Coding for Diabetic Complications

November is American Diabetes Month and there’s no better time to review one of the most common coding variances we see on coding audits: coding for diabetic complications.  Later this month, I will present a webinar on this topic, but for now, let’s get a jump on it...

Tips & Expertise: 2021 IPPS Updates

Q:  You mentioned that Yescarta and Kymriah would group to the new MS-DRG 018 for CAR T-cell therapies.  There are 2 new codes for CAR T-cell therapies from the new technology section in 2021.  Will those codes also group to MS-DRG 018?A:  Two new CAR T-cell therapies...

Tips & Expertise: 2021 ICD-10-CM Updates

Q:  For alcohol and drug withdrawal, what is the default code if the doctor does not document use or dependence? A:  The alphabetic index lists dependence as the default and this is reiterated in Coding Clinic, Second Quarter 2015: Page 15.  However, if documentation...

Tips & Expertise: 2021 ICD-10-PCS Updates

Q:  Question in regards to the COVID-19 new PCS codes.  I am getting push back about coding these PCS codes when the drugs can be picked up via the charge master.  What are your thoughts? A:  While your organization may be able to pull this data from the charge...

Understanding 2020’s Unexpected Updates

It has been a wild year for coding updates so far and we haven’t even implemented the codes for fiscal year 2021 yet.  I will be detailing those code changes in two information-packed webinars scheduled to air later this month, but an August 1, 2020 release is one...

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