tci Medicare Compliance & Reimbursement - 2023 Issue Q2

Part B Coding Coach: ICD-10-CM: Conquer Incontinence Coding With These Terminology Tips

Know the difference between ‘urge’ and ‘stress’ incontinence. Reporting correct and accurate diagnosis codes on your incontinence claims is critical to keep denials low and get the pay you deserve. And that means utilizing the most specific ICD-10-CM diagnosis code possible. Another reason: The Centers for Medicaid & Medicaid Services (CMS) mentioned it’s keeping an extra-close eye on certain diagnoses, and one of them just happens to involve incontinence. Context: CMS listed sacral nerve stimulation for urinary incontinence as an “Approved Issue” for its Recovery Audit Contractors (RACs) to review (www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/Approved-RAC-Topics). Plus, in...

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