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ICD-10 Coding Alert
ICD-10 Coding Alert
ICD-10 Coding Alert - 2015; Volume 5, Number 12
Breaking News:
So Now You're Using ICD-10 -- Time to Look Forward to 2016 ICD-10 Ob-Gyn Changes
Avoid Z3A codes when patient has postpartum complication. You’ve studied and now...
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Guidelines:
Watch Your Step When Assigning Diagnosis Codes for Falls
Read the rules about including Z codes describing a risk or history of falling. ICD-10...
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News You Can Use:
This Payer Identifies Issue with ICD-10 Code Z86.010
Here’s why you don’t need to take any action. Just one month after the ICD...
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Training:
Follow These Five Steps To Make Your Way To Correct Neoplasm Coding
The pathology report will guide you to the right code in the neoplasm table.. Coding n...
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Learn More with These Neoplasm Coding Examples
Here are some examples that will help you gain a better understanding of neoplasm coding...
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Otolaryngology:
Keep Your Epistaxis Coding Simple With a Single ICD-10 Choice
Remember you still have multiple procedure codes associated with diagnosis. Epistaxis ...
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Orthopedics:
Here's How to Capture Carpal Tunnel Coding With Your New Diagnosis System
Don’t miss this Excludes1 note under the G56 category. When your orthopedist t...
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Anesthesia:
Choose Between 2 Codes for Hysterectomy Diagnosis
Relax: The descriptors are already familiar. With approximately 20 CPT® codes addr...
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Reader Question:
Establish Medical Necessity for Screening Breast MRI
Question: How can we report a screening MRI? Our physician wants to schedule a brea...
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Reader Question:
Look for Related Conditions in Influenza Diagnosis
Question: How can we report the diagnosis of swine flu influenza in ICD-10-CM? Oh...
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ICD-10 Coding Alert - 2015; Volume 5, Number 11
Breaking News:
90 Percent of ICD-10 Claims Have Been Accepted So Far
Medicaid claims can take up to 30 days to be processed. ICD-10 has only been in effect...
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News You Can Use:
Practices Report Mostly Smooth Sailing Through ICD-10 Transition
Some potential issues, however, may remain to be seen. If you asked medical practices ...
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Training:
Begin a New Phase of ICD-10 Training After Implementation Date
Coders, clinicians must come together to solidify office’s ICD-10 coding. With a...
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Implementation Spotlight:
Ease into ICD-10 Implementation with These Expert Tips
Communication between coders and providers is vital for success. With all the drama su...
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Diagnosis Spotlight:
Ensure Flu Vaccine Coding Success with These Three Expert Tips
From immunizations to diagnoses, get the lowdown on flu patients. It’s tha...
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Cardiology:
Add Atherosclerosis With Rest Pain to the List of Dx Requiring You to Pick a Side
Include these artery/extremity/issue bullets. After all the waiting, worrying, and tra...
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Pediatrics:
Stick to 28-Day Threshold for 'Newborns' Under ICD-10
Look for feeding problem codes in the P92 range. Although the 779.xx series may have b...
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Reader Question:
Don't Use ICD-9 and ICD-10 on 1 Submitted Claim
Question: Our physician admitted a patient in September and didn’t d...
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Reader Question:
Highlight This Stent Removal Diagnosis
Question: What ICD-10 code should I report for the urologist’s work removing ...
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ICD-10 Coding Alert - 2015; Volume 5, Number 10
News You Can Use:
Did You Follow These ICD-10 Essential Tips Implementation Tips? Find Out
Embrace more combination codes and seventh digits. By now, you should have transitione...
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Home Health:
Watch for New Seventh Character Guidelines
Last minute update could mean denials. While much of the logic in the ICD-10 code set ...
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CMS:
Using Our Free Billing Software Doesn't Excuse You From ICD-10
Check the CMS website to ensure you qualify for a waiver. If your claim submission sof...
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Diagnosis Spotlight:
3 Pediatric ICD-10 Tips That You Probably Haven't Heard Before
With ICD-10 implementation just days away, nail down these strategies for clean claims. ...
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Otolaryngology:
Report a More Detailed Diagnosis for Acute Swimmer's Ear
Your providers will need to document laterality beginning in October. With warm weathe...
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Psychiatry:
Shift Focus to F48.2 For Reporting Pseudobulbar Affect in ICD-10
Hint: Don’t forget to report associated neurological or traumatic brain injury fir...
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Pathology/Lab:
Distinguish 3 Forms of Trisomy 21
Focus on cytogenetic test results. Just one code (758.0, Down’s syndrome) w...
