2012 April Articles
April 25, 2012 - By Lori BecksThis 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
April 25, 2012 - By Lori BecksAlthough 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
April 25, 2012 - By Lauri GrayCodes 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
April 18, 2012 - By Lisa HernandezIn 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
April 18, 2012 - By Lori BecksWhen 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
April 18, 2012 - By Lauri GrayIn 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
April 11, 2012 - By Lauri GrayThe 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
April 11, 2012 - By Lori BecksCoding 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
April 11, 2012 - By Lauri GrayIn 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
April 04, 2012 - By Lori BecksThe 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
April 04, 2012 - By Lori BecksIf 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
April 04, 2012 - By Lauri GrayIn 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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Can You CodeItRight?
What considerations need to be known in order to code "Burns and Corrosions of External Body Surface, Specified by Site" (T20-T25)?