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The four-part series “Vaccination Nation” concludes today with updates on vaccination rates. An already botched national COVID-19 vaccine distribution rollout has been hampered by hesitancy, suspicion, and a spate of severe winter weather that ravaged Texas and 23 states in the Southeast, forcing mass vaccination clinics to close. On the…
Pay attention to dates associated with the new COVID--19 codes, Z20.822 and Z20.828, to avoid billing errors.  In December 2020, the Centers for Disease Control and Prevention (CDC) announced six new International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes, developed to capture the disease process of COVID-19 better.…
Nationwide, the vaccination rollout has been uneven.The vaccine rollout in Georgia has been relatively successful thus far, although it is an evolving and ongoing process, as with most states. Per Phase 1A of the state vaccine rollout, only adults 65 and older, their caregivers, healthcare workers, employees at long-term care…
According to Bloomberg News global vaccine tracker, 5.7 percent of the U.S. population has been fully vaccinated.  I depress the plunger hard, and the retractable needle pops into the hub like magic. Just like I was told it would! This is the fourth type of needle I have used today,…
This article will pose common questions or concerns from our listeners. I am the co-host of Talk-Ten-Tuesdays because I am a national expert on clinical documentation improvement (CDI) and ICD-10, but I was first a physician who took a Hippocratic Oath to do no harm. I also have always had…
The confluence of race and heart disease. February is the month that we celebrate American Heart Month and Black History Month. You may wonder why these are being discussed together in a coding article. Heart disease is the leading cause of death for Black Americans, at 23.5 percent. Black Americans…
Typical CDI programs are intended to drive reimbursement through diagnosis securement, contributing to improved case mix index. The COVID-19 pandemic is placing monumental financial stressors upon hospitals, with added costs to treat patients with high acuity and long length of stays, coupled with significant revenue loss associated with postponement of…
We were doing our part to help facilitate making the vaccine available to the public. I was feeling confined and socially distanced due to COVID-19, as many of us are – and anxious for a vaccine so I could get back to a more normal life. I had heard about…
EDITOR’S NOTE: If projections from the Centers for Disease Control and Prevention (CDC) hold, there could be 534,000 deaths from COVID-19 by the end of February, slightly surpassing the 525,600 minutes in a year – or, put another way, one death per minute. That number – 525,600 – has been…
Vaccines are designed to prevent significant illness; they don’t prevent transmission. We are losing the war against SARS-CoV-2, the virus that causes COVID-19. More than 460,000 Americans and greater than 2.2 million people around the globe have died from it. Viruses are smart. They constantly mutate in order to “stay…
The dilemma of coding COVID-19 is revealed. One of the things that delights me about ICD-10-CM is that I find new codes (codes new to me, that is) almost daily. And I also think ICD-10-CM is pretty logical; the answers to conundrums are there, if you have faith that almost…
Everything is different, but nothing has changed. I am sure we have all heard the statement “everything is different, but nothing has changed.” There are so many versions, variations, and applications of this on the Internet, but how does it generally get interpreted? The way I see it is that…
The series will highlight the dangers of vaccination hesitancy, which is causing concern among health experts hopeful for herd immunity from COVID-19. In response to deep concern over widespread “vaccination hesitancy” – an issue the World Health Organization (WHO) says is one of the top 10 global health threats –…
Approximately 25 percent of the population is vaccine-hesitant. I’m going to get real with you: COVID-19 may very well be with us forever. We may be wearing masks or seeing our elders die from new strains of COVID-19 forever – unless enough of us get vaccinated. Herd immunity varies by…
Vaccine administration and product codes are expanding. The Centers for Medicare & Medicaid Services  (CMS) released updates to the ICD-10-PCS codes on Dec. 1, 2020, while the most recent release of CPT® codes was Jan. 25, 2021.  With the release of vaccines, the American Medical Association (AMA) has released frequent…
