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Introduction Nursing facility services A nursing facility is not a hospital but does have inpatient beds and a professional health care staff that provides health care to persons who do not require the level of service provided in an acute care facility. A skilled nursing facility (SNF) is one that has a professional staff that … Read more
For patients receiving diagnostic services only during an encounter/visit, sequence first the diagnosis, condition, problem, or other reason for encounter/visit shown in the medical record to be chiefly responsible for the outpatient services provided during the encounter/visit. Codes for other diagnoses (e.g., chronic conditions) may be sequenced as additional diagnoses. For encounters for routine laboratory/radiology … Read more
Selection of first-listed condition in ICD-10 CM In the outpatient setting, the term first-listed diagnosis is used in lieu of principal diagnosis. In determining the first-listed diagnosis the coding conventions of ICD-10-CM, as well as the general and disease specific guidelines take precedence over the outpatient guidelines. Diagnoses often are not established at the time … Read more
Basics of Excludes Notes Excludes notes are introduced in ICD-10 to differentiate when two or more diagnosis codes should be coded together and when not. This feature help in coding the diagnosis codes correctly by medical coders. ICD-10-CM has 2 kinds of Excludes Notes: Excludes1 and Excludes2. Each note has a different definition for use; … Read more
1. A surgical pathology, gross and microscopic examination was performed for a colorectal polyp by a CLIA waived lab. How is this coded? A. 88305 B. 88305QW C. 88307 D. 88307QW Rationale :A surgical pathology, gross and microscopic examination performed for a colorectal polyp will be coded with 88305. Since the service was performed in … Read more
Basics of CPT code 92622 & 92623 For the CPT 2024 code set, two new Category I codes (92622, 92623) have been established to report analysis, programming, and verification of an auditory osseointegrated sound processor. This article provides an overview of the intent and use of these new codes. 92622 Diagnostic analysis, programming, and verification … Read more
Basics of CPT codes 97550-97552 For the Current Procedural Terminology (CPT) 2024 code set effective January 1, 2024, a new subsection within the Medicine section containing three new CPT codes (97550-97552) has been established. These new codes describe training provided to the patient that includes strategies and techniques to assist with functional activities by a … Read more
Basics of Social Determinants of Health (SDOH) SDOH consist of the following five domains: Economy: a person’s access to employment, their employment status, stability of employment, income, and poverty level. Education: a person’s ability to reach their highest level of education, which is related to access to quality day care, schools, and adult education. Health … Read more
Here, we are again sharing some more new CPT codes for 2024 which will be used effectively from 1st January 2024. These CPT codes are new addition to 2024 CPT codebook. Be prepared to use these new codes from new year. The following Category III codes will be available for reporting on date of service … Read more
In the Current Procedural Terminology (CPT®) 2023 code set, four Category III codes (0771T-0774T) were established to report virtual reality (VR) procedural dissociation services effective January 1, 2023. A new Category III subheading with guidelines and a table were added to outline patient age and duration of service and to identify who performs the service. … Read more