GASTROENTEROLOGY and other Common Documentation Tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries

GASTROENTEROLOGYand other Common Documentation TipsICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries

2 ©2015 Conifer Health Solutions, LLC. All Rights Reserved.

ICD 10 Documentation Specialty Introduction

ICD 10 is being mandated by CMS. Compliance date is set at October 2015. ICD-9 Diagnosis Codes = 14,000

ICD-10 Diagnosis Codes = 69,000

ICD-9 Procedure Codes = 3,800

ICD-10 Procedure Codes = 71,000

The CDI team is here to help with inpatient provider documentation specificity needed in I-10.

Based on Conifer ICD 10 Updated queries, the attached pages will assist with the documentation needed in I-10.


Table of contents Anemia 4

Aplastic Anemia 5

BMI – high 6

BMI –low 7

Chest pain 8

Cirrhosis of Liver 9

Colitis 10

Crohn’s Disease / Regional Enteritis 11

Debridement 12

Dementia 13

Diabetes 14

Diverticulitis 15

Dysphasia 16

Encephalopathy 17

Esophagitis 18

Gastrointestinal Ulcer- Upper 19

Gastroparesis 20

GERD 21

Heart failure- acute 22

Heart failure-chronic 23

Hepatitis 24

HIV-AIDS 25

Hyponatremia 26

Mental Status- Altered 27

Metabolic—acidosis/ alkalosis 28

Neoplasm 29

Neutropenia 30

Non pressure ulcer 31

Malnutrition 32

Pancreatitis 33

Pneumonia- Aspiration 34

Pneumonia-Specificity 35

Pressure Ulcer 36

Renal Failure—acute 37

Renal failure-chronic 38

Respiratory failure 39

Respiratory failure post op 40

Schatzki Ring 41

Sepsis 42

Shock 43

Substance abuse 44

Urosepsis 45

UTI 46

Hospital specific

Documentation Specialists contact info 47-54


ICD10 documentation specificity needed

ICD9 Documentation

Anemia

[ ] Acute blood loss anemia

[ ] Post-op anemia related to acute blood loss

[ ] Anemia:

[ ] Aplastic [ ] Nutritional

[ ] Drug induced (specify)________

[ ] Hemolytic: [ ] Hereditary [ ] Acquired

[ ] Autoimmune [ ] Non-autoimmune

[ ] Enzyme disorder

[ ] Anemia due to Neoplasm:

[ ] Primary [ ] Secondary

[ ] Due to Chemotherapy

[ ] Due to Radiotherapy

[ ] Chronic anemia – other etiology:

ICD10 Documentation Needed

Same as in ICD 9



ICD9 Documentation

Aplastic Anemia


Identify Specificity

[ ] Acquired pure red cell aplasia:

[ ] Chronic [ ] on Treatment

[ ] Transient [ ] Other

[ ] Constitutional: [ ] Congenital

[ ] Idiopathic [ ] Acquired

[ ] Drug Induced (please specify drug): ________

[ ] Due to other external causes (please specify cause, i.e. radiation, etc): _______________________

[ ] Idiopathic

[ ] Unspecified

[ ] Sideroblastic Anemia: [ ] Hereditary

[ ] Due to disease

[ ] Due to drugs/toxins

[ ] Congenital

[ ] Anemia in Neoplastic Disease



ICD9 Documentation

BMI > 40 with associated diagnosis of:

[ ] Morbid (Severe) Obesity

[ ] Overweight

[ ] Obesity (unspecified)


Morbidly Obese

[ ] Morbid (Severe) Obesity

[ ] Due to excess calories

[ ] Familial

[ ] Endocrine

[ ] with Alveolar Hypoventilation (Pickwickian syndrome)

[ ] Drug-induced (Name of drug: _____)



ICD9 Documentation

BMI < 19 with associated diagnosis of: (check one)

[ ] Underweight

[ ] Protein Calorie Malnutrition:

[ ] Mild [ ] Moderate [ ] Severe

[ ] Unspecified

[ ] Cachexia

[ ] Emaciation due to malnutrition


Same as ICD 9



ICD9 Documentation

Chest Pain[ ] Costochronditis

[ ] Pleurisy

[ ] Pleuritic pain

[ ] Angina with known coronary artery disease

[ ] Angina: [ ] Stable [ ] Unstable

[ ] Psychogenic cardiovascular disorder

[ ] Chest wall pain

[ ] Cholelithiasis / Cholecystitis

[ ] GERD

[ ] Esophagitis

[ ] Does not apply to this patient


Same as ICD 9



ICD9 Documentation

Cirrhosis of Liver


Identify if alcoholic or non-alcoholic, if congenital, biliary obstructive, laennec’s and if portal

[ ] Alcoholic [ ] Non-alcoholic

[ ] Congenital ____ (underlying disease)

[ ] Biliary / Obstructive:

[ ] Primary [ ] Secondary

[ ] Laennec’s:

[ ] Alcoholic with: [ ] dependence

[ ] non-dependence

[ ] Non-alcoholic

[ ] Portal: [ ] Alcoholic [ ] Non-alcoholic



ICD9 Documentation

Colitis


Identify Site, Type and ComplicationsSite (if applicable):

[ ] Small Intestine [ ] Large Intestine [ ] Other site __

Type:

[ ] Colitis due to radiation

[ ] Ulcerative Colitis

[ ] Infectious Colitis

[ ] Toxic Colitis

[ ] Ischemic Colitis

[ ] Colitis due to ___________________

[ ] Chronic Colitis

Complications:

[ ] Rectal Bleeding

[ ] Intestinal Obstruction

[ ] Fistula

[ ] Abscess

[ ] Other complication _________________

[ ] Unspecified complication



ICD9 Documentation

Crohn’s Disease / Regional Enteritis


Identify specificity, site and associated diagnosis[ ] Abscess

[ ] Fistula

[ ] Intestinal obstruction

[ ] Rectal bleeding

[ ] Other (specify) _______________

Site:

[ ] Small Intestine

[ ] Large Intestine

[ ] both small and large intestines

Associated diagnoses / conditions (specify)________



ICD9 Documentation

Debridement[ ] Excisional Debridement:

[ ] Excised [ ] Removed [ ] Cut away [ ] Other: ________Depth / layer: (deepest layer of debridement): [ ] Skin/SubQ [ ] Fascia [ ] Muscle [ ] Bone

Margins: (please specify): ___ / __ x __ x ___ Instruments used: [ ] Scissors [ ] Scalpel [ ]

Curette [ ] Tweezers/forceps [ ] Soft tissue clipper [ ] Other: _____

[ ] Non-excisional Debridement - Removal by flushing, brushing, or washing

[ ] Incision and Drainage only (No Debridement):

Depth: [ ] Skin & Sub Q only [ ] Into soft tissue[ ] Escharectomy


Same as ICD 9



ICD9 Documentation

Dementia


Identify type and accompanying behaviors

Type of Dementia (check all appropriate):

[ ] Vascular (due to cerebrovascular infarct or HTN)

[ ] Frontotemporal [ ] Pick’s Disease

[ ] In Substance Use/Abuse/Dependence

Specify substance: ____________________

[ ] With Lewy Bodies (in Parkinson’s Disease)

[ ] In other specified diseases (such as Alzheimer’s,, Parkinson’s, or other degenerative nervous system disease)

[ ] Unspecified (such as Senile or Pre-senile)

[ ] Unable to determine type of Dementia

Accompanying Behaviors (check all appropriate):

[ ] Behavioral disturbances (aggressive, combative, violent)