COVID-19 has added another level of complexity to the revenue cycle.  Hospitals and health systems need to update their current revenue cycle processes, becoming more efficient in that arena. Revenue cycle must eliminate inefficient processes in order to drive revenue preservation that translates into optimal net patient revenue. These changes…
ExtStore.AdvPoll.initResult(); Which of these responses characterizes your view on vaccination? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-57'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Already been vaccinated 47.47% Scheduled to be vaccinated 4.04% Will get vaccinated when it is available…
Alexander v. Azar Reappears; Condition Code 44 appeals could be back in court. Author’s Note: Thanks to the Center for Medicare Advocacy for alerting me to this case update. Many of you may recall a class-action lawsuit that was filed in 2011 on behalf of Medicare beneficiaries who were hospitalized…
Document coagulopathy when clinically valid and appropriate, because it reflects the seriousness of the clinical problem at hand. “Perioperative hemorrhage and hematoma,” also known as Patient Safety Indicator (PSI) 9, is one of the PSIs developed by Agency for Healthcare Research and Quality (AHRQ). PSIs are intended to provide information…
Phone call codes during the PHE range from 99441 to 99443, and are all based on time. In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) made a number of changes that allowed Medicare beneficiaries to access a wider range of telehealth services without having…
The CDI approach to PSIs should be to scrutinize the indicators for the inclusion and exclusion criteria. I believe that patient safety indicators (PSIs) serve a legitimate purpose. They are intended to “prevent potentially avoidable safety events that represent opportunities for improvement in the delivery of care.” This is a…
The vaccination effort has been suboptimal. It is mind-boggling how rapidly they were able to develop effective vaccines against COVID-19. It really was at warp speed. However, vaccines don’t protect people, vaccinations do. The vaccination effort has been suboptimal. In response to an overwhelming feeling of helplessness and depression, I…
Compliance is a big part of the risk adjustment HCC. Everyone is welcoming the New Year, and I am among them. This is a good time to take a look at some basics that make up the Medicare Advantage (MA) Risk Adjustment (RA) and Hierarchical Condition Category (HCC) model. Those…
Not all words that can be mapped within a health record to a diagnosis code are clinical documentation or reportable.   As we start 2021, it seems like a good time to get back to basics. Something that has been on my mind recently is this: do we, health information management…
Burnout in healthcare professionals, physicians in particular, was high pre-COVID. We are hearing stories every day about healthcare delivery professionals being caught up in the stress of the intense, long hours necessary to deliver care to COVID-19 patients. There have been an ebb and flow in the intensity and the…
The federal holiday honoring King is annually held on the third Monday in January. The executive body of a prominent nationwide healthcare organization has issued a formal apology for what it described as a history of racism, the announcement coinciding with the federal holiday honoring the life and work of…
In a stunning move, the U.S. Department of Health and Human Services (HHS) just announced that it is eliminating the need for providers to have a special waiver from the Drug Enforcement Administration (DEA) to prescribe medication-assisted treatment (MAT) for opioid use disorder. Approved by the Food and Drug Administration…
The principles focus on continuous improvement. There have been numerous articles and other materials written promoting the material benefits of implementing some if not all of Toyota’s 14 principles, first outlined by the auto manufacturer in The Toyota Way, published in 2001. These principles have been referred to as “a…
The conversion factor was increased twice in one week. The Centers for Medicare & Medicaid Services  (CMS), in a rare move, recently raised the  conversion factor (CF) twice in one week, resulting in an adjustment of approximately $34.89 for 2021. The action by CMS marked a last-minute slight increase to…
