The first quarterly release of Coding Clinic focused on the changes and new codes effective April 1, 2024. If you wish to review the updated Official Guidelines for Coding and Reporting, they can be accessed here. Notable changes to the ICD-10 CM coding guidelines include: Section C.1.d.5.b, which speaks to the reporting of sepsis due to a post-procedural infection. This entry reminds us to sequence codes that identify the site of infection first, then follow with the appropriate codes related to sepsis. In addition to the already published listing of codes (grouping T81.41-T81.43 classifying an…
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How to code ICD 10 Signs and Symptoms Perfectly?
What are Signs and Symptoms? Many times we get confused with signs and symptoms and considered them as same by defination. But, if you see their is a very slight difference in both of them. Symptom can be only found out by patient. For example, if a patient is having some pain, that can be a symptom for any disorder or disease, which will be found out by the doctor. Similarly, dizziness, numbness, lightheadedness, fatigue, vision disturbances, ringing in your ears etc. are the symptoms for different diseases. Signs are like…
Read MoreCommode CPT code guide for coders
Coding for Commode HCPCS or cpt code is quite confusing for coders since their are different variety of commode used by old age patients depending on their requirement. If coders can understand the which type of commode of used by the patient then it will be easy to assign the correct and right code. Below I am sharing the HCPCS codes used for commode which might clear your doubts. E0163 Commode chair, mobile or stationary, with fixed arms E0165 Commode chair, mobile or stationary, with detachable arms image credit…
Read MoreCoding guide Immune Globulin and Vaccine Codes 2024
Four new vaccine product codes and two new immune globulin codes were established in the Current Procedural Terminology (CPT) 2024 code set. This article provides an overview of these new codes. Immune Globulins, Serum or Recombinant Products 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use 903811 mL dosage, for intramuscular use Vaccines, Toxoids 90589 Chikungunya virus vaccine, live attenuated, for intramuscular use 90679 Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use 90683 Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular…
Read MoreRemote Multi-Day Complex Uroflowmetry (0811T, 0812T)
Two new Category III codes (0811T, 0812T) were added to the CPT 2024 code set for reporting remote multi-day complex uroflowmetry services. Uroflowmetry is the measurement of urine flow during urination. Other existing uroflowmetry codes describe simple uroflowmetry using nonautomated (eg, stop-watch flow rate, mechanical uroflowmeter) equipment (51736) and complex uroflowmetry using automated (eg, calibrated electronic) equipment (51741). These two new codes are used to report remote (eg, at home) multi-day complex uroflowmetry services. This article provides an overview of these changes. Description of code 0811T, 0812T 0811T Remote multi-day…
Read MoreCoding tips for Cystourethroscopy (CPT code 52284) & Radiofrequency Ablation (CPT code 58580)
For the CPT 2024 code set, a new code (52284) was established in the Bladder subsection of the Urinary section to describe cystourethroscopy with mechanical urethral dilation and therapeutic drug delivery via coated balloon. In addition, a new code (58580) was added to the Female Genital System subsection of the Surgery section to report radiofrequency (RF) transcervical fibroid ablation (TFA), including intraoperative guidance and monitoring. Guidelines and parenthetical notes were revised and added to assist with the correct reporting of these services. This article provides an overview of these changes.…
Read MoreKnow everything about Global Period here
Under the Medicare Physician Fee Schedule, surgical services are valued and paid for as part of “global periods” that include the procedure and the services furnished in the periods immediately before and after the surgical procedure. Surgical services are grouped into Minor Surgery (10 day post-operative period) and Major Surgery (90 day post-operative period). CMS will be measuring the number of services delivered during the global period for certain high volume procedures both Minor and Major Surgery. Read also: How to become 99% perfect in coding Surgery codes Let us checkout which are…
Read MoreList of New HCPCS Level II codes effective 1st April 2024
Their are many new HCPCS level II codes will be used effectively 1st April 2024. Also, you will get to see some changes or revision on some codes from April 2024. With some additions and revision their are some deletion of codes as well which will not be used after 1st April 2024. These all are the quarterly updates about HCPCS codes by CMS. The Medical coders have to follow the new updates and used codes accordingly to get paid for all the services provided based on the documentation. New…
Read MoreSuperb tips for CPT code 37246, 37247, 37248 and 37249
There are many CPT codes for Angioplasty in vascular surgery coding. We will discuss the use of CPT code 37246, 37247, 37248 and 37249, which are used for angioplasty. These CPT codes describe angioplasty procedures in the aorta and the brachiocephalic (and branches), renal, visceral arteries and venous region. There are two initial and two add-on codes for both arteries and veins. Today we focus more on the angioplasty procedure codes. So, let us check out more in detail about CPT codes 37246, 37247, 37248 and 37249. Read also: How…
Read MoreCoding Guidelines for Injectable Drugs (HCPCS codes)
General Guidelines Use the appropriate Healthcare Common Procedure Coding System (HCPCS) based on code descriptor. Not Otherwise Classified (NOC) codes should only be reported for those drugs that do not have a valid HCPCS code which describes the drug being administered. Remarks are required to include dosage, name of drug, and route of administration. You cannot bill for drugs that can be self-administered. The injection must be administered by physician. If there is no expense to the physician for the drug, don’t bill for it. Units of drugs must be…
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