decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 3 (March)
New coding guidance: With new injection codes, now is a good time to brush up your documentation
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Article Overview
This article is aimed at coders and clinical documentation staff who support injection and arthrocentesis claims. It explains the general documentation topics associated with ultrasound-guided procedures, including image retention, procedure reporting, and medication documentation, and references CPT and HCPCS Level II as the relevant code sets.
Why This Topic Matters
The article is relevant because documentation practices may need to align more closely with guidance tied to newer injection coding language and payer review expectations.
What You Will Learn
- What types of documentation support ultrasound-guided injection reporting
- Why image retention and reporting matter in procedure documentation
- How documentation practices can affect coding for injection services and related supply/drug reporting
- What kinds of notes physicians may need to strengthen for arthrocentesis and joint injection services
Who Should Read This
- Professional coders
- Coding educators
- Physician documentation improvement staff
- Orthopedic practices
- Outpatient billing staff
Codes Discussed
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Quick, Current, Complete - www.findacode.com