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Find the latest news from the Haugen Consulting Group. Check back frequently for updates.

Tips & Expertise: 2023 IPPS Updates

Q:  Can you summarize how MS-DRG grouper logic works?A:  The first step in grouping an MS-DRG is the assign the case to a major diagnostic category (MDC). This is done by classifying the principal diagnosis into one of 25 MDCs based on body system and case similarity....

Tips & Expertise: Minimally Invasive Liver and Biliary CPT Coding

Q:  What is the difference between biliary drainage using an ERCP approach and percutaneous biliary drainage?A:  When a biliary stent is placed in the biliary tree for drainage using an ERCP approach, a scope is inserted into the mouth and through the esophagus,...

Behind the Mystery of the Biliary Tree

The liver, gallbladder, and pancreas play important roles in digestion through the release of bile and digestive enzymes. The ductwork that connects these organs to each other and ultimately to the alimentary canal of the gastrointestinal tract, is often a mysterious...

Tips & Expertise: 2023 ICD-10-CM Updates

Q:  Does acute/chronic respiratory acidosis really code as acute/chronic respiratory failure? Can a code for respiratory acidosis be reported with the respiratory failure codes?A:  Yes, that is how it is indexed in ICD-10-CM. There is an Exclude2 note for code E87.29,...

Tips & Expertise: 2023 ICD-10-PCS Updates

Q:  When should the new qualifier M for Monoclonal Antibody in the 3E0 table be used? Can it be used to report cancer or COVID MAB therapy?A:  The qualifier M for Monoclonal Antibody is only available when the 6th character substance value C, Other Therapeutic...

Get Ready to Reprogram Your Z79.899 Coding Brain

We all have those codes that we’ve memorized – the ones that we assign on autopilot when we read certain documentation. For many coders, that code is Z79.899, Other long term (current) drug therapy. It is the catchall code when the patient is or has taken a medication...

Tips & Expertise: CPT Coding for Wound Repair

Q: How do you code for a through and through lip laceration when the mucosa, subcutaneous tissue, and skin are all repaired? Can you report code 40650 with a code for the skin repair?​A: Assign only code 40650 for repair of a through and through lip laceration. This...

Ten Things to Know About 2023 E/M Changes

Shea is a consultant for The Haugen Consulting Group with 11 years of health care industry experience. Shea has experience working on the professional fee side of coding, auditing, education and compliance serving coders and...

The Wonders of Wound Care Coding

Last year’s wound care webinars dove into the proper coding of wound care and offered several resources.  We received so many fantastic follow-up questions that we felt it would be best to share and elaborate on them in another webinar.  Questions surrounding...

Tips & Expertise: Clinical Meets Codes: ICD-10-CM Coding for Sepsis Q&A

Q:  When a patient has sepsis due to COVID-19, is the sepsis code always sequenced first? A:  No. Sequencing depends on whether the sepsis was present on admission and meets the definition of principal diagnosis. If a patient presented with a COVID-19 infection and...

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