Advanced Search

Home Health & Hospice Week

Diagnosis Coding:

NOTE THE CORRECTIONS TO CMS' THERAPY EXCEPTIONS LIST

Published on Thu Jan 11, 2007

Many of last year's diagnosis codes were missing fifth digits.

A beneficiary's diagnosis determines her therapy cap exceptions under Part B, but the Centers for Medicare & Medicaid Services' original ICD-9 list was flawed. Note the changes between the old list and the updated, corrected list outlined in Transmittal 1106, issued Nov. 9, 2006.

Note: Table provided by Joanne Byron, president of Health Care Consulting Services in Hickory, NC, based on CMS Transmittal 1106. For codes added to the exceptions list in Transmittal 1145, see a future issue of Eli's Home Care Week.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All