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Social Determinants of Health: Applying Knowledge to Improve Health and Advance Health Equity – Part 2

Codes Z55-Z65 are found in Chapter 21: Factors influencing health status and contact with health services psychosocial circumstances. This range of codes is organized into one code block, Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstances. The code categories within this code block are: Z55 – Problems related to education and […]

Coding “Toxic Metabolic Encephalopathy” – An Auditor’s Challenge and A Hospital’s Response

The coding and reporting of the diagnosis “toxic metabolic encephalopathy” (TME) has engendered much discussion over the years. The American Hospital Association “Coding Clinic” has issued advice on the correct coding and reporting of specific types and etiologies of “encephalopathy” beginning with the Fourth Quarter 2009 issue, pages 99-101. As always, we suggest that when […]

A New Device Character for the S-ICD System Subcutaneous Defibrillator Lead

A new device character value for character 6, “F” for “subcutaneous defibrillator lead” (for the S-ICD system), was added to Tables 0JH (Insertion), 0JP (Removal) and 0JW (Revision), effective October 1, 2019. Although the subcutaneous implantable defibrillator (S-ICD) system, manufactured by Boston Scientific, was approved by the FDA in 2012, a device character value for […]