Archive for 'ICD-10'

Your 640.0x Codes Condense Into a Single Option in 2014

Posted on 23. Jan, 2013 by .

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Avoid reporting this ICD-10 code with O00-O08.

 A threatened abortion is a condition suggesting the patient may miscarry before her 20th week of pregnancy. This may be characterized by bleeding, cramping or pain, and/or cervical dilation. This condition should not be confused with spotting in pregnancy (ICD-9-CM code 649.5x), which is not classified as a threatened abortion.

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V84 to Z15: Don’t Expect Big Changes for Genetic Test Results

Posted on 10. Jan, 2013 by .

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Follow one-to-one crosswalk.

Despite a major CPT® revamping of genetic test codes (see “81200-81479: Get Ready for Molecular Pathology Overhaul” in this issue), you won’t see a similar change for reporting those test results when you change to ICD-10 on Oct. 1, 2014.

In fact, you can expect a direct crosswalk of a few ICD-9 codes to ICD-10 for reporting a limited number of molecular pathology test results.

 Don’t Identify Gene

ICD-9 provides the following limited codes to report some genetic test results:

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S21.1_ Adds Detail Beyond 876.0 for Back Wounds

Posted on 24. Dec, 2012 by .

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Laceration, puncture, and more expand codes.

Coding wound closure requires identifying wound characteristics, and that will become a lot more specific when you change from ICD-9 to ICD-10.

Remember: CMS has finalized the ICD-10 implementation date for Oct. 1, 2014, delaying the action one year from the original deadline.

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Prepare For 4 New Otalgia Options in 2014

Posted on 11. Dec, 2012 by .

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The fifth digit makes all the difference.

 Simply put, otalgia refers to an earache. In infants, this is often indicated by children tugging on their ears, and older patients present complaining of ear pain to the physician. ENTs often report otalgia diagnoses when patients complain of ear pain but no more definitive diagnosis is found.

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Expert Breaks Down Your ICD-10 Transition Plan into 5 Phases

Posted on 29. Nov, 2012 by .

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Don’t forget to include productivity loss in your budget.

You need to make a plan for an ICD-10 transition – but do you know how to create one? Before you start panicking, check out this expert advice.

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Fill in 2 Blanks to Report This Carotid Bypass Procedure Code

Posted on 12. Nov, 2012 by .

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Without key information, you will have too many potential codes.

Drastic changes are coming for inpatient coders, and the way providers currently document procedures will become incomplete in 2014. Check out this carotid bypass scenario and find out what you need to know for accurate ICD-10-PCS claims.

Scenario: The physician’s operative notes indicate right common carotid to internal carotid bypass. This was to treat a critical right internal carotid artery stenosis. Currently, you can code this procedure with 39.29 (Other [peripheral] vascular shunt or bypass).

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Bleed Location Directs Your Hemorrhage Coding In ICD-10

Posted on 23. Oct, 2012 by .

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Prepare now for 50+ new codes associated with 998.11.

When your anesthesiologist participates in a surgical case because the patient had bleeding (hemorrhage) problems, you typically include 998.11 (Hemorrhage complicating a procedure) as one of your diagnosis codes. That will change once ICD-10 goes into effect, so start thinking now about ways to review the anesthesiologist’s documentation — and possibly the surgeon’s — for important details about the hemorrhage location and timing.

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Add ‘Excess Calories’ to Obesity Documentation

Posted on 11. Oct, 2012 by .

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Don’t confuse ‘other’ with ‘unspecified.’

Although coding morbid obesity won’t tell the whole “medical necessity” story for lap-band procedures, you’ll need to know how to report the condition once ICD-10 is implemented.

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Switch to K66.0 for Peritoneal Adhesion Diagnoses in 2014

Posted on 26. Sep, 2012 by .

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You’ll only need to note small exclusion note changes.

While ICD-10 will bring a lot of changes, one thing you won’t have to worry about is making your urologist change his documentation for peritoneal adhesions. Under the new codeset, the new code for the condition has a one-to-one correspondence with the old ICD-9 code.

Don’t forget: CMS has announced a proposed implementation date change from Oct. 1, 2013 to Oct. 1, 2014 for the new diagnosis code set.

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CMS Confirms Oct. 1, 2014 As New ICD-10 Implementation Date

Posted on 14. Sep, 2012 by .

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It’s been nearly eight months since HHS Secretary Kathleen Sebelius announced on Feb. 16 that the government would be delaying the deadline for ICD-10 diagnosis coding, but failed to designate a new implementation date. But now you can mark your calendar in pen, since CMS confirmed on Aug. 24 that ICD-10 will take effect on Oct. 1, 2014.

 That’s one year later than the October 2013 date by which ob-gyn practices previously had been preparing to implement their new diagnosis coding systems.   (more…)

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