Billing for services while traveling is a common violation. The hunt for Medicaid home health fraud continues unabated, as evidenced by recent cases. Allied Health Systems in Springfield, Massachusetts, and its CEO Henry Azzun submitted false and/or fraudulent claims to [...]
Question: Encounter notes indicate that the provider performed a service for a patient with “CRPS 1, arm.” Which diagnosis code applies? Arkansas Subscriber Answer: Based on the information provided, the correct ICD-10-CM code is G90.519 (Complex regional pain syndrome I of unspecified [...]
Question: Encounter notes indicate that the provider performed an office evaluation and management (E/M) service for an established patient with ‘CRPS 1 arm.’ Total encounter time was 27 minutes and involved low-level medical decision making (MDM). How should I report this [...]
Know how your provider might diagnose, treat these injuries. When your orthopedist treats a patient with a rotator cuff (RC) injury, there will be a lot for the coder to untangle. There will be separate codes for diagnosis and treatment [...]
You should now add more specificity with these laterality changes. If you’ve been following the annual ICD-10 code revisions over the past few years, you’ve noticed a steady transition toward more laterality than ever in eye care coding. This year [...]
Know these updates to juvenile osteochrondosis and arthritis coding. 2021 ICD-10-CM changes relevant to orthopedic coding will go into effect Oct. 1, 2020. Use the next few weeks to become comfortable with the changes before you need to implement them [...]
Tip: Always start with the surgeon’s request for services. Every anesthesiologist provides pain management services from time to time, even if they don’t consider themselves to be pain management specialists. One prime example of this is postoperative care for patients [...]
Code sets get major upgrade in new Dx book. ICD-10 2021 will feature three major revisions to codes representing juvenile osteochondrosis (JO), and more than a dozen new codes to provide a more detailed picture of the patient’s injury via [...]
Get more specific thanks to new laterality changes. If you’ve been following the annual ICD-10 code revisions over the past few years, you’ve noticed a steady transition toward more laterality than ever in eye care coding. This year is no [...]
A hereditary condition and transplant complications may face coding changes. Corneal dystrophy and corneal transplant complications could both be subjected to major overhaul come October 2019 as part of the ICD-10 update. Proposals from the ICD-10 Coordination and Maintenance Committee [...]
