by Kristi Pollard | Sep 17, 2021 | Blog, Tips & Expertise
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...
by Kristi Pollard | Aug 20, 2021 | Blog, Tips & Expertise
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...
by Kristi Pollard | May 25, 2021 | Blog, Tips & Expertise
Q: Would you use laminaria qualifier on the abortion table for the use of a synthetic osmotic dilator such as Dilapan-S? A: Dilapan-S has a similar action on cervical dilation as laminaria insertion. Haugen Consulting Group recommends using the qualifier...
by Kristi Pollard | May 4, 2021 | Blog
I remember a time when assigning ICD-9 procedure codes when we always picked up blood transfusions. With the implementation of ICD-10-PCS, this was one of the procedures that most hospitals phased out. The rationale for this decision in most organizations stemmed...
by Kristi Pollard | Apr 19, 2021 | Blog, Tips & Expertise
Q: We were originally educating the coders at our facility to code removal of internal fixation device from the joint per Coding Clinic 2Q 2017 pgs. 23-24 however a correction was issued in Coding Clinic 2Q2019 that states to use body part of vertebrae. But you’re...
