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
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tci ED Coding & Reimbursement Alert - 2022 Issue Q1
ICD-10: 3 Tips Help You Code ODs in the ED
Hint: Evaluate whether an overdose is accidental or intentional before finding the right diagnosis code.
The latest statistics indicate that overdoses (ODs) are increasing across the U.S., and the emergency department is often the first stop for patients who are experiencing an OD. Although coding these encounters can sometimes be straightforward, that isn’t always the case.
Consider following three key strategies to ensure that you report these visits accurately.
Differentiate Accidental vs. Intentional Overdose
If the patient comes to the ED for a heroin overdose, you’ll look to the T40.1 (Poisoning by… heroin…) section...
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