Author Archives | deborahm

deborahm - who has written 201 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.

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Get Your CPT® 2019 Overview of New Codes Here! Part 1

Thursday, September 6, 2018

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Start your AMA CPT® 2019 update prep with this quick primer on what you can expect when the new code set goes into effect Jan. 1, 2019. Note: This post will look at new Category I codes with 5 digits (not Cat. III or PLA codes). And remember that the information may change before the […]

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Provider Change Practice? Understand 2019 Payments for MIPS 2017 Performance Year

Tuesday, September 4, 2018

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With 2018 being in its last half, questions are coming up about MIPS payment adjustments in 2019 based on the 2017 performance year. One topic of interest is what happens if a clinician moved from one practice to another. Here is an answer, straight from the CMS Fact Sheet on 2019 MIPS payment adjustments based […]

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Jumpstart CPT® 2019 Radiology Prep With Editorial Panel Sneak Peek

Monday, August 27, 2018

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CPT® 2019 radiology codes will be available for review soon, but you can get hints of what’s to come if you know where to look. The CPT® Editorial Panel’s summary documents give a glimpse of what’s been proposed and what’s been accepted, and the ACR has helped narrow the list to those most important to […]

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Here’s How ICD-10-CM Official Guidelines Apply to New Ecstasy Poisoning Codes

Thursday, August 23, 2018

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ICD-10-CM 2019 is adding a new subcategory for “poisoning by ecstasy,” effective Oct. 1, 2018. Poisoning is one of those coding terms that has a more complex meaning than you may first suspect. Read on to get clarity on when to use these new codes. Catch Complete Character Requirements for Ecstasy Codes ICD-10-CM 2019 adds […]

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40650-40654 Myth Buster: Get the Truth Behind 3 Problem Areas for Lip Repair Codes

Monday, August 20, 2018

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Reimbursement for full-thickness lip-repair codes 40650-40654 ranges from about $300 to $600 on the MPFS, so you want to be sure you use these codes correctly. Watch out for three common myths that can lead to reporting errors for these codes: 40650 (Repair lip, full thickness; vermilion only) 40652 (… up to half vertical height) […]

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ICD-10-CM 2019: Know the Documentation You’ll Need for New Gallbladder and Cholangitis Codes

Thursday, August 16, 2018

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If you code cholecystitis or cholangitis, you’ll want to know these new codes when ICD-10-CM 2019 kicks in on Oct. 1, 2018. Check out the helpful hints below to be sure you know how to apply the codes from the get-go. Watch ‘Code First’ Note With New Cholecystitis Codes ICD-10-CM 2019 adds new subcategory K82.A- […]

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Modifier 58 or 78? Master These Confusing Modifiers

Monday, August 13, 2018

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Knowing when to use modifiers 58 and 78 isn’t easy. Base your choices on this straight-from-Medicare guidance to help ensure cleaner claims. Make Modifier 58 Your Choice for Anticipated Procedures Modifier 58 (Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period) is the focus […]

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Crash Course: Compare ICD-10-CM 2019 Official Guidelines for Post-Op Sepsis to 2018 Rules

Thursday, August 9, 2018

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The ICD-10-CM 2019 Official Guidelines are out and offer more details on how to use new codes for sepsis following a procedure. Take a look at what’s new and get a handle on how to sequence these codes. Remember These New Codes to Improve Sepsis Coding ICD-10-CM 2019 includes these two new codes with instructional […]

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Top Nuances to Know for the Medicare Card MBI Roll-Out

Monday, August 6, 2018

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Medicare began mailing out new cards in April 2018 to meet the deadline of replacing Social Security numbers/Health Insurance Claim Numbers (HICNs) with Medicare Beneficiary Identifiers (MBIs) by April 2019. Here are some tips you may have missed to help you with the transition. Don’t Use the Dashes! On the new Medicare cards and in […]

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Hot Topic: Get the Scoop on Proposed MPFS 2019 Changes to E/M Coding and Payment

Friday, August 3, 2018

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The 2019 proposed Medicare Physician Fee Schedule (MPFS) includes some major potential changes to E/M coding and payment in its 665 pages. Major. Here are the highlights. Just remember that what’s below is proposed and may change before the final rule is implemented. Here’s the Big Payment News About Levels 2-5 Let’s get right to […]

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