Q: I notice the parenthetical remarks underneath the new 2017 CPT spinal epidural injection codes (62321, 62323, and 62327) indicate that fluoroscopy, CT, and ultrasound codes are not to be reported with the code. However, the code descriptors only include fluoroscopy and CT, without any mention of ultrasound (76942). Is ultrasound included in the description for 62321?
Complex chronic care management services can be challenging to accurately tabulate and report. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, CDIP, writes about how billers and coders can work with providers to report them accurately.
Pneumonia discharges impact hospital payments under the Hospital Value-Based Purchasing Program, as well as the Hospital Readmission Reduction Program.
by Stacie L. Buck, RHIA, CCS-P, CIRCC, RCC One area of CPT coding that saw big changes for 2017 is for dialysis circuit coding. The existing codes have all been deleted, and new codes have been...
Managers should not assume that they can review every guideline, every item in Coding Clinic , or every coding-related issue targeted by the Office of Inspector General (OIG) or Recovery Audit Contractor (RAC).
Trey La Charité, MD, FACP, CCDS , notes that getting a handle on a facilities’ case-mix index (CMI) fluctuations can be difficult, and shares insights to how CDI teams can handle these CMI difficulties.
Q: If a complication is clearly documented as unavoidable or due to a complex situation, should it be coded even if an intervention was done to correct it?
CMS recently made an administrative settlement process available for inpatient status claims. This process is open to eligible hospitals willing to withdraw pending appeals in exchange for a timely partial payment, or 66% of the net allowable amount, CMS said in the statement.
