Medical Coding Guide - Page 65 of 91

Knee Pain ICD 10 coding Guidelines for coders

September 23, 2021April 19, 2022 Jitendra M.Sc CPC

How to quickly find Knee Pain ICD 10 code

Since the introduction of ICD 10 codes, we are now focusing more on ICD 10 codes. Still in some region ICD 9, codes are used by medical coders. As we know, there is a lot of difference between ICD 9 and ICD 10 codes. The most important thing I like about ICD 10 codes is their specificity. For example, for knee pain ICD 9 code we used to use only 719.46, diagnosis code. However, the same ICD 9 code for knee pain when coded in ICD 10, we have three…

New 2022 ICD-10-PCS Procedure Code Changes: Part 1

September 20, 2021September 22, 2021 Jitendra M.Sc CPC

For FY2022 ICD-10-PCS there are: 78,220 total codes (FY2020 total was 78,136) 191 new codes (556 new last year in FY2021) 107 deleted codes (0 last year in FY2021) 62 revised codes (0 last year in FY2021) Official Guidelines for Coding and Reporting ICD-10-PCS There were about 6 updates to the procedure guidelines. B3.7 for Control vs more definitive root operations (Bolded text is what changed) The root operation Control is defined as, “Stopping, or attempting to stop, postprocedural or other acute bleeding.” Control is the root operation coded when the procedure performed to achieve hemostasis,…

Sample coded surgery Medical coding charts Part 14

September 10, 2021September 22, 2021 Jitendra M.Sc CPC

Medical coding Sample report 1 Pre-op Diagnosis: Left hip recurrent acetabular labral tear Post-op Diagnosis: Same Procedure: Left hip acetabular labral reconstruction using semi tendinosis allograft 6 mm in diameter. Revision cam resection or femoral osteoplasty Implants: Five cinch lock anchors and 1 NanoTack anchor from Stryker Anesthesia Type: GETA and regional (Fascia iliacus block) Estimated blood loss (mL): 20 Findings: Recurrent tear of the superior labrum. Normal articular cartilage and no significant wave sign or bubble in the articular cartilage of the acetabulum. Small amount of wear on the…

Medicare covered COVID-19 Vaccine Boosters

September 6, 2021 Jitendra M.Sc CPC

Make sure claims and documentation support medical necessity. Healthcare providers have been given the go-ahead to provide an additional dose of the COVID-19 vaccine to certain patients. Here’s what you need to know for Medicare claims. The U.S. Food and Drug Administration (FDA) amended the emergency use authorization for both the Pfizer BioNTech COVID-19 vaccine and the Moderna COVID-19 vaccine “to allow for an additional dose in certain immunocompromised people,” according to an MLN Connects Special Edition article issued Aug. 16. According to the American Medical Association, (AMA) “Immunocompromised people…

2022 ICD 10 CM Coding Guidelines changes

August 23, 2021 Jitendra M.Sc CPC

As we know that we will be having a new updated ICD 10 coding guidelines effective 1st October 2021 and which will be active till next year 2022. So, it is very important to know about the new changes in ICD 10 codes in the latest coding guidelines. Below I have shared some of the changes (in BOLD letters) in the 2022 ICD10 coding books. Level of Detail in Coding Diagnosis codes are to be used and reported at their highest number of characters available and to the highest level…

New HCPCS Codes for COVID-19 Treatments

August 16, 2021August 16, 2021 Jitendra M.Sc CPC

New HCPCS Codes for COVID-19 Treatments On June 24, the Food and Drug Administration (FDA) released an Emergency Use Authorization for tocilizumab (Actemra), a monoclonal antibody product used for the treatment of COVID-19. Providers should use the following new HCPCS Level II codes when billing this product: Q0249 Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, 1 mg M0249 Intravenous infusion, tocilizumab, for hospitalized…

Sample Coded Surgery Medical coding charts Part 13

August 9, 2021August 9, 2021 Jitendra M.Sc CPC

Medical coding Sample Report 1 EXAM: MAMMO US BIOPSY LYMPH NODE RT COMPARISON: None REASON FOR EXAM: N63.10-Breast mass, right ADDITIONAL HISTORY: . INFORMED CONSENT: Prior to the procedure in an non-coercive space, the patient was advised as to the nature of the procedure including placement of markers, alternatives, benefits, and risks including but not limited to bleeding, pain, infection, scarring and non-diagnosis. The patient was encouraged to ask further questions and those questions and concerns were addressed. The patient freely gave informed consent without guarantees. PREPROCEDURAL BRIEFING: The patient…

Certified Professional Coder exam: Best 5 Strategies to Crack

August 6, 2021December 22, 2021 Jitendra M.Sc CPC

Exam always bring fear in our mind. When I left the school and college, I thought I will never have to face any more exams in future. But, it was not like that for me and other medical coders. When I entered into medical coding, I was not aware of any medical coding certification exams. As I started gaining experience, I was then started gaining knowledge about Certified Professional Coder or CCS exam. Since CCS (Certified coding Specialist) exam conducted by AHIMA gives only one attempt to clear the exam,…

HCPCS Levels I versus II Code Sets

August 4, 2021 Jitendra M.Sc CPC

Deciding which code to use starts with determining each payer’s policy. The Healthcare Common Procedure Coding System (HCPCS) has two principal subsystems, referred to as Level I and Level II. Knowing when to use HCPCS Level I codes versus HCPCS Level II codes can be confusing, mainly because many services are described by both code sets. Knowing which code set to use when is imperative for claims payment. To help you with that, let’s look at a couple of scenarios where there is an exact duplicate of a CPT (HCPCS…

Sample Coded Surgery Medical coding charts Part 12

July 22, 2021August 9, 2021 Jitendra M.Sc CPC

Medical coding Sample Report 1 EXAM DESCRIPTION: IR cvc port removal CLINICAL HISTORY: Port removal CONSENT: The procedure, risks, benefits, and alternatives were discussed with thepatient, and all questions were answered. Informed consent was obtained verbally and in writing. NURSING/MEDICATIONS: Continuous cardiorespiratory monitoring was provided throughout the examination. Local anesthesia only PROCEDURE: The patient was positively identified, taken to the angiography suite, and positioned supineon the fluoroscopy table. Timeout was performed. The skin overlying the port was prepped and draped in usual sterile fashion using all elements of maximal sterile…