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P r e s e n t C l i n i c a l R i s k F a c t o r I C D 1 0 C o d e D e s c r i p t o r M o r b i d o b e s i t y B M I > 4 0 E 6 6 . 0 9 M o r b i d ( s e v e r e ) o b e s i t y d u e t o e x c e s s c a l o r i e s S m o k i n g Z 7 2 . 0 Tobacco use Chronic anticoagulant useZ79.01Long-term (current) use of anticoagulantsChronic narcotic useF11.20Opioid dependence, uncomplicatedWorkmens compensation caseZ56.9Unspecified problems related to employmentPrevious intra-articular infectionB94.9Sequelae of unspecified infectious and parasitic diseasesCongenital hip deformityM16.31
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H o w t o u s e t h i s l i s t :
1 . C h e c k m a r k t h e o n e s t h a t a p p l y t o y o u r c u r r e n t p a t i e n t . Y o u m u s t i n d i c a t e t h e n e g a t i v e i m p a c t w i t h a comment such as the one at the end of the list.
2. Make certain that your office coder and your hospital coder enter these codes into the system with your ICD-10 code for the arthroplasty.
3. For surgeons interested in improving their understanding of perioperative comorbidity coding and its necessity, please see the recent JBJS article, Using Joint Registry Data from FORCE-TJR to Improve the Accuracy of Risk Adjustment Prediction Models for Thirty-Day Readmission After Tot " D F v
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No. 8, April 15, 2015, 668-671. HYPERLINK "http://jbjs.org/content/97/8/668" http://jbjs.org/content/97/8/668
4. To understand how to incorporate the checklist into your EMR see the AAHKS Primer on Risk Adjustment at: HYPERLINK "http://www.aahks.org/wp-content/uploads/2015/04/comorbidity-coding-article.pdf" http://www.aahks.org/wp-content/uploads/2015/04/comorbidity-coding-article.pdf
Questions? Email HYPERLINK "mailto:frank.voss@uscmed.sc.edu" frank.voss@uscmed.sc.edu
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