The “S” is used to identify the subjective requirements of the documentation. While conducting a 2021 evaluation and management (E&M) physician training event for a client, like right in the middle of the session, I had an epiphany. Now, maybe you have already had it as well, but I thought,…
The guidelines are effective from Jan. 1, 2021 through Sept. 30, 2021. On Dec. 16, 2020, the Centers for Disease Control and Prevention (CDC) released updated ICD-10-CM Official Coding and Reporting Guidelines for 2021. The updated document can be found on the CDC website. The changes are focused on COVID-19…
2020 will be remembered, I am certain, as the “Year of the Coder.” Just think about all the new codes that sprang up almost overnight like mushrooms. Obviously, there were a slew of new codes related to COVID-19, the disease caused by the coronavirus. Also related to COVID-19 were codes…
I am imploring the official powers that be to reconsider the advice and permit us, instruct us, to use Z86.16 with B94.8. When I am doing webinars, I preface them with the disclaimer that I am not a coder; I only play one on the computer. However, there are times…
Comments are being sought now. With two COVID-19 vaccines now being distributed nationwide and more on the way, in addition to what are sure to be forthcoming enhancements in treatment of the virus, federal officials have issued an interim final rule with comment period establishing add-on payments for such measures.…
There is great news on the COVID-19 vaccine front. Scientists and pharmaceutical companies have developed a series of safe and effective vaccines in record time. The Food and Drug Administration (FDA) approved Pfizer’s COVID-19 vaccine last Friday, with Moderna’s likely to follow this week. Other vaccines are in the pipeline.…
The new normal: High volumes of acutely ill and dying patients. As a licensed clinical social worker, professional case manager, and doctor in behavioral health student, concern for my colleagues on the front lines of care is absolute. That concern has me hitting pause this week for my usual report…
To think that queries and increased case mix index (CMI) is the end-all and be-all of CDI is a fallacy. In a recent conversation with a chief financial officer of a medium-sized hospital where a clinical documentation integrity (CDI) program was well-established, I raised the question of whether a CDI…
There are very few places in the U.S. that are experiencing low levels of disease and hospitalization. As I and many experts predicted, the COVID-19 pandemic in the United States has ramped up, and the winter is going to be bleak. On Dec. 10 (the day prior to when I…
Moderna’s vaccine is expected to be shipped to providers nationwide, on the heels of Pfizer’s. A reeling nation couldn’t have asked for a better Christmas present. The Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for the Pfizer-BioNTech COVID-19 vaccine for individuals 16 and older last week…
CMS has finalized a new requirement that the nation's 6,200 hospitals report information about their inventory of therapeutics to treat COVID-19. There has been a recent flurry of activity at the Centers for Medicare & Medicaid Services (CMS), with the federal agency publishing final rules for 2021 payments, giving providers…
As we near the end of what some consider the most unprecedented year in coding, there are more updates to review and decipher in preparation for 2021.   As the science around the COVID-19 pandemic continues to evolve, there remain many unknowns of post-COVID-related conditions. There is an ongoing and…
New procedure codes do not impact the MS-DRG assignment. The Centers for Medicare and Medicaid Services (CMS) released 21 new ICD-10-PCS codes that apply to the vaccination or treatment of COVID-19. These codes are effective January 1, 2021.  The procedure codes introduce six specific medications that can be used for…
Dysrhythmias like complete heart block, AF, and SSS all fall into HCC 96, with a risk adjustment factor of 0.268. Our listeners and readers ask the most interesting questions! One named Dena recently wrote me and said, “I am an HCC coder, and there is a hot debate about coding…
ExtStore.AdvPoll.initResult(); Are you going to get vaccinated against COVID-19 when the vaccine becomes available for you? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-56'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Yes 51.49% No 17.82% Don't Know 30.69% ← Back
