Reduced and discontinued service modifiers indicate to the payer when service is either less than the HCPCS code indicates (reduced) or the procedure was stopped before completion (discontinued).
Adriane Martin, DO, FACOS, CCDS, writes that treatment of peripheral arterial disease (PAD) is variable and includes both medical and surgical therapy. Given the frequency of this condition, it is imperative that inpatient coding professionals have a clear understanding of the surgical treatment of PAD to avoid costly ICD-10-PCS errors. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Healthcare organizations and providers are experiencing a shift in outpatient reimbursement: from fee-for-service to Alternative Payment Models and value-based reimbursement based on quality outcomes.
Hospital/physician practice integration has contributed to an increase in chemotherapy drug treatment and injection administration spending under Medicare, according to a study recently published in Health Economics.
Providers will find significant leeway in how they can report advance care planning (ACP) services for physicians given CMS’ open-ended coding requirements. Review potentially confusing CPT time rules and other obstacles that may be holding back providers from engaging in ACP services.
Q: The American Medical Association added three new CPT codes for skin biopsies, effective January 1. What are the new biopsy codes and CPT guidelines for reporting them?
The endocrine system is an intricate collection of hormone-producing glands that help to control mood, metabolism, tissue function, and sexual development. This article breaks down endocrine anatomy and ICD-10-CM guidelines for reporting diabetes mellitus and Cushing’s disease. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
The most commonly reported CPT codes are getting a much-needed makeover. Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS , writes about E/M code changes implemented this year and changes for implementation over the next two years.
The beginning of the year is a time to go back to basics—or even, in some cases, to start over. Revisiting information on how to conduct a medical record review may, at first glance, feel like a basic or beginner topic. But medical record review is an important subject for all CDI professionals, and even coders, to consider.
Q: Which ICD-10-PCS code should be reported for an incision and drainage of a perianal abscess of the left buttocks? We are confused about which body part value should be captured since the physician documented both “perianal” and “left buttocks.”
