Abnormal Liver Tests: Clinical Approach, ICD-10 Coding, and Smarter Documentation
Abnormal liver tests, often flagged in routine lab panels, can be a perplexing yet critical finding for clinicians. Whether they reflect benign transient changes or signal underlying liver disease, elevated liver function tests (LFTs) demand thoughtful interpretation, documentation, and follow-up. In this guide, we’ll walk you through: What qualifies as an abnormal liver test Common […]
Dilated Ascending Aorta: Clinical Insights, ICD-10 Coding, and Smarter Documentation
The dilated ascending aorta is a critical condition that can lead to serious cardiovascular complications, including aortic dissection, rupture, and aneurysm formation. Early detection and management are essential to prevent life-threatening outcomes. However, accurate documentation and coding are equally important to ensure proper diagnosis, treatment, and reimbursement. In this article, we’ll discuss: What a dilated […]
Lower Gastrointestinal Bleeding: Causes, ICD-10 Coding, and Smarter Documentation
Lower gastrointestinal bleeding (LGIB) is a significant clinical event that requires immediate attention and accurate diagnosis. It involves bleeding from the colon, rectum, or anus and can range from mild to life-threatening. Identifying the source of bleeding and managing it appropriately is crucial for patient outcomes, and proper documentation and coding ensure accurate diagnosis and […]
Biologic Kerecis Grafts: Clinical Insights, ICD-10 Coding, and Smarter Documentation
Biologic Kerecis grafts have revolutionized the field of wound healing and tissue regeneration, offering a powerful solution for patients suffering from chronic wounds, burns, and other severe soft tissue injuries. As an FDA-approved biologic wound care product, Kerecis utilizes fish skin to promote tissue regeneration and accelerate healing, making it an essential tool in modern […]
Thickened Bladder Wall: Clinical Insights, ICD-10 Coding, and Smarter Documentation
A thickened bladder wall is a clinical finding that often suggests an underlying urological issue, such as bladder inflammation, infection, or neoplastic growth. The thickening of the bladder wall, which can be observed through imaging like ultrasound or CT scan, warrants careful evaluation to determine its cause, severity, and appropriate management. Early diagnosis and accurate […]
History of Endometrial Cancer: ICD-10 Coding, Clinical Follow-Up, and Streamlined Documentation
Endometrial cancer—the most common gynecologic malignancy in the U.S.—has a high survival rate when caught early. But for survivors, a personal history of endometrial cancer remains a critical piece of the medical narrative. Accurate documentation, appropriate follow-up care, and correct ICD-10 coding are essential for both clinical decision-making and administrative clarity. In this article, we’ll […]
Dyspnea on Exertion: ICD-10 Coding, Clinical Approach, and Documentation Strategies
Dyspnea on exertion (DOE)—shortness of breath that occurs during physical activity—is a common yet complex clinical symptom seen across cardiopulmonary, hematologic, and deconditioning conditions. Whether it’s a subtle sign of early heart failure or an expected result of anemia, accurately capturing this symptom in documentation and coding is vital for risk assessment, diagnosis, and reimbursement. […]
Mediastinal Lymphadenopathy: Causes, ICD-10 Coding, and Smarter Documentation
Mediastinal lymphadenopathy—the abnormal enlargement of lymph nodes within the central chest cavity—can signal anything from benign infections to metastatic malignancies. For clinicians, especially those in pulmonary, oncology, and internal medicine, accurately identifying, documenting, and coding this condition is essential for delivering timely and targeted care. This article will explore: What mediastinal lymphadenopathy is and what […]
Complete Blood Count with Differential: Clinical Insights, ICD-10 Coding, and Smarter Documentation
The Complete Blood Count with Differential (CBC with diff) is one of the most common—and most clinically valuable—laboratory tests ordered in medicine. From detecting infections and anemia to monitoring chemotherapy response, it provides a comprehensive snapshot of a patient’s hematologic health. But as simple as the test may seem, interpreting results, linking findings to diagnoses, […]
Ozempic for Diabetes Management: Clinical Guide, ICD-10 Coding, and Documentation
As type 2 diabetes becomes increasingly prevalent, clinicians are turning to newer, more effective therapies to help patients maintain glycemic control. One such therapy gaining attention is Ozempic (semaglutide)—a once-weekly injectable GLP-1 receptor agonist that has revolutionized diabetes management with added cardiovascular benefits and weight loss potential. In this clinical guide, we’ll explore: What Ozempic […]