2012 September Articles
September 26, 2012 - By Lori Becks, RHIAThis article continues with the series on ICD-10-PCS Medical and Surgical Section root operations. Last month the article introduced the group of root operations that include other objectives. These procedures have very specific outcomes intended, but they do not fit with the main objectiv... Read More
September 26, 2012 - By Connie L. Zeller, CPCCoding complications of medical care or treatment is entirely dependent on the physician’s documentation of the relationship between the condition and the medical care or procedure. However, it is important for coders to know that conditions may occur during or following medical care that are... Read More
September 26, 2012 - By Sarah Serling, CPC, CPC-H, CPC-I, CCS-P, CCS, ICD-10-CM/PCS TrainerIf you haven't started your ICD-10 clinical documentation assessment—don’t delay! ICD-10-CM and ICD-10-PCS code sets will be implemented on Oct. 1, 2014. Physicians are familiar with ICD-9-CM documentation requirements but because of the greater specificity of ICD-10-CM codes, many disea... Read More
September 18, 2012 - By Connie L. Zeller, CPCA recent report of a "superbug" at the National Institute of Health (NIH) has been making headlines. Last year, NIH identified six patients that died as a result of complications from the infection known as KPC (Klebsiella pneumoiae carbapenemases) which is resistant to broad spectrum carbapenem ant... Read More
September 18, 2012 - By Connie L. Zeller, CPCAll claims for inpatient admissions to acute care hospitals are required to report Present On Admission (POA) information. The reporting options for POA are part of the UHDDS uniform billing requirements. If using “Y” then the condition was present at the time of the inpatient admission.... Read More
September 18, 2012 - By Sarah Serling, CPC, CPC-H, CPC-I, CCS-P, CCS, ICD-10-CM/PCS TrainerCoding with ICD-10-CM requires a more advanced knowledge of anatomy and physiology as well as more detailed documentation and a solid understanding of what must be included in the medical record documentation to be able to assign the correct diagnosis code. Coders must have a basic understanding of... Read More
September 12, 2012 - By Sarah Serling, CPC, CPC-H, CPC-I, CCS-P, CCS, ICD-10-CM/PCS TrainerThe Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) updated the guidelines for coding and reporting the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for 2013. The guidelines are used in conjunction wi... Read More
September 12, 2012 - By Connie L. Zeller, CPCChronic pain is coded with subcategory 338.2, and doesn’t have a time frame, or guidelines for the length of time for when pain is considered chronic. Rather, code assignment is based on the provider’s documentation of the condition (e.g., acute, subacute, chronic). Provider documentatio... Read More
September 12, 2012 - By Sarah Serling, CPC, CPC-H, CPC-I, CCS-P, CCS, ICD-10-CM/PCS TrainerThe ICD-10-CM and ICD-10-PCS code sets will be implemented on Oct. 1, 2014. The implementation of the new ICD-10 codes affects much more than coders and health information management professionals. All departments, systems and staff that currently use ICD-9-CM need to be updated and educated for ICD... Read More
September 05, 2012 - By Lauri Gray, CPC, RHITOn July 30, the proposed rule related to payment under the Medicare Physician Fee Schedule (PFS) and other Medicare Part B payment was published in the Federal Register. The proposed rule identifies proposed payment and policy changes to physician and other Medicare Part B services furnished in cale... Read More
September 05, 2012 - By Connie L. Zeller, CPCWhen coding for MRSA (Methicillin Resistant Staphylococcus aureas) sometimes it is necessary to use combination codes. If the infection is due to causal organism do not assign code V09.0 (Infection with microorganisms resistant to penicillins). Causal organism may be septicemia, or pneumonia.... Read More
September 05, 2012 - By Sarah Serling, CPC, CPC-H, CPC-I, CCS-P, CCS, ICD-10-CM/PCS TrainerIf providers do not have ICD-10 fully implemented by the October 1, 2014 compliance date for the ICD-10-CM and ICD-10-PCS code sets, it will affect claims payment for services that would have been covered had the correct codes been used. On the other hand, providers who have fully implemented ICD-10... Read More
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Can You CodeItRight?
Which section is the code for Asperger's syndrome found in ICD-10-CM?