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...

Tips & Expertise: ICD-10-PCS for GI Procedures

Q:  Can you explain when the approach for laparoscopically-assisted procedure through an orifice would be used? A:  This approach was added to the GI system in fiscal year 2018 to report a laparoscopically-assisted anal-pull through procedure.  This procedure is...