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Reader Question:
Use "Other" ICD-10 Codes With Caution
Question: If I find that a common ICD-9 code that I use doesn’t have a direct...
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Reader Question:
Confirm Structure Affected In Neck Sprain
Question: Which are the best ICD-10 codes do you report for sprain in cervical regi...
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ICD-10 Coding Alert - 2015; Volume 5, Number 9
News You Can Use:
CMS Reps: All Systems Go for Next Month's ICD-10 Launch
You can continue to participate in acknowledgement testing until Oct. 1. You’ve ...
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Worker's Comp:
WEDI: 29 States Not Prepared to Convert Workers' Comp Claims to ICD-10
WC insurers aren’t required to switch to ICD-10, but 21 states are doing so. If ...
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Training:
These Q&As; Give You A Last Minute ICD-10-CM Crash Course
If you don’t know the diabetes type, you should default to this. If you missed ...
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3 True/False Questions Prove You Shouldn't Overlook ICD-10-PCS
You need to know the difference between Excision and Resection. Although you may be fo...
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Fractures:
2 Scenarios Untangle Your Pathologic/Traumatic Fracture Code Diagnoses
Discover this new tool to help you ‘build’ a traumatic fracture code. If y...
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Here Are Your Seventh Character Possibilities for Fracture Codes
Your physicians need to document according to the Gustillo classification. You should ...
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Cardiology:
3 Characters in ICD-10 Take the Place of Syncope Code 780.2
Check out the Excludes1 note to keep your coding on track. Learning ICD-10’s rep...
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Reader Question:
Don't Miss Instructional ICD-10 Notes
Question: My doctor saw a male Medicare patient with a 3-day history of cough, whee...
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Reader Question:
Here's What to Do For Rule Out Dx
Question: My ED physician saw a patient for anterior wall chest pain. After he chec...
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ICD-10 Coding Alert - 2015; Volume 5, Number 8
News You Can Use:
CMS: For First Year, We Won't Deny Claims With Wrong ICD-10 Codes
As long as you use an ICD-10 code from the right “family,” the MAC will pay ...
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Training:
5 FAQs Quell Confusion on CMS's Latest ICD-10 Announcement
The one- year grace period for ICD-10 claims applies to Medicare only. If CMS’s ...
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Coding Challenge:
Will You Be Able to Code These 3 Pediatric Case Studies in October?
Hint: Signs and symptoms codes may change, but the rules won’t. It’s a com...
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Neurosurgery:
Boost Your Coding For Benign Neoplasms of Central Nervous System
Beware: Not all ICD-9 codes have a one-to-one match. Reporting benign neoplasms of the...
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Ob-Gyn:
Prepare For Numerous More Preterm Labor O60 Options
Tip: Indicate the fetus with your seventh character. Preterm labor is the presence of ...
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Reader Questions:
Check Out This New ICD-10 Guideline
Question: We are working on our crosswalk. A scenario that has us stumped: Pa...
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Reader Questions:
Report Dermatofibrosarcoma protuberans with 239.2
Question: Our physician made a diagnosis of Dermatofibrosarcoma protuberans after a...
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Reader Questions:
Don't Rely on ICD-10 GEMS for V64.41 and 648.83
Question: I’m looking for the ICD-10 equivalents for V64.41 and 648.73, which...
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ICD-10 Coding Alert - 2015; Volume 5, Number 7
Training:
Uncertainty is Okay Under ICD-10
When you look forward to Oct. 1, you’ll be looking back at your existing signs/sym...
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Coding Quiz:
Answer These Top 3 Questions To Assess Your Understanding Of Aortic Dissection
Use the fifth digit to designate site. You can take it easy. ICD-10 offers simple and ...
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Home Health:
Get Your Dates Straight for ICD-10 and OASIS-C1/ICD-10
Know which forms and code set to use when for episodes spanning the transition date. O...
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Coding Quiz Answers:
Verify Your Answers To The ICD-10 Coding Quiz
Check this one-to-one match for aortic dissection. Answer 1: The correct answer is opt...
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Oral Surgery:
Switch to G50.0 For Trigeminal Neuralgia Reporting in ICD-10
Hint: Use different ICD-10 code for herpetic trigeminal neuralgia. When your clinician...
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Cardiology:
Train for Tripled Edema Options Under the New Code Set
Check the index to keep fluid retention coding on track. The next time you code edema,...
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Reader Questions:
Provide Documentation Supporting Medical Necessity of Callus Removal
Question: Our FP recently excised a callous on a patient’s foot with a scalpe...
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Reader Questions:
Turn to R03.0 for White Coat Hypertension
Question: Is “white coat hypertension” a covered diagnosis? If so, what...
