Cardiology Coding Alert
Pay Close Attention to ICD-10-CM Coding Notes
Question: My cardiologist documented the patient as having hypertensive heart disease with acute systolic congestive heart failure. I’m new to cardiology coding, and I’m not sure which codes I should report on my claim and in which order I should report them. Can you please help me? Texas Subscriber Answer: On your claim, you should first report code I11.0 (Hypertensive heart disease with heart failure) followed by code I50.21 (Acute systolic (congestive) heart failure). If you look under code I11.0 in the ICD-10-CM manual, you will find a coding note that tells you to “use an additional code to identify type of heart failure (I50.-).” In this case the patient has acute systolic congestive heart failure, so I50.21 identifies that condition. You should report I11.0 first because that’s what ICD-10-CM instructs you to do. Don’t miss: The ICD-10 CM Official Guidelines state the causal relationship between hypertension and heart involvement is assumed because the conditions are linked by the term “with” in the Alphabetic Index. So, even if the provider does not state the cause and effect relationship in his documentation you should assign the combination code. The same assumed causal relationship applies when the documentation states the patient has hypertension and kidney disease.
Cardiology Coding Alert
- CPT®:
Know Whether Cardiologist Performed Complete Cardiac Stress Test or Just Component to Safeguard Your Claims
Hint: Never report 93350 together with 93015. When your cardiologist performs a cardiac stress test [...] - ICD-10-CM:
5 Tips Perfect Your Cerebrovascular Accident and Disease Skills
To report cognitive deficits following cerebrovascular disease, look to category I69-. If your cardiologist ever [...] - MPFS:
CMS Proposes Post-COVID-19 Telehealth Expansion, Extends Direct Supervision Updates
Don’t miss: Conversion factor could be cut by 10.61 percent. The Centers for Medicare & [...] - You Be the Coder:
Meet Specific Requirements of Rhythm EKG Code 93040
Question: My cardiologist performed both the professional and technical components of a patient’s one-lead rhythm [...] - Reader Questions:
Watch Out for Vishing Scams
Question: Our external information technology (IT) person sent an email to our practice warning all [...] - Reader Questions:
Understand Meaning of “Unprocessable” Claim
Question: We received an “unprocessable” claim from our MAC. Can we appeal this? Maine Subscriber [...] - Reader Questions:
Pay Close Attention to ICD-10-CM Coding Notes
Question: My cardiologist documented the patient as having hypertensive heart disease with acute systolic congestive [...] - Reader Questions:
Sequence Dx Codes With Care
Question: The patient has atherosclerotic heart disease of the native coronary artery without angina pectoris. [...]
