ICD-10 and Clinical Documentation

Hi, I’m Dr. Joe Nichols from Seattle, Washington. Welcome to this program on “ICD-10 and Clinical Documentation”. The goals of this program are to: describe the role of documentation and coding in medical care; additionally, we want to characterize the type of information that should be documented with ICD-10, which is actually quite consistent with…

Coding Hypertension Controlled vs. Uncontrolled | ICD 10 Coding

Q: “How do you make a distinction between controlled and uncontrolled hypertension?” A: The simple answer to this is your physicians or the documentation that you’re reviewing should clearly indicate whether the patient is hypertension is controlled or uncontrolled. Typically, we assume and we’re taught to assume from a coding perspective that the hypertension is…