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Reader Questions:
Report Infectious Pouchitis With Supporting Dx Codes
Question: What diagnosis code should I use for pouchitis? Does the ICD-9 code chang...
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ICD-10 Coding Alert - 2015; Volume 5, Number 6
Training:
Find Your Way Around the ICD-10 Manual With These Quick Tips
The book may be a little thicker than your ICD-9 book, but don’t let that discoura...
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Coding Quiz:
Test Your Understanding for Genitourinary Neoplasm Coding With These Top 10 Questions
Ascertain location of malignant neoplasm and laterality of the tumor. When reporting m...
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Documentation:
Pay Attention to Family Practice Documentation Changes
Look for a whole new code set for ‘underdosing’ in ICD-10. The proverbial ...
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Coding Quiz Answers:
Assess Your Understanding for Malignant Genitourinary Neoplasm Coding
Do not miss payment if your physician does not specify side of the tumor. In follow up...
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Gastroenterology:
Get Ready to Discover Other Symptoms Before Coding IBS in ICD-10
IBS code shares the ICD-10 code address with spastic colon. Presence of diarrhea sympt...
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Otolaryngology:
Prepare for Direct Switch for Laryngeal Spasm Coding Later This Year
You’ll have a single code, but don’t misreport with a less specific option. ...
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Reader Questions:
ICD-10-CM Has More Than One Options for Dry Mouth
Question: In a patient, who has been on chemotherapy, our physician has documented ...
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ICD-10 Coding Alert - 2015; Volume 5, Number 5
Training:
Take 6 Steps to Prepare for October ICD-10 Transition
Tip: Try ‘dual coding’ to exercise your ICD-10 abilities. With no further ...
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Coding Quiz:
Take This Quiz To Test Your Understanding Of Neck Pain Diagnosis
Watch out: Not all conditions have a one-to-one match. Try answering these top questio...
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Diagnosis Spotlight:
Verify Behavioral Problems When Reporting Vascular Dementia
You needn’t describe the associated behavioral problems as you did in ICD-9. ICD...
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Coding Quiz Answers:
Assess Your Understanding Of Neck Pain Diagnosis In ICD-10
ICD-10 offers more definitive codes for cervical spondylosis, stenosis, subluxation, and...
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Cardiology:
Look Beyond R00.0's Descriptor for Proper Tachycardia Coding
Count on the index to keep your coding for sinus tachycardia on the right path. Under ...
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Reader Questions:
Check Contrast and Sequence in MRA
Question: Our physician did an MRA of the brain in a patient with third nerve palsy. Dur...
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ICD-10 Coding Alert - 2015; Volume 5, Number 4
Breaking News:
No ICD-10 Delay - Get Ready for the Official October 1, 2015 Implementation Date
You have no more excuses to put off ICD-10 training. If you were hoping for an ICD-...
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Training:
Keep ICD-10 Transition On Track As Deadline Nears
Start training now for maximum return. Don’t count on yet another ICD-10 delay a...
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Education:
Pick Up the Threads and Cast a Net on Your ICD-10 Worries
Boost your preparations with these 5 strategic tips. All set for ICD-10 on October 1? ...
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Anesthesia:
Manage Your Anesthesia Coding for Broken Bones With 2 Precise Steps
Take a look at the musculoskeletal system to handle documentation complexities. Fractu...
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Family Practice:
Use One-to-One Transition Code For Chronic Laryngitis in ICD-10
Hint: Don’t forget to report exposure to tobacco or infectious agents separately. ...
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General Surgery:
Expand Options for Newborn Respiratory Distress Syndrome
Fourth digit adds detail. No matter the details, you have just one code to describe ne...
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Reader Questions:
Target 3 ICD-10 Options for Borderline Ovarian Tumors
Question: The pathology report for our patient being investigated for ovarian cance...
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Reader Questions:
Submit Multiple Diagnosis Codes For Lumbar and Sacral Spine Subluxation
Question: A patient presents with a subluxation of the lumbar and sacral spine with dege...
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Reader Questions:
Cause of Vulvar Dysplasia Doesn't Influence Diagnosis Coding
Question: Our oncologist diagnosed a stage 0 vulvar neoplasm. The histopathology report ...
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ICD-10 Coding Alert - 2015; Volume 5, Number 3
News You Can Use:
Round Up All the Latest ICD-10 News With This Critical Update
ICD-10 still on track for October, despite Congressional hearing. If you’re read...
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Training:
Still Feeling ICD-10 Defiant? CMS Responds
If you’re feeling hesitant to adapt to ICD-10, it’s time to start planning. ...
