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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: 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...