Welcome to Coffee with the Coder^®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee with the Coder^® To receive text notifications send an email to help@AQ-IQ.com with your request. We will text you in the hour prior to the start of the next episode.

In Episode 96, Paula Digby completes her comments on acute flaccid myelitis and then speaks to a concern about clinical documentation indicating “status post _” as the etiologic diagnosis for an inpatient rehabilitation patient. What guidance can be shared with the provider to discourage the use of “status post” in this type of situation, as it cannot be coded in that field? The second concern has to do with CPT reporting of polypectomy through a hysteroscope during the same encounter as an endometrial ablation. The final questioner wonders whether it is correct to code from the Pre-Admission Screening for the IRF.

Ms Digby mentions these resources during the second question: 

https://novasure.com/what-is-novasure-endometrial-ablation-2/

https://www.youtube.com/watch?v=kRYXfxLbq2s skip to about 2:47

http://www.aetna.com/cpb/medical/data/1_99/0091.html 

Congratulations to today’s winner,  Scarlett.  This lovely mugshot is Colleen from Georgia.

Dial in for the next Episode in two weeks beginning at 10:10 am Eastern (7:10 am Pacific).