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CPT® 2018 Quiz: Can You Say Laparoscopic Esophagectomy Three Times Fast?

19. January 2018

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Have you mastered which laparoscopic esophagectomy procedures match to the three new options in the CPT® 2018 code set? The descriptors for 43286-43288 are dense, packed with anatomic and surgical terms that sometimes hit the eight-syllable mark. So if you know which terms to look for in your documentation to help narrow down your code […]

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Skill Sharpener: Add to Your Cardiogenic Shock Coding Knowledge

10. January 2018

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Cardiogenic shock may affect treatment outcomes for patients with multivessel coronary artery disease and acute myocardial infarction, so it’s an important diagnosis to document. What is cardiogenic shock, and what are the ICD-10-CM codes for it? Let’s take a look. Get to Know the Diagnosis A patient with the medical emergency known as cardiogenic shock […]

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Dig In to the IPPS/MS-DRG Alphabet Soup

26. December 2017

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Inpatient facility coding and reimbursement come with their own Medicare language, and that includes a fair number of abbreviations. Here’s a beginning glossary to help next time you come across a jumble of letters related to inpatient coding. Hint: The terms are in alphabetical order, but if you’re new to this area, start by reading […]

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Here Comes Santa ‘Jaws’! Taste Success With This Tongue and Mouth Floor Coding Quiz

20. December 2017

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Need a break from the holiday madness? There’s nothing more relaxing than an anatomy quiz. Or if that’s not your flavor of fun, consider this a way to rev up for more accurate coding in 2018! The quiz below was inspired by an article in Otolaryngology Coding Alert, the newsletter included in Otolaryngology Coder. Get […]

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Straight From the Source: Use Modifier 25 the Right Way With CCI Manual Tips

22. September 2017

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It can be tricky knowing when to append modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service). More specifically it can be tough to determine whether work performed by a provider amounts to a separate […]

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ICD-10 2018: This Is Why Documenting Site Matters for Undescended-Testicle Coding

15. August 2017

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Our initial overview of ICD-10-CM 2018 looked at specialties with a large number of changes. But there are plenty of important changes coming Oct. 1, 2017, that didn’t fit into that quick analysis. Case in point: Urology has some interesting new codes that will be important for anyone who reports services related to congenital undescended […]

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Add ICD-10-CM Accuracy to Your Repeat Pap Smear Claims

28. July 2017

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Right about now it feels like all eyes are on ICD-10-CM 2018 (and there are plenty of changes to deal with). But we’ve got to be sure codes for our current claims are accurate, too. Today let’s get back to basics with a look at how to handle diagnosis coding for repeat Pap smears. Zero […]

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Learn the ABCs (and Zs) of IUD Coding

30. June 2017

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Intrauterine devices (IUDs) for birth control are fairly common, but somehow the coding for IUD-related services isn’t as clear-cut as it could be. In today’s post, get to know the codes and a common coding hurdle to watch for. Go Through All the Code Sets to Find the Codes CPT® provides these codes for IUD […]

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Don’t Let EHR Tempt You to Upcode E/M Services

27. June 2017

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EHRs can assist with many aspects of E/M coding (like tracking for coding based on time), but the problem of reporting higher-level E/M codes without medical necessity is still around. A recent article in Ophthalmology Coding Alert discussed the example of a doctor who billed almost all level-four and level-five E/M codes for established patients. […]

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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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