Call us toll-free: 800-878-7828 — Monday - Friday — 8AM - 5PM EST
By Alia Paavlov for Becker’s Hospital Review CMS proposed 1,495 changes to the ICD-10-CM diagnostic code set in its proposed Inpatient Prospective Payment System rule released April 18. A large slew of the proposed changes focus on brain illness and injuries — mostly dementia-related diagnoses — and endometriosis. Specifically, CMS proposed a set of codes that focus…
By Alia Paavola for Becker’s Hospital Review CMS released its Medicare payment codes for administering an antibody treatment found effective against the COVID-19 omicron variant. The payment codes, effective Feb. 11, are for bebtelovimab. The drug was authorized last week by the FDA to treat patients who are at high risk for progression to severe…
From the ACDIS CDI Blog Because every chart is coded before being sent to payers, it’s important that CDI specialists have a working knowledge of code sets and coding rules. The inpatient prospective payment system (IPPS) final ruling, traditionally updated annually, has been changed to update twice a year on April 1 and October 1 beginning…
By Angela Lima, BS, CCS, CDIP, CIC, COC for For the Record Libman Education’s survey found that 87% of respondents plan to increase their coding expertise. As you read this article, you’re probably sitting in your home office, drinking your third (or fourth) cup of coffee, and perhaps even wearing your favorite pair of slippers. That’s…
For ACDIS CDI Blog Q: I’ve been told that if there are clinical indicators to support that chronic kidney disease (CKD) is the etiology of a patient’s hypertension, a code from category I15 would be assigned. Code I12 is for hypertensive CKD, isn’t it? So why do we have to use I15 codes instead? What’s…
By Jonathan Rubenstein, MD, Mark Painter for Urology Times “As always, document well and use the modifiers when appropriate,” advise Jonathan Rubenstein, MD, and Mark Painter. Can you explain the difference and appropriate use of modifier -57 vs -25? Although this may seem like a basic question for many coders, some do not fully understand the difference…
Georgina Gonzalez for Becker’s Hospital Review Z codes, which are ICD-10-CM codes used to identify non-medical factors that may affect a patient’s health status, are a useful way to track social determinants of health and capture standardized data for Medicare beneficiaries. However, they are underused, with Z codes reported from only 1.59 percent of beneficiaries…
By Jonathan Rubenstein, MD, Mark Painter for Urology Times New and updated codes encompass balloon continence devices, hypospadias Current Procedure Terminology (CPT) codes are continuously being updated. New and updated Category I and III codes will become active on January 1, 2022. In addition, some other Category III codes may be released on July 1 of…
By Kelly Sutton, RN, BSN, MHL, CCDS for ACDIS CDI Blog The transition into CDI from other avenues can be filled with overwhelming thoughts and emotions. In my experience as division educator, almost every CDI specialist will, at some point, have doubts about their career change. In the CDI specialist role, the relationships with physicians…
By Howard Rodenberg, MD, MPH, CCDS for ACDIS CDI Blog You would think that actually defining something would make it easier to recognize. That statement assumes, of course, that you can actually define what you’re trying to see. (I’m reminded of Justice Potter Stewart’s quote on obscenity, “I shall not today attempt further to define…