ExtStore.AdvPoll.initResult(); Do you personally know someone (not a famous person) who has died of COVID-19? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-55'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Yes, a family member or close friend 16% Yes, someone other…
The list will be eliminated over the course of three years. Federal officials unveiled the 2021 Outpatient Prospective Payment System (OPPS) Final Rule this week, and it heralds a long-awaited development in the initialization of the dissolution of the Medicare Inpatient-Only List. Introduced approximately 20 years ago, the List designates…
Some third-party payers have reimbursed and will continue to reimburse providers for this new CPT code; others won’t. The American Medical Association (AMA) published a new CPT® code on Sept. 8 that accounts for extra provisions to ensure patient and provider safety during a public health emergency (PHE).  The code is effective immediately: CPT 99072 – Additional supplies, materials, and clinical…
CCM appears to be positioned to be effective for improving patient care during the pandemic. Previously, we’ve discussed the numerous benefits of incorporating chronic care management (CCM) into a primary care practice. CCM is intended to help care for the sickest and most challenging Medicare patients, those with two or…
If a patient has COVID-19 and pneumonia, he or she should be admitted to a skilled nursing facility (SNF) at the hospital until the patient tests negative. There are frequent coding questions for non-acute care facilities posted in coding listservs. One official resource that will assist in answering questions for…
A pregnant woman’s death is often determined by her race as well as the state or country in which she resides. Maternal mortality and maternity care in the U.S. have become heavily scrutinized over the past several years. Close to 700 Americans die annually from pregnancy-related causes, with the maternal…
Participation in a CCM program by primary care physicians remains low. Now that we appreciate the numerous benefits of starting a chronic care management (CCM) program, both from the standpoint of patient care and reimbursement, while acknowledging some of the reasons behind the hesitation among some providers to initiate one,…
There are some remaining contamination issues and human errors that produce false positives. In previous articles, I discussed the frequency of false positives in COVID-19 PCR tests (False Positives in PCR Tests for COVID-19) and the resulting impacts (Impacts of False Positive Results in COVID-19 Tests). Ever since PCR tests…
November is Diabetes Awareness Month. November is Diabetes Awareness Month, and it seems additionally appropriate to review diabetes when there is a focus on chronic diseases.     According to the World Health Organization (WHO), diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin…
EDITOR’S NOTE: In light of the fact that this Thursday Americans will be celebrating Thanksgiving, we are republishing this article that appeared here on Sept. 29, as a guide to help families navigate potential social landmines while discussing current events around the dinner table. H. Steven Moffic, MD is a…
New COVID cases reported daily have more than doubled during recent weeks, since a more modest July surge. As the nation’s COVID-19 pandemic continues to spiral out of control, federal authorities are racing to find ways to mitigate the spread. The Centers for Medicare & Medicaid Services (CMS) announced last…
False positives distort various epidemiological statistics. In a previous article ("False Positives in PCR Tests for COVID-19"), I discussed the evidence regarding false-positive rates of COVID-19 PCR tests, and walked the reader through an example explaining the mathematics of how these rates lead to a large fraction of positive results…
The mood of the country impacts claims. There are a few words that can be associated with the pandemic and the election. These words are the following: Stress – a state of mental or emotional strain or tension resulting from adverse or very demanding circumstances Anxiety – a feeling of…
Federal approval of the Pfizer vaccine, believed to be better than 90 percent effective, could occur before the end of the month. When the long-awaited and much-anticipated COVID-19 vaccine becomes available in the U.S., a development that could take place before the end of the year, a set of new…
