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2012 April Articles


Root Operations that Define Other Repairs

April 25, 2012 - By Lori Becks
This week’s ICD-10-PCS root operation article will introduce the root operations that include other types of repairs. There are two specific root operations identified in this particular group—repair and control. The repair root operation is identified with a value of ‘Q’ in... Read More

Tip of the Week: Open Hysteropexy

April 25, 2012 - By Lori Becks
Although it may seem like a good choice to report 58540 for an open hysteropexy to report this type of repair, it is not an appropriate code choice. Code 58540 reports repair of the organ itself, to correct an anomaly in the body of the uterus. A hysteropexy is repairing, meaning correcting, the con... Read More

ICD-10 Corner: Normal Pregnancy, Trimester, Fourth Characters

April 25, 2012 - By Lauri Gray
Codes for supervision of normal pregnancy (Z34.-) are used only for patients who have no conditions complicating maternal or obstetric care.  Codes in category Z34 are subclassified as normal first pregnancy (Z34.0-), other normal pregnancy (Z34.1-), and normal pregnancy unspecified (Z34.9-). &... Read More

Evaluation & Management Coding - The Basics - Part 3

April 18, 2012 - By Lisa Hernandez
In this edition of Evaluation & Management Coding – The Basics, we will be discussing the exam component in more detail.  As previously mentioned, it is very important to look to your Medicare Administrator for guidance on their “rules” for E/M coding.  Most carriers... Read More

Tip of the Week: Sonohysterography

April 18, 2012 - By Lori Becks
When catheterization and introduction of saline for sonohysterography (58340) is performed by the Ob/Gyn physician, who then also provides the official interpretation for use in treating the patient, it is appropriate for the Ob/Gyn to bill 58340 along with the professional component portion of th... Read More

ICD-10 Corner: Delving Into Diabetes

April 18, 2012 - By Lauri Gray
In ICD-10-CM, diabetes mellitus in pregnancy is reported with a code from category O24, Diabetes mellitus in pregnancy, childbirth, and the puerperium. Subcategories provide information on the type of diabetes. There are specific codes for type 1, type 2, other pre-existing diabetes mellitus, and... Read More

ICD-10-CM Neoplasm Codes

April 11, 2012 - By Lauri Gray
The neoplasm chapter in ICD-10-CM has undergone some significant changes. Just as in ICD-9-CM, neoplasms are classified primarily by site and behavior (benign, carcinoma in-situ, malignant, uncertain behavior, and unspecified). However, in ICD-10-CM there are additional neoplasms that are now classi... Read More

Tip of the Week: Laparoscopic Robotic Assisted Procedures

April 11, 2012 - By Lori Becks
Coding laparoscopic robotic assisted procedures using CPT is not as straightforward as choosing a single robotic-assist code. The appropriate laparoscopic code should be reported first, and for some payers, in order to identify that it was accomplished using robotic technique, report code S2900 fo... Read More

ICD-10 Corner: More Codes for Pregnancy Conditions

April 11, 2012 - By Lauri Gray
In ICD-10-CM, there are specific codes for many conditions that are currently covered by the single code 646.8-, Other specified complications of pregnancy, in ICD-9-CM. There are now specific codes for the following conditions of pregnancy: low weight gain (O26.1-), retained intrauterine device (... Read More

Root Operations Division and Release

April 04, 2012 - By Lori Becks
The root operations identified as division and release belong to the Medical and Surgical group of root operations that involve cutting and separation only. As in the group discussed last week for operations that involve examination only, this group is also made up of only two root operations. The d... Read More

Tip of the Week: Wedge Resection, Code 32505

April 04, 2012 - By Lori Becks
If the physician performs a wedge resection on the lung and uses intraoperative pathology consultation in order to determine whether a more extensive resection procedure (such as pneumonectomy) is required at the same site, and the report determines that no such additional resecting is n... Read More

ICD-10 Corner: Reporting Influenza

April 04, 2012 - By Lauri Gray
In ICD-10-CM, there are three categories for reporting influenza, J09, Influenza due to certain identified influenza viruses; J10, Influenza due to other identified influenza virus; and J11, Influenza due to unidentified influenza virus. There is no category or subcategory specific to the 2009 H1N1... Read More


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