SDoH guidelines, HCC realignments, and a new BPH ablation procedure share the spotlight. Things change rapidly in the world of oncology coding, so it’s important to stay on top of each new development as it happens. Here are four recent [...]
Billing 98970-98972 and 99421-99423 just got a whole lot trickier this year. As you would expect, the Centers for Medicare & Medicaid Services’ (CMS’) release of the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edit pair additions, deletions, and modifier [...]
Fourth digit adds detail. No matter the details, you have just one code to describe newborn respiratory distress syndrome (RDS) under ICD-9 — 769 (Respiratory distress syndrome in newborn). That will change once ICD-10 goes into effect on Oct. 1 [...]
Fourth digit adds detail. No matter the details, you have just one code to describe newborn respiratory distress syndrome (RDS) under ICD-9 — 769 (Respiratory distress syndrome in newborn). That will change once ICD-10 goes into effect on Oct. [...]
Hint: Identify underlying cause with additional code for secondary spontaneous pneumothorax. For your pulmonologist’s spontaneous pneumothorax diagnoses, base your code choice on whether the condition is primary (occurring due to no other cause) or secondary (if the condition has occurred [...]
The ghost of M1024 is still lingering. As if you weren’t already busy enough keeping track of OASIS Q&As and preparing for the ICD-10 transition, CMS has unveiled plans for changes to many familiar OASIS items in the new OASIS-C1. [...]
Hint: Don’t forget to code the inhaled substance separately with an appropriate T code. When your pulmonologist diagnoses pneumonitis due to the inhalation of any solids or liquids, you’ll select an ICD-10 code based on the type of solids or [...]
Number of M items collected to drop slightly in next OASIS incarnation. Now that you’ve finally gotten used to the OASIS-C item numbers, the Centers for Medicare & Medicaid Services is changing many of them. CMS has issued its proposed [...]
Hint: Don’t report newborn atelectasis or tuberculous atelectasis using J98.11. When reporting a diagnosis of atelectasis using ICD-10 codes, you’ll turn to a specific code to report the condition unlike ICD-9 which limits you to a general catchall category for [...]
Question: An infant patient stopped breathing at four minutes of age and had to be resuscitated. The physician's notes state, "He was vigorously stimulated and blow by oxygen and suctioning, remained in intermittent breathing and increase in heart rate greater [...]