[ ] Psychosis [ ] Delirium [ ] Delusions [ ] Hallucinations

[ ] Depression

[ ] Wandering

[ ] Other behaviors: ___________________



ICD9 Documentation

Diabetes


IDENTIFY TYPE, ETIOLOGY, CONTROL and any MANIFESTATIONS

TYPE: [ ] Type I [ ] Type II [ ] Insulin Use

Etiology: [ ] Drug / chemical induced [ ] Due to underlying condition (specify)________ [ ] Other specified type_____

Control: [ ] Inadequate [ ] Out of control [ ] Poor [ ] Hypoglycemia [ ] Hyperglycemia

Manifestation: [ ] Ketoacidosis [ ] Neurological complications (specify) __ [ ] Kidney complication (specify) ______________ [ ] Skin complication (specify) ____________________ [ ] Other (specify)________________________ [ ] Gastropathy/ Gastroparesis [ ] Osteomyelitis [ ] Cellulitis [ ] CKD



ICD9 Documentation

Diverticulitis


IDENTIFY Acuity, Severity, Site and Type

Acuity:

[ ] Acute [ ] Chronic [ ] Acute on Chronic

Severity:

[ ] Bleeding [ ] No bleeding

[ ] Abscess [ ] No abscess

[ ] Perforation [ ] No perforation

Site:

[ ] Ileum [ ] Small Intestine

[ ] Large Intestine

[ ] Unspecified Intestine

Type:

[ ] Meckel’s diverticulum with diverticulitis

[ ] Meckel’s diverticulum without diverticulitis



ICD9 Documentation

Dysphagia


IDENTIFY PHASE, TYPE and ACUITY

Phase: [ ] Oral [ ] Oropharyngeal [ ] Pharyngeal [ ] Pharyngoesophageal

Type: [ ] Cervical [ ] Functional[ ] Hysterical [ ] Nervous [ ] Neurogenic[ ] Siderpenic [ ] Spastica

Following Non-Traumatic: [ ] SAH [ ] Intracerebral Hemorrhage[ ] Intracranial Hemorrhage[ ] CVA

Acuity: [ ] Acute [ ] Chronic [ ] Acute on Chronic

[ ] Other specified Dysphagia:___________

[ ] Unspecified Dysphagia



ICD9 Documentation

Encephalopathy


IDENTIFY Acuity, Etiology and Severity

Acuity: [ ] Acute [ ] Subacute [ ] Chronic

Etiology:

[ ] Hypertensive [ ] Metabolic

[ ] Toxic [ ] Toxic Metabolic

[ ] Hepatic[ ] Hypoxic

[ ] Septic [ ] Alcohol

[ ] Drugs (specify)_______________

[ ] Post procedural (specify)______________

Severity: [ ] with coma [ ] without coma



ICD9 Documentation

Esophagitis


IDENTIFY SPECIFICITY

[ ] Eosinophilic Esophagitis[ ] Esophagitis with GERD / Reflux[ ] Candida Esophagitis[ ] Ulcerative Esophagitis[ ] Esophagitis Unspecified[ ] Other Esophagitis



ICD9 Documentation

Upper Gastrointestinal Ulcer


Identify acuity, type and any related or contributing disease

Acuity:

[ ] Acute [ ] Chronic

[ ] Hemorrhage -or- [ ] No Hemorrhage

[ ] Perforation -or- [ ] No Perforation

Type:

[ ] Gastric Ulcer

[ ] Esophageal Ulcer

[ ] Duodenal, Duodenum

[ ] Other location ________________

[ ] Any related or contributing disease(s) Alcohol or drugs: _________________



ICD9 Documentation

Gastroparesis


Identify if related to diabetes and if underlying disease

[ ] Gastroparesis related to Diabetes

[ ] Gastroparesis in underlying disease/process (please state: ______________)



