It’s a bird, It’s a plane, It’s a new or revised 2026 ICD code!
Index: Flank pain, bilateral.
R10.A3
How to code pelvic and perineal pain left & right side.
R10.23 Pelvic and perineal pain bilateral
How many Data Categories are required for Low Data?
1 of 2 possible
•Review of prior external note(s)
Review\order tests.
• Independent Historian.
How to code pregnant patient with vomiting.
Pregnancy\Complicated by\vomiting O21.9 Vomiting of pregnancy, unspecified
What is the ICD for hyperglycemia in a diabetic patient?
E11.65 Type 2 diabetes mellitus with hyperglycemia
Index: Suprapubic pain
R10.24
Can ICD Z59.00 be listed as a primary ICD?
No. See pg 104 (2025 ICD) Z Codes That May Only be Principal/First-Listed Diagnosis
What CPT code is used for a laceration repaired with Dermabond for a Medicare patient?
G0168
How to code pregnant patient with sore throat.
Pregnancy\Complicated by\respiratory condition (conditions in J00-J99) O99.51, J02.9
What is the ICD for acidosis in a diabetic?
E87.2
Excludes1: diabetic acidosis - see category
s E08-E10, E11, E13
with ketoacidosis
Index Costovertebral (angle) tenderness, bilateral
R39.859
What is the ICD for acute conjunctivitis in a newborn?
P39.1 Neonatal conjunctivitis and dacryocystitis
Can modifier 57 be applied to CPT 99291?
Never. Modifier 25 would be used with minor or major surgery.
How to code pregnant patient with hives
Pregnancy\Complicated by\skin condition (conditions in L00-L99) O99.71- L50.9 Urticaria, unspecified
What’s the ICD for a diabetic with foot ulcer?
E11.621 - Type 2 diabetes mellitus with foot ulcer
Use additional code to identify site of ulcer (L97.4-, L97.5-)
Index Bronchitis, not specified as acute or chronic
J40
Why would ICD S20.229A or S20.219A cause a Rejection?
They require that laterality be coded not unspecified.
What is the CPT code for Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation)
15851
How to code pregnant patient with UTI
Pregnancy\Complicated by\Infection\ urinary (tract) O23.4- Unspecified infection of urinary tract in pregnancy, unspecified trimester.
What is the ICD for a diabetic pregnant
patient with hypoglycemia
Pregnant
patients who are diabetic should be assigned a code from
category O24,
Diabetes mellitus in pregnancy, childbirth, and the
puerperium, first, followed
by the appropriate diabetes code(s) (E08-E13) from
Chapter 4.
E11.649 Type 2 diabetes mellitus with hypoglycemia
without coma
What is the ICD for Laceration without foreign body of abdominal wall, right flank without penetration into peritoneal cavity, initial encounter
S31.116A
Is there a laterality option for this ICD? R93.429
yes
•R93.421 Abnormal radiologic findings on dx imaging of r kidney
•R93.422 Abnormal radiologic findings on dx imaging of left kidney
What modifiers are used when billing critical care on the same day as (or within) a major surgery? (aka procedure w\90 day global)
99291-25-FT
How to code pregnant patient with displaced fracture of left middle phalanx of left middle finger initial.
Pregnancy\Complicated by\injury or poisoning (conditions in S00-non-specific codeT88) O9A.21-Non-specific code S62.623A Displaced fracture of middle phalanx of left middle finger, initial encounter
What is the ICD for a diabetic with a arm ulcer?
E11.622 - Type 2 diabetes mellitus with other skin ulcer
Use additional code to identify site of ulcer
(L97.1-L97.9, L98.41-L98.49)