:8080/topaz/main.do Then log into the encoder using the User ID and Password provided by your instructor. Often this is provided via the Course Announcement or a Course Message. Once you have accessed the Clintegrity Encoder and are prepared to do a screenshot, go to Part 1 of this worksheet and follow the directions for the three screenshots needed. The last step h will take you to the Coding Clinic so you can complete Part 2 by taking the 3 screenshots. Part 1 - Use Clintegrity Encoder Instructions : Use the Clintegrity Encoder and do the following: 1. On the Clintegrity Encoder home page that comes up with access to the encoder: a . Choose the “Coding” and open a new page. b. Take a screenshot and paste it in the space below this sentence. Page 1 of 6

Revised 01/31/22 2. In the Clintegrity Encoder, from the screen in the prior question, do the following: a. Click “Compliance” and then “References” . b. Take a screenshot and paste it in the space below this sentence. Page 2 of 6

Revised 01/31/22 3. In the Clintegrity Encoder, from the screen in the prior question, do the following: a. Locate in the reference box the letter “D” for the ICD 10 Coding Clinic . Then choose “View All Issues”. b. Take a screenshot and paste it in the space below “c”. c. Now you are ready to proceed to doing Part 2 of the worksheet. Part 2 - Use Coding Clinic in Clintegrity Encoder Instructions : Use Coding Clinic in Clintegrity Encoder and do the following: 5. In Coding Clinic, open the list for 4 th Quarter of 2019 . a. In the “Articles” column, click the link for “Multiple Drug Ingestion” and read the information provided for coding that diagnosis. Copy and paste or Screenshot it in the box provided below. b. In your Code Book’s Tabular List, look-up the code(s) from the information above and, in the box provided below: 1) List the Code Book page number of where you found the code(s). 2) Type-in any instructional notes for the code(s). If there are no instructional notes, type-in “N/A.” Page 3 of 6

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Revised 01/31/22 Copy and Paste or Screenshot the Coding Information from the Article in this box. - AHA Coding Clinic  for ICD-10-CM and ICD-10 PCS, 4Q 2019, Volume 6, Number 4, Page 17 - Multiple Drug Ingestion - A new subcategory (T50.91-) has been created for poisoning by, adverse effect of, and underdosing of multiple unspecified drugs, medicaments and biological substances. The change resulted in 18 new codes, including the seventh character extensions to better identify and track these episodes of care. Individuals may ingest multiple drugs, by accident or intentionally as a suicidal attempt. In many cases, the only information available within the medical record on the initial encounter is that more than one drug was ingested. There are also cases where the identity of one or more of the ingested agents is not identified. Post the Page Number and any Instructional Notes you found in the Code Book in this box - CM Page 1502. Code also specific drugs medicaments and biological substances 6. In Coding Clinic, open the list for 3 rd Quarter of 2019 . a. In the “Articles” column, click the link for “Acute on Chronic Blood Loss Anemia” and read the information provided for coding that diagnosis. Copy and paste it in the box provided below. b. In your Code Book’s Tabular List, look-up the code(s) from the information above and, in the box provided below: 1) List the Code Book page number of where you found the code(s). 2) Type-in any instructional notes for the code(s). If there are no instructional notes, type-in “N/A.” Page 4 of 6

Revised 01/31/22 Copy and Paste or Screenshot the Coding Information from the Article in this box. - AHA Coding Clinic  for ICD-10-CM and ICD-10 PCS, 3Q 2019, Volume 6, Number 3, Page 17 - Question: A patient with melena and hematemesis was diagnosed with acute on chronic blood loss anemia due to a bleeding duodenal ulcer. ICD-10-CM classifies acute blood loss anemia to code D62, Acute posthemorrhagic anemia, and chronic blood loss anemia to code D50.0, Iron deficiency anemia secondary to blood loss (chronic). An Excludes1 note for “anemia due to chronic blood loss (D50.0)” appears at code D62, and an Excludes1 note for “acute posthemorrhagic anemia (D62)” appears at code D50.0. What is the appropriate code assignment for documented “acute on chronic blood loss anemia,” when Excludes1 notes appear at both codes? - Answer: In this case, assign code D62, Acute posthemorrhagic anemia, for the acute on chronic blood loss anemia. When acute and chronic blood loss anemia are both present, assign only a code for acute blood loss anemia. Post the Page Number and any Instructional Notes you found in the Code Book in this box : - CM page 741. Valid 3 character code, no further characters required. Page 5 of 6

Revised 01/31/22 7. In Coding Clinic, open the list for 2 nd Quarter of 2019 . In the “Articles” column, click the link for “Asystole” and read the information provided for coding that diagnosis. Copy and paste it in the box provided below. Copy and Paste or Screenshot the Coding Information from the Article in this box. - AHA Coding Clinic  for ICD-10-CM and ICD-10 PCS, 2Q 2019, Volume 6, Number 2, Pages 4&5 - Question: A patient, who was admitted due to syncopal episodes, was diagnosed with a complete heart block. The cardiologist noted that the electrocardiogram (ECG) showed a complete AV block with periods of asystole over six seconds with conversion to sinus bradycardia. There was no mention of cardiac arrest. During the stay, a permanent pacemaker was placed and the patient was discharged in stable condition. Is it appropriate to assign an additional code for the asystole? - Answer: No. Assign only code I44.2, Atrioventricular block, complete. It would not be appropriate to code asystole (cardiac arrest) when a brief pause of electrical activity with spontaneous recovery of sinus rhythm is noted on an ECG. In this case, the brief periods of asystole are due to the complete heart block. - Question: ICD-10-CM’s Index to Diseases, under the term “Asystole (heart)” instructs see Arrest, cardiac. Could you please clarify if cardiac arrest should be coded when the provider notes a finding of asystole on an electrocardiogram (ECG) report, without documentation of cardiac arrest, in the inpatient setting? - Answer: No. It is not appropriate to assign a code for cardiac arrest when a brief pause of electrical activity with spontaneous recovery of sinus rhythm is noted on an ECG reading. Please note: There will not be a code used in this answer per the instructions in Coding Clinic. - CM Page 912 Page 6 of 6

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