You can now download the new Prospective Payment System Grouper software taking effect on Jan. 1. The v05.0.24 software update includes updated threshold values for functional impairment levels for all clinical groups; updated functional impairment scoring for OASIS elements; updated [...]
Question: I’m a bit puzzled with Immunization diagnoses. Prior to ICD-10, we used V04.89, V06.1, V05.3 and V04.81 for our Tdap, Flu, Hep and Gardasil vaccines. According to ICD-10, we can never use Z23 alone and refers us to use a [...]
Tip: Don’t use 99401-99404 if the patient is ill. Suppose your ob-gyn performs a problem-based E/M visit and also provides some preventive medicine counseling on an unrelated issue. If you’re not adding 99401-99404 to your claim, you could be leaving [...]
Question: An established patient came into our ob-gyn office with her mother and they wanted to talk about whether the girl (who is 17) should have the HPV vaccine. Our doctor counseled the patient for 20 minutes on the benefits and [...]
Question: Our FP recently administered varicella vaccine to a new 23-year-old patient. The patient had no other problems or complaints. Our doctor took a brief history and family history prior to the administration of the vaccine. What codes should I [...]
Question: Our internist recently administered varicella vaccine to a new 23-year-old patient. The patient had no other problems or complaints. Our doctor took a brief history and family history prior to the administration of the vaccine. What codes should I report [...]
Question: Our gastro office is getting queries about hepatitis A and hepatitis B vaccination injections. We have the medication in the office. How should I code it? Colorado Subscriber Answer:You have not specified whether the patients are Medicare or not. [...]
Hint: Counseling codes cannot be used for patients with existing illness. When your internal medicine specialist performs preventive counseling, you will have to report it with the appropriate counseling code depending on the time your clinician spent face-to-face with the [...]
Hint: Counseling codes cannot be used for patients with existing illness. When your FP performs preventive counseling, you will have to report it with the appropriate counseling code depending on the time your clinician spent face-to-face with the patient. You [...]
Question: An established patient came into our ob-gyn office wanting to talk about whether she should have the HPV vaccine. Our gynecologist counseled the patient for 20 minutes on the benefits and she decided at that time to have the vaccine. [...]