ICD9 Documentation

GERD


IDENTIFY GERD WITH OR WITHOUT ESOPHAGITIS

Gastro esophageal reflux disease (GERD) with Esophagitis

Gastro esophageal reflux disease (GERD) without Esophagitis



ICD9 Documentation

ACUTE HEART FAILURE

[ ] Acute Systolic Heart Failure

[ ] Acute Diastolic Heart Failure

[ ] Acute Systolic and Diastolic Heart Failure

ACUTE ON CHRONIC HEART FAILURE

[ ] Acute On Chronic Systolic Heart Failure

[ ] Acute On Chronic Diastolic Heart Failure

[ ] Acute On Chronic Systolic and Diastolic Heart Failure


SAME as ICD 9 with the addition

OTHER ETIOLOGIES OF HEART FAILURE

[ ] Heart Failure Due To Valvular Disease

[ ] Right Heart Failure / Acute Cor Pulmonale

[ ] Right Heart Failure / Chronic Cor Pulmonale

[ ] Rheumatic Heart Disease

[ ] Endocarditis (valvular)

[ ] Myocarditis

[ ] Pericarditis



ICD9 Documentation

CHRONIC HEART FAILURE

[ ] Chronic Systolic Heart Failure

[ ] Chronic Diastolic Heart Failure

[ ] Chronic Systolic and Diastolic Heart Failure


SAME as ICD 9 with the addition of etiology

Etiologies:

[ ] Hypertension

[ ] Valvular disease

[ ] Rheumatic heart disease



ICD9 Documentation

Hepatitis


IDENTIFY Acuity, Etiology and associated diagnosis

Acuity: [ ] Acute [ ] Chronic

Etiology:

[ ] Alcoholic

[ ] Drug induced (specify)____

[ ] Viral (type A,B,C,E)_______

Associated Diagnosis:

[ ] with hepatic coma

[ ] without hepatic coma

[ ] with delta agent

[ ] without delta agent



ICD9 Documentation

HIV-AIDS

[ ] HIV infection/disease symptomatic related condition

[ ] AIDS

[ ] Non-HIV related condition

[ ] Asymptomatic HIV infection status

[ ] Non-specific serologic evidence of HIV


Similar to ICD 9



ICD9 Documentation

Hyponatremia


Identify specificity

[ ] Hyponatremia, unknown cause

[ ] Hyponatremia due to Sodium Deficiency

[ ] Hyponatremia due to SIADH (Syndrome of Inappropriate Secretion of Antidiuretic Hormone)

[ ] Insignificant lab value



ICD9 Documentation

Altered Mental Status


IDENTIFY SPECIFICITY

Altered Mental Status:[ ] Delirium

[ ] Mild Cognitive Impairment [ ] Drug-Induced Delirium [ ] Mental Disorder (Specify): __________ [ ] Other (Specify): ________

Altered Level of Consciousness: [ ] Coma [ ] Somnolence [ ] Persistent Vegetative State [ ] Stupor (Catatonic)[ ] Transient Alteration of Awareness

Encephalopathy:[ ] Alcoholic [ ] Due to Drugs [ ] Hepatic [ ] Hypertensive [ ] Anoxic / hypoxic[ ] Other (Specify): ___________ [ ] Metabolic / Septic [ ] Traumatic [ ] Hypoglycemic



ICD9 Documentation

Acidosis/Alkalosis


Identify Type of Acidosis or Alkalosis

[ ] Acidosis:

[ ] Metabolic [ ] Respiratory

[ ] Lactic [ ] Renal

[ ] Alkalosis:

[ ] Metabolic [ ] Respiratory



ICD9 Documentation

Neoplasm


Identify Site, Laterality, Type, Malignancy and associated conditions

Site: Identify:_______________

Laterality: [ ] Right [ ] Left [ ] Bilateral

Type: [ ] Primary [ ] Secondary

[ ] In situ [ ] Overlapping primary [ ] Secondary sites

[ ] Malignant [ ] Benign

[ ] Unspecified Behavior

[ ] Other__________

Malignancy:

[ ] Excised [ ] Eradicated

[ ] Treatment still provided for primary and/or metastatic site

[ ] Evidence of remaining malignancy at primary site

[ ] Conditions associated with neoplasm: (Specify) ____________________________

[ ] Any associated diagnoses / condition ____________________________________



ICD9 Documentation

Neutropenia


Identify Cause

[ ] Congenital

[ ] Secondary to chemotherapy (list chemotherapeutic drug: __________)

