TCI SuperCoder’s Data Files Offer Quarterly Updates, Official Info, & More

Wed, May 30, 2018


If your job is to deliver accurate medical coding data fast, you know the consequences to your revenue if you don’t choose a reliable source for data files. Don’t take chances! With TCI SuperCoder’s Data Files, you get up-to-date data, customizable to your specific needs. Our quality-focused teams make sure the files are easy to integrate into your existing systems, which reduces downtime and helps prevent claim submission delays.

Tip: Ask about quarterly update options to ensure you have current data from Medicare, official code sets, and TCI’s own coder-designed resources. Check out the info below, and then contact our data file specialist Abbey at 239-280-4236 or …

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3 Times Anesthesia Coders Should NOT Report +99140

Tue, May 29, 2018


anesthesia qualifying circumstances codes

When a payer reimburses for +99140 (Anesthesia complicated by emergency conditions (specify) …), you don’t want to miss legitimate opportunities to report that code. But knowing what qualifies as emergency conditions is a common stumbling block. Don’t let these three common pitfalls ruin your anesthesia coding accuracy.

1. When Delay Is Documented for the ‘Emergency’

According to CPT® guidelines with +99140, “An emergency is defined as existing when delay in treatment of the patient would lead to a significant increase in the threat to life or body part.” To support reporting +99140, documentation should include the specific …

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3 ICD-10-CM Cardiology Coding Tips That Line Up With the Risk-Adjustment Trend

Fri, May 25, 2018


All the discussions of risk adjustment have put a spotlight on diagnosis coding, and one big way cardiology coders can help is by ensuring they follow the official rules for coding and learn about coding comorbidities, too. Here are some good, old-fashioned rules that will also help ensure your pro-fee cardiology coding follows best practices and is ready to support proper payment in the future.

1. Understand the Role of Comorbidities

For risk adjustment, a simplified explanation is that a patient’s health status and spending are considered in relation to outcomes and costs. So a patient with diagnosis X …

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2 Knee Arthroscopy Myths You Need to Bust Right Now

Wed, May 23, 2018


coding for surgical knee arthroscopy

There are a lot of possible variations for knee arthroscopy services, so you’ve got to know where to go for help on coding them. Make sure your knee arthroscopy claims don’t fall victim to these two error-causing myths! Follow the guidance in the Correct Coding Initiative manual.

Myth: Report G0289 Along With 29880/29881 for Chondroplasty

Orthopedic coders should know the general rule that Medicare allows you to report a knee arthroscopy code together with FBR/chondroplasty code G0289 (Arthroscopy, knee, surgical, …

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Find Out Which 4 Codes Are Off the DMEPOS 2018 Prior Authorization Master List

Fri, May 18, 2018


DMEPOS had a 44 percent improper payment rate according to CERT’s 2017 Medicare FFS report. That’s high. Really high. So anyone submitting claims that fall under DMEPOS needs to be up on all the rules. One important area to watch is Medicare’s Master List of which codes require prior authorization. The recent annual update posted in the Federal Register makes this a good time to get to know the Master List.

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Ace FESS Coding Updates With This Quick Terminology Quiz

Tue, May 15, 2018


CPT® 2018 introduced several changes for nasal/sinus endoscopy codes, sometimes referred to as FESS codes. Otolaryngology coders need some real anatomy-terminology skills to apply these codes correctly, so here’s your chance to sharpen your knowledge.

Look at the terms below. In some cases, you’ll see a related code tied to the term to help show how the term and coding connect. Match the term to the proper definition, and then check your answers at the end.

Ready, Set, Go Match These Terms!

1. Ethmoidectomy

Code example: 31253 (Nasal/sinus endoscopy, surgical with ethmoidectomy

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ICD-10-CM Coding for ‘Vomiting’ Is Simple, Except When It’s Not

Fri, May 11, 2018


Many coders have memorized R11.- (Nausea and vomiting). It’s a common complaint. But did you know that the diagnosis code for cyclical vomiting is in nervous system category G43.- (Migraine)? I was interested to see that when I read a recent Gastroenterology Coding Alert article. In a leap that perhaps only those in healthcare would understand, the discovery made me wonder where else ICD-10-CM puts codes related to the term vomiting. Here’s what I found.

For Cyclical Vomiting, Turn to the Nervous System Chapter

First is the subcategory that …

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After July HCPCS Updates, Match These Meds to Correct Codes Faster

Mon, May 7, 2018


coding HCPCS for drugs and supplies

Thinking about summer? You aren’t the only one! CMS has posted a file with five Q codes that will be effective July 1, 2018. If you code for any of these supplies, plan ahead so you’re ready to change your coding when July comes.

Watch mg to Separate SublocadeTM Codes for Opioid Use Disorder

First is a set of two related codes for Sublocade, which is indicated for the treatment of moderate to severe opioid-use disorder in adult patients. Note the difference in amount administered, shown at the end of each descriptor (bold added):

  • Q9991 (Injection, …
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Will ICD-11 Have a Code for ‘Struck by Turtle’?

Thu, May 3, 2018


Subcategory W59.22- (Struck by turtle) is an ICD-10-CM code that’s been in the blog a few times. So when I started playing with the WHO ICD-11 Coding Tool, I had to try “turtle” as a search term. No luck, but I did find PA71 (Unintentionally struck, kicked, or bumped by animal

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Get 1 Step Closer to 99285 Perfection With This HPI Primer

Thu, Apr 26, 2018


emergency medicine coding

Emergency medicine code 99285 seems to be popping up a lot lately because of potential overuse. To help give you your best chance at coding correctly, it helps to take a close look at each element involved. Today, let’s look at the history of present illness (HPI) requirement. The good news is that most of this information applies beyond emergency coding, so it’s a good refresher for all coders who report E/M services.

See Where History Fits in the Descriptor

Here’s the …

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