Tag: ICD-10-PCS Codes

Therapeutics ICD-10-PCS

Mastering Therapeutics Coding with ICD-10-PCS: Guide

As healthcare documentation continues to evolve, the ability to accurately capture procedures performed in inpatient settings is vital for patient safety, proper reimbursement, and compliance. One of the most sophisticated tools used in this context is the ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System). Designed for inpatient procedure coding in the U.S., […]
Mechanical Ventilation Coding

Avoiding Overpayments Through Accurate Mechanical Ventilation Coding

 The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently conducted a review of Medicare Severity Diagnosis Related Groups (MS-DRGs) that required more than 96 consecutive hours of mechanical ventilation. The audit focused on compliance with Medicare payment requirements and accurate Mechanical Ventilation Coding and code assignment. A total of […]
Latest ICD-10-PCS Codes and Guidelines

Latest ICD-10-PCS Codes and Guidelines

The latest ICD-10-PCS codes and guidelines for the fiscal year 2024 have been unveiled by the Centers for Medicare & Medicaid Services (CMS). With a net growth of 73 codes, the total count of inpatient procedure codes has reached 78,603. Notably, the New Technology Section has experienced the largest surge, introducing 40 new codes. The […]
How to Build ICD-10-PCS Codes From Op Reports

How to Build ICD-10-PCS Codes From Op Reports

Arrive at the correct procedure code by breaking down the operative report. Even seasoned coding professionals occasionally find it challenging to assign the appropriate ICD-10-PCS codes from the operative report. Mastering the procedural coding system used in the inpatient hospital setting takes practice. Medical coders reporting inpatient services should start by reading the operative report, […]
The Impact of Coding on Maternal Outcomes_ Part II

Coding Blood Transfusions on Maternity Patients Improves Maternal Health Outcomes

Accurate coding blood transfusions on maternity patients is more than a documentation requirement—it directly supports maternal safety, healthcare quality reporting, and efforts to reduce preventable maternal deaths. While blood transfusion procedures may not significantly affect reimbursement, they play a critical role in capturing reliable data used to monitor severe maternal morbidity (SMM) and improve obstetric […]
CMS Clarifies Coding and Billing for NCTAP

CMS Clarifies Coding and Billing for NCTAP

The NCTAP was finalized as part of CMS’ fourth COVID-19 interim final rule. CMS on January 27 updated coding and billing instructions to hospitals for new COVID-19 treatments add-on payment (NCTAP). The NCTAP was finalized as part of CMS’ fourth COVID-19 interim final rule with comment period (IFC-4) and is effective November 2, 2020 through the end of the public health […]
Psychiatric Facilities

Psychiatric Facilities Could See Payments of $75 Million In 2020

CMS has released the inpatient psychiatric facility proposed rule. Approximately $75million is projected to be paid to inpatient psychiatric facilities (IPF), according to the Centers for Medicare & Medicaid Services (CMS) proposed 2020 inpatient prospective payment system (IPPS) released on April 19. IPF-PPS applies to inpatient services for psychiatric hospitals and distinct psychiatric units of […]