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Diagnosis Spotlight:
Straightforward Crosswalk Helps Pinpoint Actinic Keratosis Diagnoses
Under ICD-10, L57.0 will be your go-to code. When your clinician diagnoses actinic ker...
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Test Yourself:
Can You Code This Pediatric Case Study?
Hint: No need to code symptoms that are inherent in the final diagnoses. With just six...
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Neurology & Pain Management:
Pick Apart the Long Descriptor to Successfully Report Whiplash
Remember to include the seventh character for even more specificity. Whiplash can be a...
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Ob-Gyn:
Discover How Your Normal Delivery Diagnosis Will Transform After Oct. 1
Find out what the only appropriate outcome code to use with O80 is. If all goes accord...
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Optometry:
Q10.- Has Your Congenital Eyelid Malformations Dx Answers
Get ready: Implementation date is still set for this October. Unlike many of the ICD-1...
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General Surgery:
Add Perforation and More to Your Diverticulosis Choices
Don’t forget bleeding indication. If your surgeon performed procedures today tha...
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Reader Questions:
Opt for L72.3 to Report Sebaceous Cyst
Question: What code can we submit for the diagnosis of a sebaceous cyst that is in ...
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Reader Questions:
Refer to State Reqs for Spontaneous Abortion Versus Early Delivery
Question: Patient is 22.6 weeks, seen by the maternal fetal medicine (MFM) speciali...
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Reader Questions:
Expand Keratoderma Choices in ICD-10
Question: Our surgeon excised a skin lesion which the pathology report diagnosed as...
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ICD-10 Coding Alert - 2015; Volume 5, Number 2
Training:
Check If You Are All Set To Implement ICD-10
Gear up for the fast approaching change with these 4 steps. The New Year will bring th...
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Diagnosis Spotlight:
Take on the Most Used "Pain in the Neck" Codes in ICD-10
Master cervical subluxation, sprain, strain and more. October 2015 will change the way...
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Mythbusters:
Get the Truth About these ICD-10 Myths
Don’t delay your ICD-10 preparations. The official transition date to the ICD-10...
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Coding Corner:
2 Clinical Rehab Examples to Get Your Feet Wet in ICD-10
Careful: Crosswalks can be your best friend — or worst nightmare. ICD-10 codes a...
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Cardiology:
Right, Left, Bilateral Options Expand Carotid Artery Stenosis Choices
433.10 leads to more choices. When your cardiologist performs angiography, catheteriza...
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Otolaryngology:
Enlargement of Lymph Nodes Will Have an Easy Code Switch for ICD-10
Remember to look for – and code – additional conditions. If you come acros...
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Reader Question:
Avoid Reporting Mental Problem Diagnoses
Question: What is the difference between 799.81 and 302.71? New York Subscriber ...
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Reader Question:
Turn To 64405 for GON Block
Question: Our physician did a left greater occipital nerve (GON) block. How can we ...
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Reader Question:
Always Target the Most Definitive Diagnosis Code
Question: Though there are many crosswalks between ICD-9 to ICD-10, there are yet m...
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ICD-10 Coding Alert - 2015; Volume 5, Number 1
News You Can Use:
Circle the ICD-10 Release Date on Your Calendar
Take advantage of the resources CMS has made available online to assist you. Move full...
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Coding Challenge:
Can You Code This ICD-10 Documentation?
Evaluate the note and then select the right codes. With less than a year before ICD-10...
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Training:
Get a Big-Picture Rundown of ICD-10 Prep
Important: Not all payers will be ready at the same time. What was once an Oct. 1, 201...
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Documentation:
Watch For One-to-One Crossover For Actinic Keratosis With L57.0
Hint: Use same diagnosis code for solar or senile keratosis. When your clinician diagn...
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Diagnosis Spotlight:
Brace For Simple One-to-One Transition For Cellulitis With K12.2
Hint: Look for other ICD-10 codes for abscess of the tongue. When your surgeon diagnos...
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Oncology:
Ease Your Malignant Esophageal Tumor Coding With These Revisions
Drop the jargon of cervical, thoracic, and abdominal parts of the esophagus. Mark an e...
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Urology:
Watch For Hematuria Mention to Select the Right Cystitis ICD-10 Code
Encourage detailed documentation for the most specific diagnosis code assignment. Cyst...
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General Surgery:
Zenker's Diverticulum Gets Direct Crosswalk
But congenital esophageal diverticulum is different. You have a new CPT® code for ...
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Reader Question:
Confirm Hematuria When You Report Interstitial Cystitis
Question: Our physician reported interstitial cystitis in a patient who had hematur...
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