Author Archives | deborahm

deborahm - who has written 156 posts on SuperCoder Blog.

Deborah works on a wide range of TCI SuperCoder projects, researching and writing about coding, as well as assisting with data updates and tool development for our online coding solutions. Since joining TCI in 2004, she’s covered the ins and outs of coding for radiology, cardiology, oncology and hematology, orthopedics, audiology, and more.

Contact the author

Thrombectomy, US, LHC: Did You Catch These Cardio CCI Manual Changes for 2018?

Monday, April 23, 2018

0 Comments

National Correct Coding Initiative (NCCI or CCI) is one of those hidden-depths areas of coding. If you cardiovascular coders know the major CCI edits that apply to you, you’ve got one layer down. But you need to know what’s in the policy manual (available here), too, if you truly want to code in compliance with […]

Continue reading...

Compare 38571-38573 Lymphadenectomy Codes At-a-Glance to Avoid Cutting Reimbursement in Half

Friday, April 20, 2018

0 Comments

If you’re already familiar with laparoscopic bilateral total pelvic lymphadenectomy codes 38571 and 38572, you know the pattern. The second code descriptor builds on the first. When the CPT® 2018 code set added 38573, the new code descriptor followed that pattern, adding quite a few more requirements before you use the new code. Not sure […]

Continue reading...

Podiatry Alert: Here’s What Caused $330 Million in Improper Payments for Part B and DMEPOS

Monday, April 16, 2018

0 Comments

We’ve talked about CERT 2017 report results before in this blog, but that’s mostly been Part B. Podiatry coders need to be thinking about DMEPOS, too. And based on the 70.5 percent error rate estimated for podiatry under DMEPOS, practices need to put that on their priority lists. Review the CERT Report Stats The “2017 […]

Continue reading...

$30 Million in Funding for QPP Measure Development With CMS Cooperative Agreement

Thursday, April 12, 2018

0 Comments

Have you heard about the CMS program to partner with stakeholders to improve quality measures in the MACRA Quality Payment Program (QPP)? Up to $30 million in funding and assistance is involved over three years. Here Are the Target Groups and Goals A blog post from CMS describes this measure development funding opportunity. Developing, improving, […]

Continue reading...

Get the Rundown on Rib Fracture ICD-10-CM Coding

Tuesday, April 10, 2018

0 Comments

The terms closed and open are major players for traumatic fracture diagnosis coding. Brush up on some basics with this focus on ICD-10-CM coding for rib fracture initial encounters. First, Find Fractures in the Index — You Know You Should! The ICD-10-CM index provides these entries for rib under the Fracture heading: Rib S22.3- With […]

Continue reading...

OIG and CMS Are Both Watching Drug Specimen Validity Testing … Are You?

Friday, April 6, 2018

0 Comments

Coding for drug testing and specimen validity testing was the focus of recently released MLN Matters SE18001. At the end of the MLN article, there’s a link to an OIG report on the topic revealing millions in improper payments. If CMS and the OIG consider something you code worthy of focus, you really should read […]

Continue reading...

A Coding Take on World Health Day, April 7

Wednesday, April 4, 2018

0 Comments

The World Health Organization (WHO) uses World Health Day each April to draw attention to global health concerns. Here’s a quick history of recent World Health Day themes with a coding twist. 2018: The theme this year is “Health for All,” with discussion of paths to universal health coverage (UHC) around the world. It is […]

Continue reading...

Emergency Medicine Coders: Don’t Miss These 3 Trending Areas!

Wednesday, March 28, 2018

0 Comments

There have been some hot topics in recent issues of TCI’s Emergency Department Coding & Reimbursement Alert that are just too good not to share. Here’s a quick summary with links to the articles for you lucky readers with access to the online newsletter or to Emergency Medicine Coder. 1. Streamline With This Change to […]

Continue reading...

Don’t Miss a Single Cognitive Care Planning Code 99483 Requirement! Take Them One at a Time

Friday, March 23, 2018

0 Comments

One of the most significant changes for family medicine in 2018 is the switch from HCPCS to CPT® for behavioral health integration (BHI) and care management. In this post, we’ll check out new cognitive assessment code 99483, which not only replaced G0505, but also added 160 words to the descriptor! Walk Through the New Code […]

Continue reading...

Know When CCI Manual Says to Use Bone Marrow Code 38222

Monday, March 19, 2018

0 Comments

The addition of diagnostic bone marrow and biopsy code 38222 in the CPT® 2018 code set simplified coding in some ways (multiple procedures in one code), but there are still questions to be answered about how to handle specific scenarios. In case you missed it, the 2018 Correct Coding Initiative (CCI) manual answered some of […]

Continue reading...