AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 4; Ask the Editor

Hierarchy of Conventions in the Classification, the Official Guidelines for Coding and Reporting and Coding Clinic.

The coding hierarchy is clearly defined by the Official Guidelines for Coding and Reporting and within Coding Clinic (Fourth Quarter 2018, pages 90-91). However, it becomes confusing when Coding Clinic advice deviates from the Alphabetic Index and Tabular List. For example, the ICD-10-CM Index presumes a link between sepsis and organ dysfunction by the “with” sub-entry but this appears to conflict with Coding Clinic advice from Fourth Quarter 2017, pages 99-100, which instructs the link must be noted. Could you please provide additional clarification? ...

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