[ ] Drug induced (list drug: ________________)

[ ] Due to infection (infection site: _______ Organism: _________________________)

[ ] Cyclic

[ ] Does not apply to this patient

[ ] Unspecified



ICD9 Documentation

Non Pressure Ulcer


Identify Location, laterality, depth, type and gangrenous

Location

[ ] Back [ ] Buttock [ ] Lower limb

[ ] Ankle [ ] Calf [ ] Heel/ midfoot

[ ] Thigh [ ] Other__________

Laterality

[ ] Left [ ] Right [ ] Bilateral [ ] Upper

[ ] Lower [ ] N/A

Depth

[ ] Skin only [ ] Fat exposed [ ] Muscle Necrosis

[ ] Bone Necrosis

Type

[ ] Diabetic [ ] Vascular r/t PVD [ ] Varicose

[ ] Atherosclerosis of lower limb

[ ] Postphlebitic syndrome

[ ] Postthrombotic syndrome

[ ]Chronic venous hypertension [ ] Other (specify) ______

Gangrene [ ] Yes [ ] No



ICD9 Documentation

Malnutrition

[ ] Under-nutrition / Malnutrition:

[ ] Mild [ ] Moderate

[ ] Severe [ ] Unspecified

[ ] Protein Calorie Malnutrition:

[ ] Mild [ ] Moderate [ ] Severe

[ ] Unspecified

[ ] Marasmus

[ ] Nutritional Edema

[ ] Other Malnutrition (please specify) _______________________________


Same as ICD 9



ICD9 Documentation

Pancreatitis


Identify acuity, cause, gangrenous and alcohol induced

[ ] Acute:

[ ] Gallstone [ ] Biliary [ ] Idiopathic

[ ] Other

[ ] Chronic:

[ ] Cystic [ ] Infectious [ ] Interstitial

[ ] Recurrent

[ ] Gangrenous

[ ] Alcohol-induced: [ ] Abuse [ ] Dependence



ICD9 Documentation

Aspiration Pneumonia


IDENTIFY SPECIFICITY and any associated illnesses

[ ] Aspiration Bronchitis[ ] Pneumonia secondary to______ (specify organism / underlying disease)[ ] Community Acquired (simple) Pneumonia[ ] Healthcare / Hospital Acquired Pneumonia (outside facility / prior hospitalization) [ ] Ventilator associated[ ] Radiation induced

[ ] Associated illness: [ ] Respiratory failure [ ] Sepsis [ ] Underlying lung disease [ ] Other specify)_____

[ ] Pneumonia of unknown etiology[ ] Infiltrates without evidence of Pneumonia



ICD9 Documentation

Pneumonia- identify specificity[ ] Gram Negative Pneumonia [ ] Gram Positive Pneumonia

[ ] MRSA Pneumonia [ ] MSSA Pneumonia

[ ] Pneumonia due to ________ (specify organism / underlying disease)(e.g. E. Coli, Klebsiella, Pneumococcus, Pseudomonas, Other Staph)

[ ] Community acquired (simple) Pneumonia

[ ] Healthcare / Hospital Acquired Pneumonia (outside facility / prior hospitalization)

[ ] Aspiration pneumonia

[ ] Ventilator – associated pneumonia

[ ] Radiation induced pneumonia

[ ] Associated illness: [ ] Respiratory failure [ ] Sepsis [ ] Underlying lung disease [ ] Other _______________

[ ] Pneumonia of unknown etiology

[ ] Infiltrates without evidence of Pneumonia


Similar to ICD 9



ICD9 Documentation

Pressure Ulcer


Identify Location, stage, laterality, POA and gangrene present

Decubitus Ulcer:

