Today is Pins and Needles Day! Originally, it was set to celebrate the opening of a Broadway production - but has since morphed into a day of anticipation.

Today's In The Know goes over FY2018 new and revised PCS codes mentioned in Coding Clinic Fourth Quarter, 2017 for influenza and COPD.


New Qualifier for Influenza Vaccine

Qualifier 0 - Influenza Vaccine was added to table 3E0 in the Physiologic Systems and Anatomical Regions, Introduction to allow for tracking of influenza vaccine. This table was also reorganized - so pay careful attention when coding from this table.

Coding Clinic, 4th Qtr 2017, pg 69


Bacterial Pneumonia, Influenza A and COPD

Advice provided for coding a diagnosis of "Bacterial pneumonia on top of influenza A, exacerbation of chronic obstructive pulmonary disease (COPD)" is to code 4 different codes: J10.08, Influenza due to other identified influenza virus with other specified pneumonia. J44.0, Chronic obstructive pulmonary disease with acute lower respiratory infection, J15.9, Unspecified bacterial pneumonia and J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation. Circumstances of the admission would determine the principal diagnosis of the four codes needed to code this case.

Coding Clinic, 4th Qtr 2017, pg 96


COPD and Acute Exacerbation of Asthma

If COPD with acute exacerbation of Asthma is documented - assign codes J44.9 COPD unspecified, and J45.901 Unspecified asthma with (acute) exacerbation. These codes cover both diagnoses in this case. Code J45.901 provides additional specificity regarding the asthma being an acute exacerbation.

Coding Clinic, 4th Qtr 2017, pg 96-97