In ICD-10-CM, you need to communicate with the medical staff about the specific elements that are important for pathologic fractures, because the coding is different than it used to be and it's so different from traumatic fractures.
The July quarterly I/OCE update from CMS brought few new APCs or edit updates, but did deliver new modifier -L1. Hospitals will use the new modifier to submit outpatient laboratory tests paid under the Clinical Laboratory Fee Schedule (CLFS) in certain circumstances to claim separate payment.
In this month’s issue, we explain a proposed change to CMS’ physician certification requirements for inpatient stays. We also discuss the changes to fracture coding coming in ICD-10-CM and review the different types of fractures. Robert S. Gold, MD, highlights pathologic fractures in his Clinically Speaking column.
Coders have only two options for reporting fractures of the patella in ICD-9-CM, closed (822.0) and open (822.1). In ICD-10-CM, that number will jump to more than 400. Many of these options are the result of separate codes to denote laterality (right or left) in ICD-10-CM. However, the code set also includes options for specific types of fractures, increasing the importance of clear and accurate provider documentation.
The July quarterly I/OCE update from CMS brought few new APCs or edit updates, but did deliver new modifier -L1. Hospitals will use the new modifier to submit outpatient laboratory tests paid under the Clinical Laboratory Fee Schedule (CLFS) in certain circumstances to claim separate payment.
We were expecting October 1, 2015, to be the new ICD-10 compliance date and CMS made it official with the release of a final rule, Administrative Simplification: Change to the Compliance Date for the...
Ah, the joys of camping. The fresh air, the beautiful scenery, the friendly forest creatures. Sounds like a great way to escape from the urban jungle and the daily grind. Nice in theory, not so nice...
Physician documentation drives quality measures, but physicians often don’t understand the link between the two. James Fee, MD, CCS, CCDS, Kristi Stanton, RHIT, CCS, CPC, CIRCC, and Jane Bonewell, RHIT, offer suggestions for ways to educate providers and improve documentation.
Q: We know that we can look at the radiology report to get some specifics about a fracture. When it comes to an open fracture in ICD-10-CM, can you determine the Gustilo-Anderson classification, whether it's I, II, IIIA, IIIB, or IIIC, based on a description of the wound? Or does the physician actually have to document, “It's a Gustilo type I" or "type III”?
Coders now incorporate consideration of medical necessity when coding for inpatient admissions. Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI , explains the importance of understanding the concept of medical necessity as it relates to coding.
Improper ICD-9-CM code assignment led to incorrect grouping of claims to MS-DRG 857 (postoperative or posttraumatic infections with operating room procedure with complications and comorbidities), according to Recovery Auditors. CMS released the findings in the July 2014 Medicare Quarterly Provider Compliance Newsletter .
Coders use different codes to report traumatic and pathologic fractures. Robert S. Gold, MD, and Kristi Stanton, RHIT, CCS, CPC, CIRCC, highlight the differences in coding for the two etiologies of fractures in both ICD-9-CM and ICD-10-CM.
Inpatient coders and clinical documentation improvement specialists are very familiar with CCs and MCCs. After all, they help determine the MS-DRG assignment for a particular inpatient stay. ICD-10-...
Put on your deerstalker hat and grab your magnifying glass. It’s time to do our best Sherlock Holmes impersonation. We just received a chart from Dr. Doolittle and we need to code the procedure...
The July quarterly I/OCE update from CMS brought few new APCs or edit updates, but did deliver a new modifier. Debbie Mackaman, RHIA, CHCO, Jugna Shah, MPH , and Denise Williams, RN, CPC-H , explain how to use the modifier, as well as the impact of APC changes.