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Every release and every piece of in-flight work for Medical Auto Coding. Filter by status, kind, or tag, then read the full notes below.
| Status | Kind | What changed | Version | Ticket |
|---|---|---|---|---|
| Fix merged | Improvement | Nerve block lines: a diagnosis removed after claim cleaning is now shown to you | No version | No ticket |
Work that is planned, in progress, or merged and waiting for a production deploy. It is not released yet.
A nerve block line, and the ultrasound guidance line that goes with it, carries only the diagnoses documented for the block itself. That is normally the post-procedural pain code. It does not carry the patient's other conditions, because the reason for the block is the reason for the block, not every condition on the chart.
Claim cleaning runs after coding and can add a diagnosis to a line. When it adds one to a block line that the line is not allowed to carry, the autocoder removes it again. That part is not new.
What is new is that you can see it. Before this change the removal happened quietly, and the system also cleared the "added by claim cleaner" note for that code, so nothing on the claim showed that a diagnosis had come and gone. Now the claim carries an informational alert, "Diagnosis Added After Claim Cleaning Was Removed From a Block Line". The alert names the codes it removed, names the diagnoses the line kept, and identifies the line.
Nothing about which diagnoses get removed has changed.
Expect this alert to be rare. Claim cleaning no longer copies the main anesthesia line's diagnoses onto the other lines, so the situation this cleanup was built for does not arise any more. That is exactly why the alert is worth having: if a diagnosis does get added to a block line today, something unusual put it there, and you should look at it rather than have it disappear without a record.
Read the removed codes in the alert. Confirm that none of them is the correct indication for the block. In almost every case the removed code is a condition that belongs on the main anesthesia line instead.
If one of the removed codes IS the correct indication for the block, add it to the block line and tell your coding lead. The same code will be removed again on the next claim of that shape, so it is worth reporting rather than fixing one claim at a time.
The alert follows your existing block-line diagnosis setting. On the shipped default, a block line keeps only the G89 pain-family codes. A facility configured to keep the documented pain-location codes as well will see the alert less often. A facility that has turned the policy off entirely will never see it, because nothing is removed.