Back pain ICD 10 Coding tips for Coders

ICD 10 Coding tips for Back pain

Basics of Back pain ICD 10 Coding. We already know that there is a big difference between ICD 9 and ICD 10 codes. Since the time I have started using ICD 10 codes, I have seen many challenges in diagnosis coding. For example, the concept of Excludes 1 and Excludes 2,  the initial subsequent encounter … Read more

Measure 195 PQRS or MIPS Coding Guidelines

What is MIPS or PQRS Measure? The Physician Quality Reporting System (PQRS) was a reporting program of the Centers for Medicare and Medicaid Services (CMS). It gave eligible professionals (EPs) the opportunity to assess the quality of care they were providing to their patients, helping to ensure that patients get the right care at the … Read more

Coding Guide for CPT code 50080 & 50081

Procedure Performed for CPT code 50080 & 50081 The physician creates a percutaneous passageway to remove kidney stones (calculi). The physician makes a small incision in the skin of the back, inserts a large needle, and radiologically guides it toward the kidney or renal pelvis. After passing a guidewire through the needle, the physician dilates … Read more

Coding Guidelines for Cam/Pincer Lesion Encounters

When your orthopedic surgeon treats a patient with cam/pincer lesions, they often have to wade into some complicated surgical territory. Coders need knowledge of cam/pincer lesion treatments and their corresponding codes to accurately report these encounters, as upcoding and downcoding are major concerns. Acetabulum Buildup Marks Cam/Pincer Lesions Cam and pincer lesions occur when there … Read more

New April Update for COVID-19 Vaccine Codes

The CPT Editorial Panel (the Panel) has approved a vaccine product code (91310) and its associated vaccine  administration code (0104A) for the new Sanofi Pasteur vaccine product to address severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease 2019 [COVID-19]) in adult patients aged 18 years and older. In addition to the new Sanofi Pasteur … Read more

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

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

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 … Read more

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

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 … Read more

New CPT codes for Grafting in 2020

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 … Read more

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