Samantha.Prince
Networker
Hi All -
I'm currently a COC and a CPC with an inpatient coding question regarding reimbursement. It's outside of my current scope so I'm asking here.
1) Do ALL inpatient claim require at lease one ICD-10-PCS code? My thought process was yes because the book states ICD-10-PCS codes are used for ancillary services: Imaging, Nuclear Medicine, Radiation Therapy, Physical Rehabilitation and Diagnostic Audiology, Mental Health, and substance abuse. (page 20 Optum edition)
2) If yes, what kind of PCS code would be used for a newborn baby girl?
3) Clarification.... inpatient claims without a PCS get grouped by only the Dx?
Thank you!
I'm currently a COC and a CPC with an inpatient coding question regarding reimbursement. It's outside of my current scope so I'm asking here.
1) Do ALL inpatient claim require at lease one ICD-10-PCS code? My thought process was yes because the book states ICD-10-PCS codes are used for ancillary services: Imaging, Nuclear Medicine, Radiation Therapy, Physical Rehabilitation and Diagnostic Audiology, Mental Health, and substance abuse. (page 20 Optum edition)
2) If yes, what kind of PCS code would be used for a newborn baby girl?
3) Clarification.... inpatient claims without a PCS get grouped by only the Dx?
Thank you!