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Diagnosis coding is used to translate written descriptions of diseases the official Health Information Portability and Accountability Act (HIPAA) approved a code set for diagnostic reporting. International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is the United States’ adaption of the World Health Organization’s (WHO) ICD-10-CM codes. This “clinical modification” makes the codes (which are required for use on healthcare claims in the U.S.) useful for classifying morbidity data. ICD-10-CM has a set of rules/ guidelines developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The guidelines are organized into sections.
Understanding diagnostic coding is vital in avoiding errors, denials, rejections, audits, etc. All providers and coding staff should understand coding structure, terminology, and documentation requirements. Documentation is what determines codes, Incomplete or Incorrect Documentation will result in coding errors. ICD-10-PCS was adopted under HIPAA for hospital inpatient healthcare settings, and not used in outpatient settings. I. Code SetsICD-10-CM CodesFind-A-Code's ICD-10-CM Code List II. Find-A-Code's Tools & ResourcesICD-10-CM ValidatorFind-A-Code's ICD-10-CM Validator Tool Click-A-DexFind-A-Code's Index Search Tool AHA Coding ClinicFind-A-Code's AHA Coding Clinic Lookup Tool III. Additional Links and ResourcesGuidelinesGuidelines for Coding and Reporting ICD-10-CM Quick Reference GuideICD-10-CM Quick Reference Guide ICD-10-CM Medicare Fact SheetsICD-10-CM Fact Sheet PDFs from Medicare Diagnostic Coding ArticlesClick the article title to view a summary and link to the full article. What is Medical Necessity and How Does Documentation Support It?April 23rd, 2019 | Published April 23rd, 2019 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 ... Diagnosis Coding for CardiologyNovember 8th, 2018 | Published November 8th, 2018 Diseases of the Circulatory system are found in Chapter 9 and reported with I00 through I99 according to the following sections:
Acute rheumatic fever (I00-I02)Chronic rheumatic heart diseases (I05-I09)Hypertensive diseases (I10-I16)Ischemic heart diseases (I20-I25)Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)Other forms of heart disease (I30-I52)Cerebrovascular diseases (I60-I69)Diseases of arteries, ... Coding Clinic Officially Defines Spondylolisthesis and Disc DisorderOctober 19th, 2018 | Published October 19th, 2018 - Last Review/Update December 19th, 2018 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 ... 2019 Code Changes are Just Around the Corner - Are You Ready?September 24th, 2018 | Published September 24th, 2018 - Last Review/Update January 28th, 2019 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 ... Coding for Strains in ICD 10May 30th, 2018 | Published May 30th, 2018 - Last Review/Update June 4th, 2018 According to the National Institutes of Health, a review was carried out on 20 patients who had a pectoralis major muscle repair between 2003 and 2011, and the results were as follows.... Traumatic Subluxation Coding ControversyFebruary 1st, 2018 | Published February 1st, 2018 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 ... NEW on Find-A-Code...National Coverage Determinations (NCDs)January 23rd, 2018 | Published January 23rd, 2018 - Last Review/Update January 25th, 2018
Medicare limits its coverage of services to those considered to be reasonable and necessary for the diagnosis and treatment of an injury or illness based on coverage guidelines. National Coverage Determinations (NCDs) are created based on research, evidence-based processes, public participation, and other resources, and made available to the public. ... Billing Electrotherapy with AcuKneeJanuary 9th, 2018 | Published January 9th, 2018 This code is commonly used to bill for AcuKnee products. Per AcuKnee, “NMES and electrotherapy may be covered by most insurance providers, provided the following criteria are met;”
Documentation of chronic pain or muscle atrophy 3 months or longer
Must document improvement
Must have physician document medical necessity/Prescription
Appropriate authorization from your insurance provider
Suggested codes when billing
64550 initial electrotherapy education and placement
E0720 Electrotherapy unit itself
E0731 Garment ... Diagnosis Coding with Diagnostic TestingJanuary 4th, 2018 | Published January 4th, 2018 Adequate documentation is an essential part of selecting a correct code in any setting. When providers order a test, the information that they document regarding the test results determines the primary and secondary diagnosis codes a coder assigns.
