Chiropractic Diagnostic Coding

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Coding Clinic Officially Defines Spondylolisthesis and Disc Disorder

Traumatic Subluxation Coding Controversy

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Oct 3rd, 2023

Chiropractic ICD-10-CM Changes for 2024

by Wyn Staheli, Director of Content - innoviHealth

It’s that time of year again, the ICD-10-CM codes for fiscal year 2024 are out so it’s time to take a look at these changes. Of all the hundreds of changes, the following could be of interest to doctors of chiropractic and are deleted and expanded as of October 1, 2023:

Oct 6th, 2022

2023 ICD-10-CM Code Changes

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

In 2022 there were 159 new codes; the 2023 ICD-10-CM code update includes 1,176 new, 28 revised, and 287 deleted codes, a substantial change from last year. The 2023 ICD-10-CM codes are to be used for discharges from October 1, 2022 through September 30, 2023, and for patient encounters from ...

Oct 6th, 2021

ICD-10-CM Cracks Down on the Use of "Unspecified" in the 2021 Official Guidelines

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

We always knew there would come a day when payers would look down on an "unspecified" diagnosis code and possibly even deny it or delay payment until a review of the record could be performed. ICD-10-CM was adopted by the U.S. for data analytics, which cannot be accurate if unspecified codes are reported when the documentation verifies greater specificity. Join us for a look at the many guideline changes to ICD-10-CM, a review of the newest code changes and suggestions on documentation improvement to elevate coding protocols.

Oct 4th, 2021

Watch out for New ICD-10-CM Codes

by Wyn Staheli, Director of Content - innoviHealth

New ICD Codes for: Low Back Pain, Cervicogenic Headache, Non-Radiographic Axial Spondyloarthritis (nr-axSpA), and Social Determinations of Health (SDOH). These codes became effective on October 1, 2021.

Jul 19th, 2021

Chronic Pain Coding Today & in the Future

by Wyn Staheli, Director of Content - innoviHealth

Properly documenting and coding chronic pain can be challenging. As is commonly the case with many conditions, over the years, there has been a shift in the identification of different types of pain, including chronic pain. Understanding where we are now and where we are going will help your organization prepare for the future by changing documentation patterns now.

Apr 20th, 2021

ICD-11 — What’s Happening?

by Wyn Staheli, Director of Content - innoviHealth

ICD-11 is officially released, but what does that mean for diagnosis coding in the United States? What's really different? This article discusses what has been happening with ICD-11, some interesting things to note about it, as well as links to other important information.

Jun 10th, 2020

MEGA - NCCI Edit Changes - WHO Knew?

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

There was no huge announcement when CMS released new files in April. The files that were released on April 7, 2020, actually replaced files to update the NCCI edits on Procedure to Procedure (PTP) edits and Medically Unlikely Edits (MUE). The updated files included; 291,902 Deleted Procedure to Procedure (PTP) edits 197 Deleted Medically Unlikely ...

Mar 24th, 2020

"What is the ICD-10 code for...?" - Search Smarter With Find-A-Code Tools

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Do you still find yourself searching the internet for an ICD10 code? Medical coders often type into their search engine, what is the ICD10 code for ... and a specific diagnosis code, to avoid repeatedly dragging out the incredibly large ICD10 codebook. Ironically, some of the most commonly searched ICD10 diagnoses include: ...

Feb 19th, 2020

Q/A: Did Noridian Stop Covering the M99.0- Codes?

by Wyn Staheli, Director of Content - innoviHealth

Question: I heard that Medicare Noridian Jurisdiction F (Alaska) has been denying claims with M99.00, M99.01, M99.02, M99.03 etc codes when billed with the CMT CPT codes. Did Medicare change their policy?

Oct 7th, 2019

Hypertension & ICD-10

by Raquel Shumway

Hypertensive Diseases and ICD-10. Helps and examples for these codes.

Apr 23rd, 2019

What is Medical Necessity and How Does Documentation Support It?

by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

We recently fielded the question, “What is medical necessity and how do I know if it's been met?" The AMA defines medical necessity as: It is important to understand that while the AMA provides general guidance on what they consider medically necessary services, these particular coding guidelines are generic and may be ...

Mar 27th, 2019

Pain Codes in ICD-10-CM

by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

When coding with ICD-10-CM, pain codes can be found in different sections: The Body System affected or site-specific pain codes, such as Low Back Pain M54.5, can be found in Chapter 13. Diseases of the Musculoskeletal system (M00-M99). Other examples might be ocular pain H57.1, found in Chapter 7. Diseases of ...

Oct 19th, 2018

Coding Clinic Officially Defines Spondylolisthesis and Disc Disorder

by Wyn Staheli, Director of Content - innoviHealth

The Coding Clinic for ICD-10-CM and ICD-10-PCS is a quarterly newsletter published by the American Hospital Association's Central Office (AHA). The information they publish is a joint effort of several organizations including the Centers for Disease Control and Prevention (CDC), the National Center for Health Statistics (NCHS), the Centers for Medicare and ...

Sep 24th, 2018

2019 Code Changes are Just Around the Corner - Are You Ready?

by Wyn Staheli, Director of Content - innoviHealth

The leaves are beginning to change and it’s time once again for the annual code changes for 2019. ICD-10-CM codes are out and will be effective October 1, 2018. CPT code changes also just came out and will be effective January 1, 2019. The ChiroCode DeskBook and ICD-10-CM Coding for Chiropractic books have been ...

Feb 1st, 2018

Traumatic Subluxation Coding Controversy

by Wyn Staheli, Director of Content - innoviHealth

There has been some controversy over the use of the ICD-10-CM subluxation codes commonly referred to as traumatic (S13.1-, S23.1-, and S33.1-). Are they appropriate for chiropractors to use? The answer to that question is complicated. The problem basically lies in the lack of official guidance and differing opinions on ...

Nov 30th, 2017

Coding Carpal Tunnel Syndrome

by Wyn Staheli, Director of Content - innoviHealth

Q: In order to code carpal tunnel syndrome G56.01 or G56.02, does there need to be documentation that nerve conduction (EMG testing) has been performed to confirm the diagnosis?

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