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COVID-19 vaccine coding

Third Group of CPT COVID-19 Vaccine Coding Guidelines Released by AMA

By Teri Jorwic

The American Medical Association (AMA) released new codes for the anticipated COVID-19 vaccine from AstraZeneca and University of Oxford (AMA, 2020). The codes will be available for use pending the Food and Drug Administration (FDA) emergency use authorization for this vaccine.

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2021 ICD-10-CM coding guidelines

Updated 2021 ICD-10-CM Coding Guidelines Now Available

By Teri Jorwic

Updates to the ICD-10-CM and ICD-10-PCS codes for January 1, 2021 include 27 new codes: 21 PCS and six CM codes. For the diagnosis codes, changes to the ICD-10-CM Official Guidelines were released on December 16, 2020, to reflect these six new codes.

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CMS PEPPER Report to Include Total Knee Arthroplasty (TKA)

By Karen Youmans

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a quarterly electronic data report that contains a hospital’s claims data statistics for Medicare Severity Diagnosis-Related Groups (MS-DRGs) (PEPPER, 2020). CMS has approved the addition of a new target area to the quarterly PEPPER report related to inpatient total knee arthroplasty (TKA) (PEPPER, 2020).

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medicare physician fee schedule

2021 Medicare Physician Fee Schedule Final Rule Concludes Office/Outpatient E/M Code Updates

By Vanessa Youmans

The Centers for Medicare & Medicaid Services (CMS) released their Final Rule for the 2021 Medicare Physician Fee Schedule on December 1, 2020 (CMS, 2020). All eyes have been on the Final Rule for a finalization on the much-anticipated office/outpatient Evaluation and Management code updates.

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monoclonal antibodies

27 New ICD-10 Codes for COVID-19-Related Conditions, Monoclonal Antibodies, & More Take Effect January 1, 2021

By Teri Jorwic

A total of 27 new codes for COVID-19 related conditions, circumstances, and treatment – including monoclonal antibodies – will be implemented on January 1, 2021. This includes six ICD-10-CM diagnosis codes and 21 ICD-10-PCS procedure codes.

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