This handbook is a quick reference guide for coders in emergency department (ED) settings. It guides coders through assigning visit levels and documentation requirements for a variety of common ED services. The handbook also includes anatomical illustrations for fractures.
Health information management, Hospital outpatient, Physician practice
Read the operative report submitted by Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA-approved ICD-10-CM/PCS trainer, and consider the CPT and ICD-10-CM codes you would assign.
Health information management, Hospital inpatient, Hospital outpatient
This report from HIM Briefings (formerly Medical Records Briefing) looks at trends that may emerge in 2016 and what your organization may want to focus on.
This hierarchy also supersedes parenthetical instructions for add-on codes that in some cases may suggest an add-on of a higher hierarchical position to be reported in conjunction with a base code of a lower position, according to the CPT Manual.
Modifier -GA is used to indicate that a waiver of liability statement that is required by the payer is on file. Modifier -GX is used to describe a voluntary waiver of liability. Use -GY to describe an item or service that is statutorily excluded or that does not meet the definition of any Medicare benefit. Use -GZ to describe an item or service expected to be denied as not reasonable and necessary.
Gloria Miller, CPC, CPMA, vice president of reimbursement services at Comprehensive Healthcare Solutions, Inc., based in Tacoma, Wash., answered these questions about hospital outpatient wound care coding.