The prevalence of misinformation coming from the most trusted form of coronavirus test may be more significant than previously thought. Three types of tests are used to diagnose current, active infection by the COVID-19 virus: PCR tests, rapid molecular tests, and antigen tests. PCR tests are generally held to be…
Part I of the Talk Ten Tuesdays broadcast airs today, with the next two parts to follow on subsequent Tuesdays, 10 a.m. EST. During the next three Tuesdays, Talk Ten Tuesdays listeners will be part of an adventure, as we will be reporting on a story that has not been…
CCM comprises up to 85 percent of the Medicare beneficiary population. With chronic care management (CCM) representing such a tremendous opportunity to help your most at-risk patients while also boosting your Medicare reimbursement, it begs the question: why wouldn’t a provider want to implement it? CCM services are personal, remote…
There are false negatives; there are false positives; there are untested individuals with disease.  I am in the process of developing a 90-minute COVID-19 webinar for ICDUniversity in December to outline new codes and updates, and my inbox is replete every day with articles about the coronavirus. On Sunday, I…
Already stress and anxiety are building as America awaits the outcome of today’s Presidential Election. Some might wonder why I am discussing a political situation when this is a website devoted to ICD medical coding. Well, it’s for two main reasons. One is that the incidence of many full-blown psychiatric…
Coding audits provide insight into the process of coding itself. The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has developed several healthcare compliance programs, and within the key elements of these programs you will find forms of auditing, along with monitoring. Auditing is viewed…
The ICD-10-PCS codes can be found in the XW0 Table for the drug infusions. There were new ICD-10-PCS codes implemented on Aug. 1, involving substances associated with the treatment of COVID-19. As we know, these codes are not to be assigned unless the substances were used to treat coronavirus. Here…
In many ways, CDI is the perpetuator of self-inflicted denials through the query process.  Unprecedented times require unprecedented actions, with all hospitals and health systems currently facing undue financial stress related to the ongoing (and raging) COVID-19 pandemic. The American Hospital Association (AHA), in its report issued June 30, indicated…
An update on ICD-11 There is much going on with ICD-11 – but more so in other countries of the world than the United States, however.    I have a seat on the NCVHS (National Committee on Vital and Health Statistics) now, a four-year appointment that began last March. There are…
Sepsis is diagnosed through clinical judgment. One of the forums I monitor recently saw a question about sepsis and SEP-1, which elicited this article. SEP-1 is the Hospital Inpatient Quality Reporting Program measure titled “Severe Sepsis and Septic Shock: Management Bundle.” The issue that Dr. Todd Brown raised was that…
Is this “new normal” a false reality? As we are now well into October, many months into COVID-19, I think we all have to look at what all the associated changes are going to mean for healthcare. I have been seeing so many telehealth advocates saying “the genie is out…
Hospitalizations are rising and have hit a two-month high; deaths are trending upwards There are now 40 million confirmed cases of COVID-19 worldwide, with more than 20 percent of them here in the United States. As President Trump holds outdoor political campaign rallies multiple times a day – with no…
Political discussions with family and friends could trigger emotional stress. EDITOR’S NOTE: With a presidential election fraught with enormous ramifications and stakes rapidly approaching, RACmonitor/ICD10monitor Publisher Chuck Buck recently sat down with renowned psychiatrist H. Steven Moffic, MD to talk over the key issues relating to mental health. What follows…
Federal healthcare oversight authorities have spent much of the last six months promoting the use of telehealth services.   It’s not the first time during the current COVID-19 public health emergency (PHE) that federal healthcare authorities have promoted the use of telehealth services – and it probably won’t be the…
ICD-10-CM Mnemonics are updated for 2020. As the healthcare industry is celebrating the fifth anniversary of the adoption of ICD-10-CM/PCS, an appropriate celebration to mark the occasion would be to revisit Learning ICD-10-CM by Mnemonics, which has been updated for 2020.
