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Pinson & Tang CDI Pocket Guide

FY2023 Regulatory & CDI Pocket Guide Updates - Part 1

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Hepatic encephalopathy, code K76.82, is no longer classified as hepatic failure and is a non-CC.
An x-ray report cannot be used to identify the specificity of a documented diagnosis, such as laterality of a hip fracture.
SDOH codes should only be assigned when the medical record documentation indicates that there is an actual problem or risk factor.
POA status of “No” should be assigned for acute conditions that are not present at the time of admission.
Patients who are currently being treated with immunosuppressive drugs would be considered immunodeficient.
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