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Get to Know Aftercare Z Codes: Official Guidelines and Examples

30. May 2017

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How many of the 15 pages on Z codes have you read in the ICD-10-CM Official Guidelines for Coding and Reporting? More than a page is devoted to aftercare visit codes in Section I.C.21.c.7. Here’s a quick refresher on what you should know about aftercare coding, including the ICD-10 twist for injury codes. The Basic […]

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Are You an Anatomy Ace? This Chemo Quiz Will Tell

4. May 2017

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Let’s mix things up today with a little test. An article in Oncology & Hematology Coding Alert about intracavitary chemotherapy made me think about the importance of knowing anatomy when you need to pick an appropriate code. We often think about anatomy with ICD-10-CM codes, but it’s important for CPT® codes, too. That’s the inspiration […]

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Secrets to Subsequent Hospital E/M Coding Success

2. May 2017

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Curious how your use of subsequent hospital visit codes compares to reporting by other practices? Palmetto was curious, too. The Part B MAC took part in developing a Comparative Billing Report (CBR) looking at 99231-99233 billing and payment patterns in 2015 for internal medicine providers. Motivation? Those codes see about a billion dollars in improper […]

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4 Tips Take Your MOCA Coding From ‘Meh’ to Marvelous

28. April 2017

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Move over, unlisted vascular surgery code 37799! That’s what mechanochemical ablation (MOCA) codes 36473 and +36474 said when they became reportable CPT® codes on Jan. 1, 2017. Give your use of these new endovenous ablation codes a check-up with the four pointers below. 1. Read the Descriptors All the Way Through Reading the descriptor is […]

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2 Costly Hip Coding Mistakes Corrected

18. April 2017

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With all the hippity hoppity talk this time of year, I have coding for hips on the brain. Might as well go with it and look into some hip coding tips! 1. Watch for Mod 22 Opportunities With Congenital Cases If your surgeon performs hip replacement surgery for a developmental or congenital hip dislocation, there’s […]

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Welcome Spring With 3 Laceration Coding Scenarios

10. April 2017

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The weather is getting warm enough for bare feet, knees, and elbows, and that leaves them more vulnerable to lacerations. Check out these three scenarios to help you choose correct codes for those cuts, powering up your laceration coding skills for spring. Case 1: Don’t Overcode for Bandaging Skinned Knee Suppose an established patient presents […]

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Refresh Your Consult Coding Skills and See Why These Codes Earned a Star

30. March 2017

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Consultations didn’t go the way of the dodo when Medicare decided to stop reimbursing the codes specific to those services. Some private payers still reimburse office and outpatient consult codes 99241-99245 and inpatient consult codes 99251-99255, as long as you follow the rules. Recharge your consult coding batteries with these documentation reminders along with a […]

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Injection Laryngoplasty: Code Correctly, Collect $1,046

20. February 2017

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Hi, otolaryngology coders! Have you been enjoying the new code CPT® 2017 gave you for injection laryngoplasty? Today, let’s take a closer look at 31574 (Laryngoscopy, flexible; with injection[s] for augmentation [e.g., percutaneous, transoral], unilateral). When Will You Use 31574? Injection laryngoplasty is on the rise among ENTs. The procedure involves injecting an augmenting material […]

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Modifier 22 Could Help Save This Lap-to-Open Gyn Surgery

15. February 2017

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Whether to code lysis of adhesions during a gynecological procedure is a question that comes up again and again. I’ve talked before about how removing adhesions is generally an expected part of the procedure, but exceptional cases may merit the use of modifier 22 (Increased procedural services) on the surgery code. A new take on […]

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Lucky Number 3! Don’t Miss This $33 Increase for Intubation Code 31500

31. January 2017

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The 2017 Medicare Physician Fee Schedule (MPFS) final rule estimated a 0 percent impact on total allowed charges for emergency medicine this year. But did you catch the nice boost for 31500 (Intubation, endotracheal, emergency procedure)? Here are the details on that change for those of you who enjoy a nice fee schedule adventure. Catching […]

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