Category: Medical Coding

AHA Coding Clinic Now Available

AHA Coding Clinic Now Available

Spring brings Coding Clinic Guidance. Spring has sprung, and that brings the first American Hospital Association (AHA) Coding Clinic on ICD-10-CM/PCS issue of 2022. There are a wide range of topics and guidance. Now that we are receiving biannual coding updates, we begin April this year with some new codes, and some changes that are […]
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CMS Updates HCPCS Level II for Q2

CMS Updates HCPCS Level II for Q2

Medical Coding Updates and Insights Unveiled Effective April 1, 2022, the HCPCS Level II code set, which is employed to record medical services and provisions, will encompass the integration of 37 novel codes. Furthermore, the second quarter revision encompasses the elimination of five codes and a refinement of the description for one modifier. Lay Terms […]
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Key Factors When Coding Drug Screenings

Key Factors When Coding Drug Screenings

Dodge denials for drug testing by knowing which details demand attention. How often do you experience denials when it comes to your definitive drug testing? If the answer is often, this article may provide some answers to why that might be happening. Many payer policies have very clear guidelines, both medical and reimbursement, that dictate […]
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Get the FAQs for CPT® Changes

Get the FAQs for CPT® Changes

FAQs for CPT Changes in 2022 – AAPC’s senior VP of products answers frequently asked questions about new, revised, and deleted CPT® codes for 2022. This month, I will answer questions asked during my Nov. 23, 2021, webinar 2022 CPT® Coding Updates. This webinar shed light on CPT® code updates, why codes were updated, how […]
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ICD-11 Officially Released for Implementation

ICD-11 Officially Released for Implementation

On Feb. 11, the World Health Organization (WHO) released ICD-11 2022. This is the official version of the 11th revision of the International Classification of Diseases (ICD) coding set that WHO member countries will be implementing worldwide. In fact, according to the WHO release announcement, 35 countries are already using ICD-11. The WHO began developing […]
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New codes in 2022 for principal care and chronic care management services

New codes in 2022 for principal care and chronic care management services

There are three new codes in the care management section of the CPT codebook, covering principal care management and chronic care management services. Here’s what physicians need to know about them. Principal Care Management Services New CPT codes have been added in 2022 to describe “Principal Care Management Services.” These codes are like chronic care […]
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Selecting the Principal Diagnosis Lies at the Heart of Inpatient Coding

Selecting the Principal Diagnosis Lies at the Heart of Inpatient Coding

The heart of the principal diagnosis selection is pivotal to accuracy and compliance. Since February is known as “National Heart Month,” a discussion on the heart of inpatient coding is appropriate, that being the “principal diagnosis.” When learning inpatient coding, a large amount of time is spent on understanding the guidelines, conventions, and application of […]
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9 New Introduction Codes Added to ICD-10-PCS

9 New Introduction Codes Added to ICD-10-PCS

Effective April 1, 2022, hospitals will have nine new procedure codes to describe the introduction or infusion of therapeutics, including the additional COVID-19 vaccines recently authorized for emergency use by the Food and Drug Administration. April Update The Centers for Medicare & Medicaid Services first introduced seven new ICD-10-PCS codes for the second quarter of […]
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Medical decision making and coding

Medical decision making and coding

MDM elements during a preventive visit Q: Is it appropriate to count laboratory tests and other tests ordered during a preventive medicine service (99381-99397) visit in medical decision making (MDM) selection? No, because the 2021 revisions to the E/M office or other outpatient MDM do not apply to codes 99381-99397 (preventive services). These codes are […]
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Health Equity and SDOH: A Payer Perspective / Update

Health Equity and SDOH: A Payer Perspective / Update

As part of its ongoing mission to improve the health of America, the Blue Cross Blue Shield Association (BCBSA) announced its National Health Equity Strategy in April 2021 to confront the nation’s crisis in racial health disparities. This strategy is intended to change the trajectory of health disparities and reimagine a more equitable health care […]
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