Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; ICD-10-CM NEW/REVISED CODES
Hypercholesterolemia
Code E78.0, Pure hypercholesterolemia, has been expanded to create code E78.00, Pure hypercholesterolemia, unspecified, and code E78.01, Familial hypercholesterolemia, in order to improve detection and screening in patients with this treatable condition.
Familial hypercholesterolemia (FH) is a common autosomal dominant genetic disorder that impairs the body’s ability to remove low density lipoprotein (LDL), the “bad cholesterol” that causes blockage of the coronary arteries. The condition may be inherited from one parent with heterozygous FH (HeFH) or in the most severe form, results when both parents have an FH mutation, homozygous FH (HoFH).
Optimal LDL...
To read the full article, sign in and subscribe to AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS .
The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
Current newsletters added each quarter
Full Archives - over 3100 articles
ALL years/issues back to 1984 organized by year and issue
Includes ICD-10-CM/PCS Articles since 2013
Fully searchable through Find-A-Code's Comprehensive Search
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products: