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For ICD-10-CM, ICD10-PCS, CPT, and HCPCS Code Sets
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October 1st, 2020
New Codes for Cytokine Release Syndrome (CRS)
Published October 1st, 2020 - Last Review/Update October 6th, 2020|
New codes for Cytokine Release Syndrome (CRS) are effective October 1, 2020 based on the grade/severity of the symptoms. This article covers the new grading scales.
June 10th, 2020
MEGA - NCCI Edit Changes - WHO Knew?
Published June 10th, 2020|
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 ...
March 24th, 2020
"What is the ICD-10 code for...?" - Search Smarter With Find-A-Code Tools
Published March 24th, 2020|
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: ...
February 19th, 2020
Q/A: Did Noridian Stop Covering the M99.0- Codes?
Published February 19th, 2020|
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?
October 7th, 2019
Hypertension & ICD-10
Published October 7th, 2019|
Hypertensive Diseases and ICD-10. Helps and examples for these codes.
October 1st, 2019
The New ICD-10-CM Code Updates Are Here — Are You Ready?
Published October 1st, 2019|
Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) A small revision in the description changed[STEC] to (STEC) for B96.21, B96.22, B96.23. Remember, in the instructional guidelines, ( ) parentheses enclose supplementary words not included in the description (or not) and [ ] brackets enclose synonyms, alternative wording, or explanatory phrases. Chapter 2: ...
September 30th, 2019
Vaccine Administration - When The Right Vaccine Code is Not Enough
Published September 30th, 2019|
Understanding how to apply immunization administration codes properly will support correct reimbursement for vaccinations. Reporting the right vaccine code alone is not enough to guarantee proper billing. The majority of the time, providers can charge for the vaccine/product as well as the administration of the vaccine; always consult your payer ...
September 9th, 2019
Chiropractic 2020 Codes Changes Are Here
Published September 9th, 2019|
There are some interesting coding changes which chiropractic offices will want to know about. Are codes that you are billing changing?
August 13th, 2019
Healthcare Common Procedure Coding System (HCPCS)
Published August 13th, 2019|
There are three main code sets and Healthcare Common Procedure Coding System (HCPCS), is the third most common code set used. They are often called Level II codes and are used to report non-physician products supplies and procedures not found in CPT, such as ambulance services, DME, drugs, orthotics, supplies, ...
July 9th, 2019
The Importance of Medical Necessity
Published July 9th, 2019|
ICD-10-CM codes represent the first line of defense when it comes to medical necessity. Correctly chosen diagnosis codes support the reason for the visit as well as the level of the E/M services provided. The issue of medical necessity is one of definitions and communication. What is obvious to the ...
April 23rd, 2019
What is Medical Necessity and How Does Documentation Support It?
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 ...
March 27th, 2019
Pain Codes in ICD-10-CM
Published March 27th, 2019|
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 ...
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January 23rd, 2020
What Are ICD-10 Codes and What Has Changed Since Implementation?
Some of the most often searched questions on the internet include, what are ICD 10 codes, how many ICD 10 codes are there, what does ICD 10 CM stand for, when did ICD 10 start, and everyone’s favorite coding question, “what is the ICD 10 code for… (fill in the blank). It’s been a few years since ICD-10-CM was released and implemented and a lot has changed. In this webinar we will discuss
August 29th, 2019
ICD-10-CM Changes Effective October 1, 2019
Are you aware of the ICD-10-CM code changes set take effect as of October 1, 2020? Do any of them apply to your organization? Which of them will be assigned as an HCC? What are the documentation and coding guidelines applicable to them and which guidelines are changing or being ...
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