Third Edition
CDI Pocket Guide®for ICD-10-AM
A quick reference for CDI specialists, clinical coders and auditors. Find the coding guidelines and clinical concepts you need when reviewing a patient record.
ClassificationICD-10-AM / ACHI / ACS Thirteenth Edition
GroupingAR-DRG Version 12.0
AuthorsJenny Fitzpatrick and Sam Heynemann
Inside the guide
What to look for in the clinical record
Start with a coding rule, a clinical condition or the DRG you’re reviewing.
Coding Guidelines
Refresh the coding rules you use during a record review, from selecting the principal diagnosis to deciding which additional diagnoses meet reporting criteria.
Key References
Review common clinical conditions, their indicators and the documentation to look for. Topics include acute kidney injury, pneumonia and malnutrition.
Complex Diagnoses
Check how a diagnosis can contribute to episode complexity within a particular DRG and compare its treatment across AR-DRG versions.
DRG Tips
Review documentation questions specific to a DRG, alongside related DRGs and their NWAU weights.
Clinician Query Examples
See how to ask for clarification when the indication for a transfusion is missing, a diagnosis is unclear or two parts of the record conflict.
AR-DRG Table
Look up an AR-DRG Version 12.0 code, its description and the corresponding 2026–27 NWAU price weight.
You can also watch the walkthrough on the Uplift website.
CDIplus
Your Pocket Guide online
Search for a diagnosis, open its clinical reference and move straight to the relevant DRG tips or clinician query examples.
Take the three-minute tour to see how it works during a record review.
4B / 1 Sigma Drive, Croydon South VIC 3136
With acknowledgement to Dr Richard Pinson and Cynthia Tang, creators of the original US CDI Pocket Guide®. Explore their resources at Pinson & Tang ↗.
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