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New chronic care payments, changes to global periods in proposed fee schedule

August 14, 2014 - By DecisionHealth Staff
Your practice could earn almost $42 per patient every 30 days for chronic care management (CCM) as long as your clinical staff jump through the proper hoops to bill a new G-code, including being available 24/7.The CCM fee and one G-code, GXXX1, were announced in the 609-page proposed 2015 Medicare p... Read More

Watch for new bundles for skin lesion

August 14, 2014 - By Laura Evans
Take care when reporting lesion destruction codes with other skin procedures because the latest quarterly update to the National Correct Coding Initiative (CCI), effective July 1, includes a number of new code pairs involving those codes. For example, destruction of a single premalignant lesion (17... Read More

Case study: How to code hypertensive heart, kidney disease in ICD-10

August 14, 2014 - By Laura Evans
When coding a visit for a patient with multiple chronic conditions, code first the reason for the visit, or, if the physician is addressing more than one problem during the encounter, code the diagnoses in the order listed in the physician's note to demonstrate medical necessity. In general, ho... Read More

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

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There is an Excludes1 note with ICD-10-CM code S10.17X- Other superficial bite of throat, what is the Excludes1 note?

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