If a physician confirms a diagnosis based on the results of a diagnostic ... There are more articles. View all articles... View articles for the current subject by subtopic: Diagnostic Coding TipsAccess to this feature is available in the following products:
Click here to Sign In to your account. Diagnostic Coding WebinarsClick the webinar title to view a summary and link to the webinar video. Anatomy and Diagnosis of the HeartJanuary 15th, 2019 Join Brandon Leavitt in this webinar all about the heart. He'll review the anatomy of the heart (including functionality) and the guidelines specific to ICD-10-CM code selection for specific diseases, injuries, or other conditions. Anatomy and Diagnostic Coding for Wound CareJanuary 14th, 2019 In this webinar, Brandon Leavitt will review the anatomy of wounds from injury, disease, and other conditions and the proper ICD-10-CM coding for them. A review of pressure and non-pressure, and venous stasis ulcers, burns, corrosions, neoplasms, and other diseases affecting the integument will be presented. Radiology Coding Auditing Dexa Scans for Osteoporosis & Mammograms for the BreastJanuary 14th, 2019 Learn important coding tips when billing Dexa scans (for osteoporosis) and mammograms (for breast diseases). Coders and clinicians specializing in Radiology, Family Practice, Orthopedics, and OB-GYN will all find useful information for their practice. This is a follow-up from the webinar "Diagnosis of osteoporosis and diseases of the breast". Diagnosis of Osteoporosis and Diseases of the BreastJanuary 14th, 2019 Osteoporosis diagnosis and breast diseases will be covered in this webinar, benefiting coders and clinicians specializing in Radiology, Family Practice, Orthopedics, and OB-GYN. This will prepare participators for the following Find-A-Code webinar on radiology coding, which will explain coding/billing for Dexa scans to detect osteoporosis, and mammogram screening for breast evaluation. ICD-10-CM Updates for the Auditor, a NAMAS webinarJanuary 17th, 2019 ICD-10-CM Updates for the Auditor, a NAMAS webinar ICD-10-CM Training - Session 08January 21st, 2019 ICD-10-CM Training - Session 08 ICD-10-CM Training - Session 07January 21st, 2019 ICD-10-CM Training - Session 07 ICD-10-CM Training - Session 06January 21st, 2019 ICD-10-CM Training - Session 06 ICD-10-CM Training - Session 05January 21st, 2019 ICD-10-CM Training - Session 05 ICD-10-CM Training - Session 36January 22nd, 2019 ICD-10-CM Training - Session 36 ICD-10-CM Training - Session 35January 22nd, 2019 ICD-10-CM Training - Session 35 ICD-10-CM Training - Session 34January 22nd, 2019 ICD-10-CM Training - Session 34 ICD-10-CM Training - Session 33January 22nd, 2019 ICD-10-CM Training - Session 33 ICD-10-CM Training - Session 04January 21st, 2019 ICD-10-CM Training - Session 04 ICD-10-CM Training - Session 32January 22nd, 2019 ICD-10-CM Training - Session 32 ICD-10-CM Training - Session 31January 22nd, 2019 ICD-10-CM Training - Session 31 ICD-10-CM Training - Session 03January 21st, 2019 ICD-10-CM Training - Session 03 ICD-10-CM Training - Session 02January 21st, 2019 ICD-10-CM Training - Session 02 ICD-10-CM Training - Session 30January 22nd, 2019 ICD-10-CM Training - Session 30 ICD-10-CM Training - Session 29January 22nd, 2019 ICD-10-CM Training - Session 29 ICD-10-CM Training - Session 28January 22nd, 2019 ICD-10-CM Training - Session 28 ICD-10-CM Training - Session 27January 22nd, 2019 ICD-10-CM Training - Session 27 ICD-10-CM Training - Session 01January 21st, 2019 ICD-10-CM Training - Session 01 ICD-10-CM Training - Session 26January 21st, 2019 ICD-10-CM Training - Session 26 ICD-10-CM Training - Session 25January 21st, 2019 ICD-10-CM Training - Session 25 ICD-10-CM Training - Session 24January 21st, 2019 ICD-10-CM Training - Session 24 ICD-10-CM Training - Session 23January 21st, 2019 ICD-10-CM Training - Session 23 ICD-10-CM Training - Session 22January 21st, 2019 ICD-10-CM Training - Session 22 ICD-10-CM Training - Session 21January 21st, 2019 ICD-10-CM Training - Session 21 ICD-10-CM Training - Session 20January 21st, 2019 ICD-10-CM Training - Session 20 ICD-10-CM Training - Session 19January 21st, 2019 ICD-10-CM Training - Session 19 ICD-10-CM Training - Session 18January 21st, 2019 ICD-10-CM Training - Session 18 ICD-10-CM Training - Session 17January 21st, 2019 ICD-10-CM Training - Session 17 ICD-10-CM Training - Session 16January 21st, 2019 ICD-10-CM Training - Session 16 ICD-10-CM Training - Session 15January 21st, 2019 ICD-10-CM Training - Session 15 ICD-10-CM Training - Session 14January 21st, 2019 ICD-10-CM Training - Session 14 ICD-10-CM Training - Session 13January 21st, 2019 ICD-10-CM Training - Session 13 ICD-10-CM Training - Session 12January 21st, 2019 ICD-10-CM Training - Session 12 ICD-10-CM Training - Session 11January 21st, 2019 ICD-10-CM Training - Session 11 ICD-10-CM Training - Session 10January 21st, 2019 ICD-10-CM Training - Session 10 ICD-10-CM Training - Session 09January 21st, 2019 ICD-10-CM Training - Session 09 There are more webinars. View all webinars... View webinars for the current subject by subtopic: Diagnostic Coding Resources/Links
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