VENTRICULAR SHUNT PROCEDURES WITH MCC DRG Code 031

Tip: Check VA financial enrollment, then evaluate billing. If you are treating patients under the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) and not receiving reimbursement, ensure electronic funds transfer (EFT) is properly set up [...]

Question: I have a radiology report that documents a “redemonstration of the distal ulnar fracture fragment.” Does this mean that I should assign a code for the bone fracture or report a code for a loose body in the joint? [...]

Question: Encounter notes indicate that the physician treated a patient with “cystic meniscus, R knee.” How do I choose an ICD-10 code for this condition? AAPC Forum Subscriber Answer: While you’ve got two-thirds of the diagnosis already in the notes, finding that [...]

Only report code from category I69- if patient has neurologic deficits. The ICD-10-CM Official Guidelines for Coding and Reporting offer numerous instructions you can follow to keep your claims in check. Having to report a cerebrovascular accident (CVA), also known [...]

Question: Our ophthalmologist diagnosed a patient with monocular esotropia in the right eye, with a V pattern. Can you explain the different types of strabismus and how to figure out which diagnosis code to report in this case? Ohio Subscriber Answer: Strabismus [...]

Hint: Rely on the Alphabetic Index for one common corneal condition. While the ICD-10-CM coding choices for many ocular diagnoses are straightforward, some conditions can prove more challenging because the condition occurs less frequently or because the coding rules can [...]

See if you can zero in on the best-suited codes for each scenario. While coding for a significant portion of ocular diagnoses is relatively straightforward, there are always a few outliers that are more challenging. Familiarizing yourself with rare conditions [...]

Slim 0.7% pay increase isn’t enough, industry reps insist. Apparently, hundreds of home health agencies and their representatives are wrong. At least Medicare officials think so, according to the newly released home health final rule for 2023. Proposed: Back in [...]

Remember, the codes went into effect Oct. 1. ICD-10 has snuck up sooner than expected, as it seems to every year. Breakdown: The new code list took effect Oct. 1, 2023, so you should be using the new diagnosis codes [...]

Question: My ob-gyn delivered triplets vaginally. This mother did not have global care with us. She will return for postpartum. Should I code this triplet delivery with 59410, 59409-51, 59409-51 with DX 060.12x0, 009.812, 031.32x0, 030.102, Z3a.20, Z37.61? My ob-gyn documented: [...]