Hint: Look at your ICD-10-CM long-term drug use appendix. Whether you’re coding the long-term use of a drug targeting a specific cancer, a drug targeting a condition caused by the cancer, a drug targeting the side effects of a cancer [...]
CMS calls for an overall 1.7 percent payment reduction in 2025 proposed rule released June 26. Medicare officials persist in implementing “deep and destabilizing” cuts for home health agencies in the Centers for Medicare & Medicaid Services latest proposed payment [...]
Hint: Remember to add your supply codes. When your urologist carries out the in-office insertion of estradiol or testosterone pellets, it’s crucial to incorporate the corresponding drug code with the procedure code in your claim. Additionally, you will need to [...]
Capturing patient gender identity information correctly is key. Coding for gender-specific services can be complex and require a comprehensive explanation of medical necessity. Plus, if you add in payers’ billing nuances, you’ve got a perfect storm for denials. Background: During [...]
Capturing patient gender identity information correctly is key. During the Healthcon 2024 presentation, “Gender-Specific Services & Billing,” Keisha Wilson CCS, CPC, CPCO, CPMA. CRC, CPB, AAPC-approved instructor, discussed the importance of interacting respectfully with patients of all gender identities and [...]
See these NCCI code bundles clearly. If you’re feeling hesitant about filing claims for patients with trauma, hypotony, and other sight-threatening conditions, don’t be. By paying close attention to your ICD-10-CM injury choice codes and your CPT® code bundles, you’ll [...]
This year’s reimbursement relief, inadequate as it is, may not last long, experts predict. Home health providers are far from happy that Medicare officials have finalized a behavioral adjustment reimbursement cut for 2024, even if it’s smaller than the original [...]
Scaled-back cut won’t stave off access problems, industry reps warn. A meager 0.8 percent reimbursement rate increase for home health services next year spells bad news for both home health agencies and their patients, even if it is a bit [...]
Question: A patient had a lumpectomy. When would it be appropriate for me to use a personal history code and is Z98.890 the correct code to use? AAPC Forum Participant Answer: Your code choice in this situation is correct, and Z98.890 (Other [...]
Question: When a patient presents to our practice for hormone therapy injections to treat breast or prostate cancer, the service is charged in our system as chemotherapy, which I have coded using Z51.11 in the past without issue. However, I [...]
