Tag: ICD-10-CM Codes

Gain Insight Into Billing an E/M With OMT

Gain Insight Into Billing an E/M With OMT

Reducing denials starts with understanding osteopathic manipulation as well as coding and coverage guidelines for this therapy. Is it appropriate to bill an evaluation and management (E/M) service when osteopathic manipulative treatment (OMT) is performed at the same visit? We must address a few key principles to adequately answer this question. I learned quickly, having […]
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Many Final IPPS Rules Are Released

Many Final IPPS Rules Are Released

While much attention has been focused on the release of the IPPS Final Rule, other final rules might have gone unnoticed. The Centers for Medicare & Medicaid Services (CMS) were very busy the first week of August, with the release of final rules for skilled nursing facilities (SNFs), hospices, inpatient rehabilitation facilities (IRFs), and inpatient […]
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ICD10monitor 2022 IPPS Summit Begins Today

ICD10monitor 2022 IPPS Summit Begins Today

  Providers seeking to get ahead of the curve before the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Final Rule for the 2022 fiscal year (FY) takes effect this Oct. 1 will find everything they need packaged in a dynamic three-day webcast being presented by ICD10monitor, starting today. The 2022 […]
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2022 ICD-10-CM Guidelines Released

2022 ICD-10-CM Guidelines Released

Released earlier than usual, the fiscal year (FY) 2022 ICD-10-CM Official Guidelines for Coding and Reporting became available online Monday, July 12, and include instructions for assigning novel code U09.9 Post COVID-19 condition (found under Section I.C.1.g.1). Familiarize yourself with the following new and revised guidance, effective October 1, to ensure proper diagnosis coding and […]
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Review What’s New for ICD-10-CM 2022

Review What’s New for ICD-10-CM 2022

Stay on top of the latest in diagnosis coding by reviewing this chapter-by-chapter summary of the changes effective October 1. Highly anticipated, the Centers for Medicare & Medicaid Services (CMS) released the ICD-10-CM code descriptions, tables and index, and addendum for fiscal year 2022. Although still pending are the 2022 Official Guidelines for Coding and […]
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CPT Coding for E_M Visits with Wound Care

CPT Coding for E/M Visits with Wound Care

The service must be performed for a condition unrelated to the scheduled visit and must be a new condition that requires further evaluation. A version of this article was first published April 16, 2021, by HCPro’s Revenue Cycle Advisor, a sibling publication to HealthLeaders. Q: Is it appropriate to report an E/M code for visit […]
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AHA Coding Clinic on ICD-10-CM_PCS for First Quarter of 2021 Released

AHA Coding Clinic on ICD-10-CM/PCS for First Quarter of 2021 Released

Current issue includes most frequently asked questions about coding COVID-19. The American Hospital Association (AHA) central office is the official United States clearinghouse on medical coding for the proper use of the ICD-10-CM/PCS systems and Level I HCPCS (CPT-4 codes) for hospital providers – and certain Level II HCPCS codes for hospitals, physicians, and other health professionals. The […]
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ICD-10 Coding Guideline Changes

ICD-10 Coding Guideline Changes

For 2021, there are 490 new, 47 revised and 58 deleted ICD-10-CM codes. We will cover the ICD-10-CM guidelines in this article and the ICD-10-CM code changes next month. There are several important changes to the guidelines, including those relating to COVID-19 coding. The updates for these were a little late this year due to […]
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Sequence ICD-10-CM Codes for Proper Payment

Key Concepts for Determining Primary Diagnosis Codes

Accurate diagnosis coding is crucial for medical billing, as it narrates the patient’s healthcare journey. Patients often present with multiple conditions, requiring coders to select and sequence the most specific codes. This sequencing, or code arrangement, is vital for correct billing. This discussion highlights five key terms from the ICD-10-CM Official Guidelines for Coding and […]
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2021 ICD-10 CM Codes

Sneak a Peek at ICD-10-CM 2021

There are a slew of changes and only a few months before you will need to start using the new codes. The Centers for Medicare & Medicaid Services (CMS) released on July 1 the ICD-10-CM code descriptions, tables and index, and addendum for fiscal year 2021. There are 490 additions, 58 deletions, and 47 revisions — increasing […]
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