Location: __________

POA: [ ] Yes [ ] No [ ] Unable to determine

Stage (I to IV): _______

Laterality:

Left_____ Right_____ Bilateral_____ N/A_____

[ ] Gangrene present [ ] Yes [ ] No

(Stage I: Erythema; Stage II: Partial thickness; Stage III: Full thickness; Stage IV: Necrosis to muscle/bone)



ICD9 Documentation

Acute Renal Failure (ARF) / Acute Kidney Injury (AKI)

[ ] Prerenal Azotemia (dehydration, shock, CHF, renal obstruction, creatinine responds to IV fluid)

[ ] Acute Tubular Necrosis (ATN) (nephrotoxicity, extended decreased renal perfusion, increasing creatinine (0.5 / day) not responding to fluids, low urine output)

[ ] Acute Interstitial Nephritis (AIN) (nephritis in which the interstitial connective tissue is chiefly affected)

[ ] Acute cortical necrosis

[ ] Acute medullary necrosis

[ ] Acute kidney injury

[ ] traumatic injury [ ] Nontraumatic injury

[ ] Other Etiology or underlying conditions related to the diagnosis of ARF/ AKI:________________

[ ] Acute on Chronic Renal Failure please specify Type of ARF (above) and Stage of CKD ________


Same as ICD 9



ICD9 DocumentationChronic Renal Failure[ ] Chronic Renal Failure (CRF) / Chronic Kidney Disease (CKD)

Stage: _______ (I to V or ESRD—see below)

Dialysis dependent [ ] Yes [ ] No

CKD- National Kidney Foundation Guidelines for CKD Staging

Stage I Kidney damage with normal or increased GFRGFR > 90

Stage II Kidney damage with mildly decreased GFRGFR 60-89

Stage III Kidney damage with moderately decreased GFR GFR 30-59

Stage IV Kidney damage with severely decreased GFRGFR 16-29

Stage V Kidney failure GFR<15

ESRD End Stage Renal Disease On dialysis


Same as ICD 9



ICD9 Documentation

Respiratory Failure


IDENTIFY TYPE, ACUITY and ETIOLOGY

Acute Respiratory Failure: [ ] with Hypoxia [ ] with Hypercapnia

Acute On Chronic Respiratory Failure: [ ] with Hypoxia [ ] with Hypercapnia

Acute Respiratory Failure caused by: _____ (etiology)

[ ] Acute Respiratory Insufficiency following [ ] trauma [ ] other



ICD9 Documentation

Post op Respiratory Issues


Identify Acuity and surgery type

[ ] Post-op Acute pulmonary insufficiency

[ ] Thoracic surgery [ ] Non-Thoracic surgery

[ ] Post-op Acute respiratory failure

[ ] Thoracic surgery [ ] Non-Thoracic surgery

[ ] Post-op Chronic pulmonary insufficiency

[ ] Post-op Chronic respiratory failure

[ ] Hypoxia

[ ] Respiratory failure not related to surgical procedure

[ ] Acute [ ] Chronic [ ] Acute on Chronic



ICD9 Documentation

Schatzki Ring

[ ] Schatzki Ring - Congenital

[ ] Schatzki Ring - Acquired

[ ] Schatzki Ring - unable to determine / unspecified


Same as ICD 9



ICD9 Documentation

Sepsis


Identify causative agent, due to, name organ dysfunction- if applicable

[ ] Sepsis (include causative agent if known) _________

Due to: [ ] Device [ ] Implant [ ] Graft [ ] Infusion [ ] Abortion

[ ] SIRS due to non-infectious process

[ ] with organ dysfunction [ ] without organ dysfunction

[ ] Severe sepsis with acute organ dysfunction of: __________________________________________

(Examples: respiratory failure, encephalopathy, acute kidney failure, other)

[ ] SIRS due to infection or infectious process

[ ] with organ dysfunction [ ] without organ dysfunction

[ ] Septic shock

[ ] Sepsis related to a device (i.e. port, IV line, pacer / ICD leads, Foley, etc.) _______________________



