** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.
Take the Pressure Out of Negative Pressure Wound Therapy
Negative pressure wound therapy (NPWT) or wound vac coding has been an area that generates a lot of questions and confusion. These codes are widely used and have a specific purpose. Continue reading as we discuss exactly what NPWT is, break down the four code options, and talk about how they are intended to be used.
Tips & Expertise: 2022 IPPS Updates Webinar Q&A
Q: VitalWare is reporting that New Technology Add-on Payment for Abecma and Tecartus but they also drive to DRG 018. How does that work? A: This is correct. CAR T-cell therapies are assigned to MS-DRG 018 through a pre-MDC. Abecma and Tecartus both also receive...
Tips & Expertise: Injections & Infusions Beyond the Basics Webinar Q&A
Q: For concurrent infusions, does the drug have to run 16 minutes together or any time together at all? A: Concurrent infusions should run greater than 16min together. Ref: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=53778 Q: If...
Tips & Expertise: What’s New? 2022 ICD-10-CM Updates Webinar Q&A
Q: Would you code long term use of insulin and hypoglycemic as well as presence of insulin pump? A: The code categories for diabetes, other than category I10 for type 1 diabetes, has a “use additional code” note indicating that the type of control (i.e., long term...
Tips & Expertise: Oh Baby! Diagnostic OB Coding for ICD-10-CM Webinar Q&A
Q: O48.0 reads that it is for pregnancy over 40 completed weeks, so it seems that 40 weeks and 0 days would not be post term. There was a statement that post term is greater than or equal to 40 weeks. Are we interpreting that correctly? A: Post-dates pregnancy is...
Tips & Expertise: 2022 ICD-10-PCS Updates Webinar Q&A
Q: For the customizable interbody fusion device, is discectomy included or coded separately?A: Per the New Technology guidelines, the codes in the New Technology table report the only the steps of the procedure covered by that root operation. In table XRF, the...
2022 Guidelines for Reporting Social Determinants of Health
Blog Post: Digging into HIM & Coding
Our coded data plays a great role in this initiative by providing measurable data. To strengthen reporting of SDOH, the ICD-10-CM Official Guidelines for Coding and Reporting (OCG) have been expanded for fiscal year 2022 (effective October 1, 2021). Continue reading to learn more about the upcoming changes! | Read More.
Tips & Expertise: Wounded By Wound Care Webinar Series Q&A
Q: Can diabetic foot ulcer code be used with pressure ulcers? The code book seems to indicate it would not.A: You cannot assume a link with pressure ulcers and diabetes. Quick tip! Q: Regarding diabetic foot ulcer. I did see the quick tip, but ICD10 indicates...
Is your organization worried about wound care coding?
Blog Post: Digging into HIM & Coding
One of the most difficult and misunderstood diagnostic coding types is that of a wound care clinic. Often managers lump these types of charts into clinic coding and expect productivity to be just as high. Ask any wound care coder and they’ll tell you that a wound care chart is one of the most confusing case types out there.
Most of the conditions treated in wound care clinic are chronic, nonhealing ulcers, yet the clinic is called wound care – not ulcer care – which is just the beginning of the confusion. Patients are often seen weekly, and the severity of their wounds (ulcers) can improve, deteriorate, or remain stagnant week to week. Many coders are unsure how to code these charts. What type of wound is being evaluated? How does the wound look this week? How, exactly, is the wound being treated? | Read More.
Tips & Expertise: Do your ICD-10-CM Codes Tell the Patient Story Webinar Q&A
Q: There’s an assumed cause and effect relationship between diabetes and peripheral artery disease, but what about coronary artery disease? Do we make the link between CAD and diabetes?A: No. Diabetes has a causal relationship with peripheral vascular disease. ...