In this month's issue, we explain how coders will report sepsis in ICD-10-CM, go beyond pressure ulcers for coding wound care, review the importance of PEPPER, and reveal how to uncover and correct documentation deficiencies before ICD-10 implementation. Dr. Robert Gold introduces you to SIRS and our coding experts answer your questions.
In this month's issue, we review ICD-10-CM guidelines, illustrate how neoplasm coding will and won't change in ICD-10-CM, identify elements for appropriate ED E/M level selection, and answer your coding questions.
Over and over, one gets frustrated that professional coders are told that they are smart and educated and know about anatomy, physiology, and pharmacology, and then the same people turn around and say, "You code what the doctor documented and it's not up to you to question the physician."
Our experts answer questions about followup visits in the ED, skin substitutes, flu vaccines, osteoporosis and fractures in ICD-10-CM, ICD-10-CM external cause code, modifier for discontinued cardioversion, and modifier -25
With some major changes in look and form-but generally adhering to existing guidelines-coding for neoplasms serves as a microcosm of the changes providers will face when the transition to ICD-10-CM occurs October 1, 2014.
ICD-10-CM implementation is less than a year away and coders should be starting their ICD-10-CM code training if they haven't already. Coders don't need to learn the specific codes right now, but they should be familiar with some of the conventions and guidelines in ICD-10-CM.
Poor Mr. Frank N. Stein, he’s literally falling to pieces. Not to worry, though, Dr. Shelly at the Stich ‘Em Up Hospital will have him back together in no time. Frank’s most obvious problem is that...
Our sister publication , Medical Records Briefing, is conducting a benchmarking survey on ICD-10 implementation, and we would appreciate your input. Please take a few moments to complete this survey...
Coder productivity was a hot topic of conversation during the AHIMA pre-conference in Atlanta October 26-27. We all know coders will be less productive initially after the transition to ICD-10. The...
Greetings from Atlanta! I spent the weekend collecting all kinds of tips and information about ICD-10 during the AHIMA Conference pre-conference sessions. These are just a few of the best tidbits...
Approach is the fifth character in the ICD-10-PCS code. Laura Legg, RHIT, CCS, AHIMA-approved ICD-10 CM/PCS trainer , reviews the seven approaches used in ICD-10-PCS.
Coders will use an ICD-10-PCS table to build a code for a hip or knee replacement. As with any procedure, coders must first determine the root operation. Deborah Grider, CPC, CPC-I, CPC-H, CPC-P, CPMA, CEMC, CPCD, COBGC, CCS-P, CDIP, and Wanda L. Cidor, guide you through coding for these procedures.
The ICD-10-PCS Official Guidelines for Coding and Reporting address four specific circumstances when coders will report multiple procedures. Jennifer Avery, CCS, CPC-H, CPC, CPC-I, and Mark N. Dominesey, MBA, RN, CCDS, CDIP, HIT Pro-CP, explain the guidelines and how they differ from the current ICD-9-CM guidelines.
Jacob comes into the Fix ‘Em Up Clinic with a hairy problem—namely too much hair. He’s covered in it, head to tail, I mean toe. He also reports a strange urge to howl at the moon and a severe allergy...
Sitting hunched in front of a computer can be a bad thing. Aside from missing all of the splendid fall foliage, you could also be straining your neck muscles and causing yourself plenty of pain. So...
Mr. Jack O. Lantern is here at Stich ‘Em Up Hospital to have his guts removed. Dr. Carver begins by removing a section of Jack’s skull, then begins to remove Jack’s guts. How would we code this...
Q: The patient has had a previous bilateral mastectomy and is now coming in for a revision of bilateral areola with a dermal fat graft to the left nipple and excision of excessive skin and subcutaneous tissue from both breasts. This would be CPT ® code 19380 (revision of reconstructed breast) with modifier -50 (bilateral procedure) and 19350-50 (nipple/areola reconstruction) for both procedures. I cannot locate information that tells me if the nipple revision on the reconstructed breast is part of the 19380 or can be separately coded with 19350.
Some of the most sweeping changes in OPPS history were proposed in the 2014 rule, including new packaging rules, quality measures, and changes to evaluation and management. Jugna Shah, MPH, and Dave Fee, MBA, look at some of the changes and how they could impact providers.
