Outpatient Facility Coding Alert - 2017 Issue 1
Coding Quiz: Take a Look at These 5 Coding Examples to Help You in the New Year
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Article Overview
This article reviews five short coding scenarios across multiple specialties, including cardiology, evaluation and management, pediatrics, OB-Gyn, and otolaryngology. It is aimed at coders and billing professionals who want a practical refresher on common coding concerns, especially where ICD-10 updates and CCI edits may affect reporting. The piece covers broad guidance on selecting among related code sets and documenting encounters, without serving as a full reference or policy source.
Why This Topic Matters
It helps coding professionals quickly identify the type of documentation and code-set issues that commonly arise in everyday specialty practice, which can affect claim accuracy and denial risk.
Article Sections
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Cardiology
A coding question involving a cardiovascular procedure scenario and guidance related to choosing between procedure code options. The section focuses on a specialty example and related CPT considerations.
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Evaluation and Management
A discussion of office visit reporting for a follow-up patient and the documentation elements involved in E/M coding. The section compares new and established patient visit concepts.
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Pediatrics
A pediatric diagnostic scenario involving tic-related concerns and ICD-10-CM diagnosis selection. The section addresses differential coding considerations within a child specialty context.
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OB-Gyn
A gynecology follow-up scenario involving repeat testing after abnormal findings and diagnosis coding. The section includes a brief example of office visit reporting tied to lab follow-up.
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Otolaryngology
A postoperative bleeding scenario involving an ear, nose, and throat setting and the related diagnosis selection issue. The section addresses postprocedural complication coding in a specialty context.
What You Will Learn
- How to approach common specialty-specific coding questions
- How coding guidance may differ across CPT, ICD-10-CM, and E/M concepts
- How documentation issues can affect code selection for office visits and follow-up care
- How to think about coding scenarios involving abnormal findings and postoperative complications
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Coding auditors
- Clinical documentation staff
Codes Discussed
Code Ranges Discussed
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