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2014 coders' salary survey: Primary care coders report new demand for their services, higher pay, part 2

July 17, 2014 - By Laura Evans
Experienced coders are in demand That’s according to the 2014 coders’ salary survey conducted by DecisionHealth, with responses from 300 primary care office staff from around the country. As in past years, this year’s coders’ salary survey received a certain number of respo... Read More

Report whole blood injection into elbow with just one unlisted code

July 17, 2014 - By Laura Evans
Question: One of our physicians performed a whole blood injection, and we're not sure how to correctly code it. He withdrew 3L of whole blood from the left antecubital fossa and then injected the 3mL of whole blood into the right lateral epicondyle to address tenderness and weakness with resisted fi... Read More

ICD-10 Corner: ICD-10 LCDs include high volume of new codes, new specificity requirements

July 17, 2014 - By Roy Edroso and Julia Kyles
Even though the ICD-10 effective date has been pushed back to Oct. 1, 2015, many Medicare administrative contractors (MACs) have given you some powerful tools to transition to the new code set – their coverage policies, including payable I-10 codes. The MACs ultimately may make revisions to t... Read More

2014 coders' salary survey: Primary care coders report new demand for their services, higher pay

July 02, 2014 - By Laura Evans
Pat yourself on the back - primary care coders as a group got a more than 5% raise last year to an average rate of $51,019, compared with $48,467 in 2012. That's according to the 2014 coders' salary survey conducted by DecisionHealth, with responses from 300 primary care office staff from aroun... Read More

Use partial vulvectomy code 56620 to report a labiaplasty procedure

July 02, 2014 - By Laura Evans
Qustion: What code would you report for labiaplasty?Answer: Select code 56620 (Vulvectomy simple; partial), according to the AMA and the American Congress of Obstetrics and Gynecology (ACOG).Some coders might be tempted to report an integumentary code such as 15839 (Excision, excessive skin and subc... Read More

How payers and providers are handling the delay, part 2

July 02, 2014 - By Roy Edroso and Julia Kyles
At the University of Utah Hospitals and Clinics, many members of the steering committee were in favor of "mothballing the program" after the decision was announced, but advocates pushed back and got acceptance for "a livable program" of training, said Connie S. Tohara, director of health information... Read More

Use these three strategies to stop high denials on inpatient visit codes

June 18, 2014 - By Scott Kraft
Denial rates are up across the board when you bill E/M visits for hospital inpatients, including initial patient visits (99221-99223) and subsequent visits (991231-99233), according to DecisionHealth analysis of Medicare billing data from 2011 and 2012. While overall utilization for each code dipped... Read More

Medicare preventive services OK in assisted living, nursing homes

June 18, 2014 - By Laura Evans
Question: Does Medicare allow us to report an initial preventive physical exam (IPPE, code G0402) or annual wellness visit (AWV, codes G0438 and G0439) in the following places of service: assisted living facility, home, domiciliary?Answer: While home health agencies can't provide... Read More

How payers and providers are handling the delay

June 18, 2014 - By Roy Edroso and Julia Kyles
Kaiser Foundation Health Plan Inc. and Hospitals has had "1,200 coding professionals, auditors and educators... working to implement ICD-10 since 2009," said Gloyanne Bryant, Kaiser's national director of coding quality, education, systems and support. By the time the delay was announced, Kaiser had... Read More

Follow these drug-billing tips to lower your J-code denial rate, reduce audits

May 08, 2014 - By Laura Evans
In the latest reminder that even the tiniest details of your claims can get you audited, a nationwide dialysis provider, U.S. Renal Care, paid $7.3 million to resolve a whistleblower lawsuit that alleged a pattern of overbilling for the anti-anemia drug Epogen (J0886).It seems that vials of the drug... Read More

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In ICD-10-CM the following conditions are listed with code R25.2 Cramp and spasms: Carpopedal spasm (R29.0); Charley-horse (M62.831); Infantile spasm (G40.4-); Muscle spasm of the back (M62.830); Muscle spasm of calf (M62.831). Which type of coding note is associated with these conditions?

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