State Medical Record Association Questions and Answers

Occlusion and stenosis of the carotid artery are both assigned to the same ICD-9-CM code. A physician has indicated that these are two separate conditions. Also, an occlusion of an artery of the lower extremity is coded as an embolism. A physician has indicated that a bypass is done for an occlusion, whereas an embolectomy is performed for an embolism. Are there any changes or modifications in process for these conditions? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a short Coding Clinic Q&A column that compiles questions submitted by a state medical record association and responds with approved guidance from the Cooperating Parties. It is relevant to coders, coding educators, and health information management staff looking for broad clarification on diagnosis classification topics, especially where coding indexes, terminology, and reported clinical language may not align cleanly.

Why This Topic Matters

The column highlights areas where coding guidance is being clarified for consistent reporting and where association-submitted questions can lead to updates or interpretive notes. It matters to professionals who track Coding Clinic guidance and need to know whether a topic has been addressed in official education or correction notices.

What You Will Learn

  • How Coding Clinic formats association-submitted questions and answers
  • What kinds of diagnosis topics were being clarified in this issue
  • How official coding education and correction notices are presented for coder reference
  • Which general clinical and terminology issues were considered important for ICD-9-CM-era guidance

Who Should Read This

  • Medical coders
  • Coding educators
  • Health information management professionals
  • Clinical documentation staff
  • Compliance and audit personnel

Codes Discussed


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