tci Medicare Compliance & Reimbursement - 2006 Issue 17

BILLING: New Torsion, Mental Status Codes May Help Providers Reap Reimbursement

Billers need to start mastering the new ICD-9 codes now.With new ICD-9 codes on the horizon, the prognosis for providers may include more reimbursement--if they learn how to use the new codes in six key areas.1. Pain coding. Until the introduction of the new pain section (338.x), coders have never had a way to describe "significant" pain, says Marcella Bucknam, coding manager for the University of Washington's physician group in Seattle. That includes pain that is outside what coders would expect, or requiring extra treatment such as joint injections or pain service visits, explains Bucknam.The...

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