Q: How will I report the initial insertion of a dual-chamber pacemaker device in ICD-10-PCS? The physician inserted two leads—one into the atrium and one into the ventricle–using a percutaneous approach into the patient’s chest.
Any ICD-10-CM/PCS to-do list wouldn’t be complete without the task of reviewing and revising query templates. Cheryl Robbins, RHIT, CCS, Gloryanne Bryant, RHIA, CCS, CDIP, CCDS, and Sandra L. Macica, MS, RHIA, CCS, provide tips for updating queries for ICD-10.
Coders may be surprised by the expansion and reorganization of codes for diabetes in ICD-10-CM. Pamela Rand, RD, LDN, Bonnie S. Cassidy, MPA, RHIA, FAHIMA, FHIMSS, and Laura Legg, RHIT, CCS, discuss the differences between coding diabetes in ICD-9-CM and ICD-10-CM.
Everyone is afraid of something. Some people are terrified of spiders. For others, the mere sight of a snake is enough to send them running in the other direction and screaming at the top of their...
More than 8% of the population in the United States (i.e., 25.8 million children and adults) has some form of diabetes, according to the American Diabetes Association. In 2007, diabetes was listed as the underlying cause on 71,382 death certificates. It was a contributing factor on an additional 160,022 death certificates.
In this month's issue, we look at ICD-10 readiness among various stakeholders, reviewing coding for radiation oncology, explain CMS’ new information about Part A to B rebilling, and answer your coding questions.
ICD-10 implementation challenges will vary from organization to organization, depending on size, setting, and patient mix. Factor in physician buy-in and budget woes, and implementation seems overwhelming.
Providers were glad to see CMS' ruling (CMS-1455-R) released March 13 (published in the Federal Register on March 18), which allows full Part B payment for inpatient stays that had been denied as not reasonable and necessary. The ruling had very few details on how the process would work, but on March 22, CMS published Transmittal R1203OTN instructing contractors and providers on the details.
Most hospitals have been overwhelmed by Recovery Auditor (RA) requests for documentation. So it's no surprise that the RAs themselves seem to be equally as burdened with the task of processing those records.
Radiation oncology uses high-energy radiation to shrink or kill tumors or cancer cells with minimal harmful effects to healthy surrounding cells. To correctly code for radiation oncology services, coders need to understand the various elements of the treatment.
Our experts answer questions about hydration, excludes notes in ICD-10-CM, L codes for neurostimulator devices, physician supervision for hyperbaric oxygen therapy, E/M service with wound care, and pass-though drugs.
Auto manufacturers rely on them to make decisions about improving passenger restraints in vehicles. Industrial engineers may reference them when advocating for improved design of staircases to prevent falls. Drug companies use them to bolster support for child-resistant packaging.
Auto manufacturers rely on them to make decisions about improving passenger restraints in vehicles. Industrial engineers may reference them when advocating for improved design of staircases to prevent falls. Drug companies use them to bolster support for child-resistant packaging.
Consider the following: A beneficiary is admitted to a hospital pursuant to a physician order and receives medically necessary care spanning at least two midnights. CMS will consider this appropriate for payment under Medicare Part A, according to the FY 2014 IPPS proposed rule released April 26. Actuaries estimate that this proposal for what constitutes appropriate inpatient care would increase IPPS expenditures by $220 million due to an expected net increase in inpatient encounters. CMS proposes a 2% reduction to offset projected spending increases.
Sometimes our patients are very sick, very injured, or undergo multiple procedures during their stay. So how do you pick your principal procedure code in ICD-10-PCS? The ICD-10-PCS guidelines offer...
Memorial Day kicked off the summer season and today we are seeing the first summer casualties here at the Fix ‘Em Up Clinic. Apparently not everyone’s holiday celebration went off without a hitch...
One of the advantages to coding in ICD-10-CM is how much information is packed into a single code. You’ll find combination codes throughout the ICD-10-CM Manual. In many cases, you are coding the...
Actress Angelina Jolie made headlines with her New York Times editorial explaining her decision to undergo a prophylactic double mastectomy to reduce her chances of breast cancer. She also plans to...
CMS and auditors are increasing scrutiny of CCs and MCCs. William E. Haik, MD, FCCP, CDIP, provides tips that coders can use to look for clinical evidence in the record before querying for these targeted conditions.
