ICD-10 Coding Tips
The unprecedented events of the COVID-19 pandemic have resulted in another unprecedented event: the release of new ICD-10-PCS codes that will be put in use immediately – effective with discharges on or after August 1, 2020, rather than the usual effective date of October 1 (CMS, 2020).
The National Center for Health Statistics released the 2021 ICD-10-CM code set and guidelines, both of which will be effective October 1, 2020 (CDC, 2020). Details on the 2021 ICD-10-CM Updates Webinar from YES HIM Education will be coming soon. The presentation will include a comprehensive review of the changes to the guidelines and codes with important clinical background information. The code set includes 490 new codes, 47 revisions, and 58 codes that have been deleted. Guideline changes include the updates for COVID-19 and Vaping-related disorders that were released in April and other changes.
The Refresh With YES: PCS Spinal Fusion Procedures Learning Path shows learners how to correctly document the ICD 10 codes for spinal fusion procedures divided into 20-23-minute modules. The courses within this learning path review one of the most challenging ICD-10-PCS coding topics of spinal fusion, including cervical and lumbar fusion ICD 10. Official coding guidelines, case examples, and Coding Clinic topics related to spinal fusion procedures will be reviewed.
YES HIM Consulting designs learning paths and coding tracks for busy professionals who need to take courses on their own time. Our catalog offers customizable formats to fit physicians’, coders’, and auditors’ schedules and learning styles – including on-site, online, and hybrid or blended models. Ongoing coding education is one of the ways to keep your team and organization compliant. Click here to review the other benefits of keeping your team up-to-date with coding and guideline changes with customizable coding education formats.
There are two different models for Hierarchical Condition Category (HCC) risk adjustments: the HHS-HCC model, which covers commercial payers of all ages and determines risk payments for the current year, and the CMS-HCC model for the Medicare Advantage program and those who qualify for Medicare or patients 65 and older.
This article will highlight the ICD 10 PCS 2021 updates and Guideline changes, and briefly present some of the code additions for the Medical and Surgical Section.
This article offers guidelines on how to code screening tests for suspected COVID-19 infection. There are two different kinds of tests for COVID-19: a viral test to detect a current Coronavirus infection, and an antibody test to confirm is the patient previously had COVID-19 (CDC, 2020). The CDC has issued guidance on conducting screening tests for COVID-19 and other recommendations for viral testing (2022).
The Refresh With YES: Complications & Drug Diagnoses Webinar examines the ICD-10-CM guidelines and applicable Coding Clinic discussions with practical coding examples regarding Complications and Drug diagnoses divided into 15-18 minute modules. Learners will find out how to select the right ICD-10-CM codes for Complications & Drug Diagnoses topics, such as poisoning, adverse effects and underdosing of drugs. The four modules offered within this course include: Complications, Adverse Effects of Drugs, Poisoning, and Underdosing.
The 2021 Proposed Rule for Inpatient Prospective Payment System (IPPS) was released on May 11, and will be published in the May 29, 2020, Federal Register (2020). Provisions in the rule increase the Medicare IPPS rate for hospitals that report quality data and are meaningful users of EHRs by approximately 3.1%, resulting in an increase of $2.07 billion in spending. With other adjustments, the overall payment increase for inpatient hospitals will be around 1.6%. The Proposed Rule adjusts the payment rates, MS-DRG codes, and other provisions, including new ICD-10-CM and ICD-10-PCS codes.
The Refresh With YES: PCS Head and Neck Procedures Webinar dives into the definitions, procedures, and approaches for various head and neck operations divided into 16-18-minute modules. Learners will find out how to assign the right PCS code for head and neck procedures during the following four modules within this course: Craniotomy/Craniectomy Overview and Approach, Craniotomy/Craniectomy Procedures, Sinus Procedures, and Ventriculoperitoneal Shunt Procedures.