ICD9 Documentation

SHOCK

[ ] Hypovolemic shock

[ ] Hemorrhagic shock

[ ] Cardiogenic shock

[ ] Septic shock (Circulatory failure associated with severe sepsis, represents organ failure)


Same as ICD 9



ICD9 Documentation

Substance Abuse


Identify substance, status, complication and any induced disorders

Substance(s):

[ ] Alcohol [ ] Opioid [ ] Cannabis

[ ] Sedative, Hypnotic, Anxiolytic [ ] Cocaine

[ ] Other stimulant [ ] Hallucinogenic

[ ] Inhalant-related [ ] Other psychoactive drug: __________

[ ] Unspecified drug

Status: [ ] Use [ ] Abuse [ ] Dependence

Complications:

[ ] Intoxication [ ] Withdrawal [ ] In remission [ ] Uncomplicated

[ ] Other complication: ____________ [ ] Unspecified complication

Substance-Induced Disorders:

[ ] Psychosis: [ ] Delirium [ ] Delusions [ ] Hallucinations

[ ] Perceptual Disturbances: [ ] Anxiety Disorder [ ] Sexual Dysfunction

[ ] Sleep Disorder

[ ] Unspecified substance-induced disorder

[ ] Other substance-induced disorder: ________________________________

[ ] No substance-induced disorder



ICD9 Documentation

UROSEPSIS- codes to UTI, please state if

[ ] Sepsis from a urinary source

Related to:

[ ] Urinary obstruction

[ ] Indwelling catheter

[ ] Self-catheterization

[ ] Suprapubic catheter

[ ] Localized urinary tract infection (without sepsis)


Same as ICD 9



ICD9 Documentation

UTI


Identify acuity, site and due to

Acuity:

[ ] Acute [ ] Chronic

[ ] Acute on Chronic

Site: [ ] Kidney [ ] Ureter

[ ] Bladder [ ] Urethra [ ] Other site __________

[ ] Unable to determine

[ ] UTI due to or related to:

[ ] Indwelling catheter

[ ] Self-catheterization

[ ] Neurogenic bladder

[ ] Suprapubic catheter


Questions—contact your Clinical Documentation Specialists at your hospital Jewish Hospital---502-587-2833 CDI office for all specialists

Jewish Shelbyville -- 502-587-2833 CDI office

Clinical Documentation Specialists --

Candy Rickard

Peggy Barlar

Charlotte Hopewell

Susan Hinkle

Dale Crosby

Becki Fudge

Sara Goff Manager- Sandy Hodge- Bowman 502-409-2673

Supervisor- Kristen Boles 859-421-1542


Sts. Mary and Elizabeth

Clinical Documentation Specialists

Mickey Decker– 502-361-6125

Cheryl Brooks-502-361-6549

Annette Majors- 502-361-6495

Manager- Sandy Hodge- Bowman 502-409-2673


Questions—contact your Clinical Documentation Specialists at your hospital


University of Louisville


Katie Hernandez– 502-562-2895

Hilda Meehan—502-562-3801

Olga Soukhanova—502-562-3152

Cheryl Ward—502-562-3539

Peggy Fields—502-562-3730





St Joe Main


Michelle Ahady—859-313-2178

Tina Baker—859-313-2254

Lynnette Tuttle—859-313-1925

Ann Spero—859-313-2254

Teressa Cozine—859-313-2178

Trudy Paynter—859-313-1927

Karen Browning—859-313-1925





St. Joe East


Kimberly Gilbert-Morrison—502-316-5220

Kelly Geers—502-750-2329





Flaget

Clinical Documentation Specialist

Cheryl Mitchell -502-350-5247





St Joe London


Katrina Henson—606-330-6759

Sherry Mills—606-330-6000





St. Joe Mt. Sterling


Lori Barry—859-497-5458




Documents

GASTROENTEROLOGY and other Common Documentation Tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries