Posts Tagged ‘ICD-10’
New CPT Codes Released & Revised to Document COVID-19 & Respiratory Syncytial Virus Detection Test
In continuing response to the COVID-19 pandemic, AMA has released two new CPT codes that allow for nucleic acid infectious agent detection for Coronavirus, influenza types A and B, and respiratory syncytial virus (RSV) via a single test (AMA, 2020). Do you want to learn the ICD-10-CM coding guidelines for COVID-19 code U07.1? Sign up for our Respiratory Diagnoses Hot Topics Webinar and find out how to code Coronavirus infections, symptoms, screening, and patient encounters. The webinar on hot coding topics provides an overview of the Official Coding Guidelines for COVID-19. See more here.
Read MoreLearn How to Classify & Code Acute Myocardial Infarction Diagnoses
The Refresh With YES: ICD-10-CM Acute Myocardial Infarction Diagnoses Learning Path teaches learners how to classify and code the different types of Acute Myocardial Infarction diagnoses. Symptoms of acute myocardial infarction diagnoses, as well as acute myocardial infarction coding guidelines, will be discussed. Learners will also review coding examples and Coding Clinic resources.
Read More2021 IPPS Final Rule Released: MS-DRG for CAR T-Cell Therapy and New Technology Add-On Payments Headline the Changes
The impact of COVID-19 has been felt everywhere, including the release of the IPPS Final Rule. Generally released in late July or early August, the 2021 Final Rule was released on September 2 and published in the Federal Register on September 18, 2020 (CMS, 2020). The effective date, October 1, 2020, stays the same, offering an especially short turnaround time for analyzing and implementing the provisions of the rule.
Read MoreCOVID-19 Explained: Screening for Suspected COVID-19 Infection
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).
Read MoreReview the 2021 IPPS Proposed Rule’s MS-DRG & Other ICD-10 Coding Updates
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.
Read MoreCMS Clarifies Risk Adjustment Criteria for Coding Telehealth Services
CMS clarified on April 10, 2020, that the submission of ICD-10-CM diagnoses codes for Risk Adjustment are permitted from coding telehealth services as long as it meets the set criteria (i.e. inpatient, outpatient, or professional service and from a face-to-face encounter) (CMS, 2020). CMS is stating that telehealth services can meet the face-to-face requirement “when the services are provided using an interactive audio and video telecommunications system that permits real-time interactive communication” (2020). From a medical coding and billing standpoint, the change in the telehealth services criteria for risk adjustment is causing updates to how these services are billed.
Read MoreSelecting the Right COVID-19 Code: Should You Use CPT or HCPCS?
On March 11, the World Health Organization (WHO) issued a declaration of the COVID-19 as a global pandemic. Two days later, the AMA announced the development of a specific code for laboratory testing for the coronavirus, code 87635 (AMA, 2020). The Centers for Medicare and Medicaid Services (CMS) released two new HCPCS codes for coronavirus testing for Medicare claims. The reporting for COVID-19 testing is dependent on the payer, either an HCPCS or CPT code should be used; there should not be more than one COVID-19 testing code on a given claim.
Read MoreAn Introduction To Medical Coding & Basic Terminology
Medical coding is the process of assigning numeric or alphanumeric codes to the diseases, injuries, treatments, and procedures that healthcare providers perform to record each encounter accurately and correctly bill the patient.
Read MoreUpdate: New ICD-10 Code For COVID-19 Effective April 1
The United States will begin using code U07.1 COVID-19 as of April 1 – rather than the usual effective date for new codes of October 1. This new code is being fast-tracked to allow for the urgent need of immediate data collection. Interim coding guidelines from the CDC are still to be used between now and the effective date (CDC, 2020). Review our previous article, “Coding for Coronavirus Outbreak: Interim Guidance from the CDC,” for additional information about code U07.1.
Read MoreNew ICD 10 Code For Vaping-Related Disorders – Effective April 1
The WHO Family of International Classifications (WHOFIC) Network Classification and Statistics Advisory Committee (CSAC) convened to establish a new emergency code to be used by WHO. This new emergency code, U07.0 – Vaping-related disorder, was implemented and valid for immediate use as of September 24, 2019, for ICD-10.
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