Medical Coding Guide - Page 59 of 91

Coding Guide for Maternity Care and Delivery subsection (59000-59899)

May 13, 2022June 15, 2022 Jitendra M.Sc CPC

The Maternity Care and Delivery subsection (cpt code 59000–59899) is divided according to type of procedure. As a general rule, the subsection progresses from antepartum procedures through delivery procedures. The guidelines are very detailed as to the services included in antepartum and delivery care, not only to facilitate coding, but also to help guard against unbundling. We have various topic earlier about coding normal and complication pregnancy codes, but this one has separate guideline and procedure codes. Pregnancy confirmation during a problem oriented or preventive visit is not considered part…

Initial vs. Subsequent (7th Character) ICD 10 Coding with Perfection

May 12, 2022May 12, 2022 Jitendra M.Sc CPC

It’s been six years since the ICD-10-CM implementation, but many coders and providers still struggle with assigning the seventh character for initial and subsequent encounters. These 7th characters identify two episodes of care that incur distinct management options and costs. The challenge arises in selecting the correct encounter. According to ICD-10-CM guidelines, “The assignment of the 7th character is based on whether the patient is undergoing active treatment and not whether the provider is seeing the patient for the first time.” So, the key point here is whether active or routine…

Sepsis ICD 10 coding: Why irrirates Medical coders?

May 11, 2022May 8, 2023 Jitendra M.Sc CPC

Basics of Sepsis ICD 10 coding When we talk about ICD 10 codes, we are talking about specificity in each aspect. The ICD 10 codes are arranged in such a way that coders should be able to code the perfect and specific diagnosis code. Now, ICD 10 codes cannot be used as single code like CPT codes to represent a word procedure. ICD 10 has increased in number compared to ICD 9 because of using multiple diagnosis codes when required. Yes, their are many scenarios where we have to use…

Sequence of Payment and Informational Modifiers

May 9, 2022May 9, 2022 Jitendra M.Sc CPC

Basics of Modifiers Modifier plays a key roles in modification of procedure and also in the proper payment. Modifiers helps in changing or altering the procedure based on the scenario or situation the exam is performed. We all know their are different payment and instructional modifiers. Payment modifiers direct affect the payment hence should be used very carefully. Today we will learn about how to sequence the modifiers when two or modifiers are used with CPT codes. Please checkout out some basics about modifiers in below links before going ahead.…

New CPT codes for Grafting in 2020

May 6, 2022June 15, 2022 Jitendra M.Sc CPC

From year 2020, new cpt codes have been for coding grafting procedures. The old CPT code 20926 will be replaced by 5 new CPT codes for coding grafting . From 2020, CPT code 20926 is deleted, and you have to search for the replacement codes to the integumentary system section. The new cpt codes are based on the site or location for grafting procedures. For grafting procedures of trunk, breasts scalp, arms, legs we have to use CPT code 15771 & +15772 while for Face, Eyelids, Mouth, Neck, Ears, Orbits,…

CPT code 75635 & 74175 : CTA Abdominal Aorta Coding

May 5, 2022June 4, 2022 Jitendra M.Sc CPC

When to use CPT code 74175 & 75635 (CTA Abdominal Aorta)

Basics of CPT code 75635 & 74175 A computed tomographic angiography (CTA) of the lower extremity is performed with contrast material including image postprocessing. Noncontrast images may also be obtained and are included when performed. CTA provides images of the blood vessels using a combination of computed tomography (CT) and angiography with contrast material. When angiography is performed using CT, multiple images are obtained and processed on a computer to create detailed, two-dimensional, cross-sectional views of the blood vessels. As we know CTA chest, head, neck, extremities, abdomen and pelvis are…

Dental Codes d0150, d0120 and d0180 coding Guidelines

May 4, 2022June 7, 2022 Jitendra M.Sc CPC

The dental examination codes in medical coding can be very confusing sometimes. Today, we will check about the coding guidelines for the dental exams which consist of 8 unique codes. These codes will be used depending on the type of dental exam perfromed on the patients. During a dental examination, your dentist will perform a visual examination, and possibly looking for: New cavities Weaknesses in already installed crowns, fillings and bridgework Gum or bone recession Teeth deterioration due to abnormal bite, bruxism or TMJ Read also: Coding Guide for Tonsillectomy…

Amazing guide for CPT code for Angiogram in Surgery

May 3, 2022June 4, 2022 Jitendra M.Sc CPC

Basics about CPT code for Angiogram For percutaneous surgery, it is very important to code the angiography codes for studying the arteries or veins. In interventional radiology, we have many CPT codes for angiograms that are specific are each artery or vein. These Angiogram procedure codes are little different for breast biopsy CPT codes and the regular non-vascular Interventional procedure like nephrostogram, Cholangiogram, arthrocentesis etc. Since, these are used only for the vascular procedures it is very important to know the anatomy and physiology about blood vessels especially about arteries. Most…

Curious case of ICD 10 code for urosepsis

May 2, 2022June 4, 2022 Jitendra M.Sc CPC

Curious case of ICD 9 code for urosepsis

Difference between ICD 10 code for Urosepsis and Sepsis In ICD 10 coding sepsis is little complicated. Coding of sepsis involves use of two or more codes. There is separate coding guideline only for Sepsis where we can learn how to easily code sepsis. It is infectious and can lead to organ failure if not take care at right time. Now, I am here just to remove confusion about ICD 10 code for urosepsis and sepsis. Now, both are defines separately in ICD 10. Urosepsis has no icd 10 diagnosis…

Key Changes for ICD-10-PCS Guideline Updates for FY2022

May 2, 2022May 2, 2022 Jitendra M.Sc CPC

CMS released the Official ICD-10-PCS Coding Guidelines for fiscal year 2022, which went into effect October 1st. The FY 2022 PCS guidelines include three guideline revisions in the Medical and Surgical section (B3.7, B4.1c, B4.8) and two guideline revisions from the New Technology section (E1.a, E1.b). Although key changes will be highlighted in this blog, be sure to review the 2022 ICD-10-PCS Official Guidelines for Coding and Reporting in their entirety to ensure proper coding and reporting. Guideline B3.7 Control vs. More Specific Root Operations Guideline B3.7 has been revised…