Author: Kostick, Karen M.; Sanvik, Gina

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: July 2014

Editor’s note: This is the first installment of a two-part series of articles discussing the six Ancillary sections of ICD-10-PCS.


This article continues the Journal of AHIMA’s exploration of the different sections of ICD-10-PCS, focusing on the six Ancillary sections. The....

Author: Kostick, Karen M.; Sanvik, Gina

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: September 2014

Editor’s note: This is the second in a two-part series of articles discussing the six Ancillary sections of ICD-10-PCS.


This article continues the Journal of AHIMA’s exploration of the different sections of ICD-10-PCS, focusing on the last three Ancillary sections. The side....

Author: Kostick, Karen M.; Sanvik, Gina

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: June 2015

All coding professionals require the right clinical documentation at the right time in order to assign an accurate code. This article reviews just what that requirement entails for ICD-10-PCS coding.

ICD-10-PCS Scope of Work


On October 1, 2015, hospital inpatient pr....

Author: Sanvik, Gina

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: May 11, 2016

There has been some confusion among coding professionals regarding interpretation of the coding guideline of “with.”  An area that contains many instances of using this guideline in ICD-10-CM is coding Diabetes Mellitus with associated conditions. There are 53 instances of....

Author: Sanvik, Gina

Source: Journal of AHIMA

Publication Date: April 2018

Untitled Document




Many ICD-10-CM codes were added throughout code category L97, Non-pressure chronic ulcer of the lower limb, not elsewhere classified, and subcategory L98.4, Non-pressure chronic ulcer of the skin, not elsewhere classified, to provide....

Author: Sanvik, Gina

Source: Journal of AHIMA - Coding Notes

Publication Date: March 2018

Untitled Document



CY 2018 OPPS Update


By Gina Sanvik, MS, RHIA


Facilities had the ominous task of reviewing the Hospital Outpatient Prospective Payment System (OPPS) final rule at the beginning of the year to ensure their chargemaste....

Author: Sanvik, Gina

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: November 10, 2016

How to code viral sepsis has been a topic of discussion on AHIMA’s Engage Coding, Classification and Reimbursement community, and has be the subject of several inquiries to AHIMA’s Code-CheckTM coding question service.


The viral sepsis coding confusion may com....

Author: Sanvik, Gina

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: September 14, 2016

With the release of the FY 2017 updates to the ICD-10-CM Official Coding Guidelines, there’s a lot for coding professionals to review. This post will take a closer look at one of the updates in Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00-O9A). The guideline for “P....

Author: Sanvik, Gina

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: July 13, 2016

Although many HIM professionals and coding professionals were just starting to get comfortable with ICD-10-CM/PCS, it is time to prepare for the thousands of new ICD-10 changes coming soon.


The upcoming ICD-10 updates for the Fiscal Year (FY) 2017 will also represe....

Author: Sanvik, Gina

Source: Journal of AHIMA - website

Publication Date: June 08, 2016

While working on the team for AHIMA’s Code-CheckTM Coding Question Service, I’ve noticed several questions related to providing clarification in ICD-10-CM for a fracture in a patient with known osteoporosis.


ICD-10-CM expands the code selection to more than 150 pa....