The table below provides chapters, beginning letters of the…
A well-known complication of atrial fibrillation for patients to form clots. EDITOR’S NOTE: Dr. Remer reported this story during a recent edition of Talk Ten Tuesdays. A while ago, Allen Frady and Dr. Ronald Hirsch were having a lively discussion on LinkedIn regarding atrial fibrillation and the diagnosis of D68.69,…
There is a term we now use for patients who are suffering from sequela conditions of COVID-19 which is Long Haulers. There are many conditions/signs symptoms and late effects of COVID-19 we are learning about every day and the list keeps growing.  What are post-COVID patients experiencing?  Many of post…
As we all know, President Trump has returned to the White House after a three-day stay at Walter Reed National Military Medical Center, where he was hospitalized with COVID-19. His care is continuing around the clock in the White House Medical Unit by a team of healthcare providers led by…
All payers are becoming more aggressive with their claim reviews. COVID-19 alone may trigger enough denials or requests for records to keep one or more people busy at each of our healthcare organizations.  If you haven’t already memorialized the many coding guidance documents from the Centers for Medicare & Medicaid…
The term “antibody” has entered our main-stream vocabulary due to the advent of SARS-CoV-2 with manifestation of disease as COVID-19. Antibodies are also called immunoglobulins. They are protein/carbohydrate structures of five different classes produced in defensive response to a foreign invader. Each class binds to alien structures responsible for inducing…
The hiatus of audits was short-lived.  The ongoing COVID-19 pandemic and resulting public health emergency (PHE) has brought about massive and quick changes in the healthcare industry, notably among them the temporary suspension of Medicare Fee-For-Service (FFS) audits. The Centers for Medicare & Medicaid Services (CMS) suspended most audits on…
Documentation of strokes is tricky. My personal provider’s MyChart has become pretty sophisticated. In preparation for an outpatient visit with my doctor, I have to review many aspects of my health history, including past medical history, medications, and allergies, and I have the opportunity to request edits. The provider must…
Not all new technologies are created equal.  Facility-specific coding guidelines are key to code hospital visits and encounters consistently. Another role that facility-specific guidelines play is to capture all possible reimbursement that is due to an organization.    Every Oct. 1, the MS-DRGs and ICD-10-CM/PCS are updated. In addition to the…
Effective research leads to correct coding. With the 2021 ICD-10 code updates already in use and the CPT® and HCPCS updates right around the corner, this is a prime time to talk about researching as a core skill for optimal coding. Why are research skills important? Years ago, I worked…
EDITOR’S NOTE: H. Steven Moffic, MD is a nationally renowned psychiatrist and award-winning author whose fifth book, “The Ethical Way: Challenges & Solutions for Managed Behavioral Health,“ is considered a seminal study in healthcare ethics. Also a popular guest on the Talk-Ten-Tuesdays Internet radio broadcast, Dr. Moffic recently received the…
Major changes are found in the 2021 Evaluation and Management guidelines. As we enter the final quarter of 2020, I hope everyone is committed to being prepared for the 2021 evaluation and management (E&M) changes, because they’re locked in, and the focus going forward should be on education for coders,…
The practice of medicine takes clinical criteria into consideration, but clinical judgment can override criteria. As I was deleting emails one morning, I saw a picture of Cynthia Tang, as in Pinson & Tang, authors of the annually updated CDI Pocket Guide. I had never met her, so I was…
EDITOR’S NOTE: Edward Hu, MD, CHCQM-PHYADV, a past president of the American College of Physician Advisors, also contributed to this article. Dr. Hu and Dr. Banker both participated in a series of meetings with Centers for Medicare & Medicaid Services (CMS) officials, with the end result being the recently issued…
EDITOR’S NOTE: Lisa Banker, MD contributed to the following report.Medicare Advantage Organizations (MAOs) were warned by federal health officials last week to issue an appealable organization determination when denying or recouping part or all of a payment from a non-contracted provider. The directive came in the form of a Centers for…
Regulatory upheaval continues amid the ongoing COVID-19 pandemic. A series of MLN Matters articles posted to the Centers for Medicare & Medicaid Services (CMS) website earlier this month covered a variety of topics, including, of particular note, a rundown of changes made by the October 2020 update of the Ambulatory…
Appeals court rules HHS has the authority to reduce payments. In November of last year, the Centers for Medicare & Medicaid Services (CMS) decided to move forward with a two-year phase-in of site-neutral payments, despite a decision in court earlier in the year siding with hospitals in their fight to…
The pandemic disrupted the stability surrounding food, shelter, and sleep. Because Healthfirst has long supported the health needs of underserved New Yorkers, we understand the impact of the social determinants of health (SDoH) on the underemployed, financially challenged seniors, and underrepresented minorities. During the ongoing COVID-19 pandemic, we had a…
The flu season is coming. There has been much discussion about COVID-19 this year, but as autumn approaches, thoughts turn towards influenza season. The Advisory Committee on Immunization Policies (ACIP) recently published guidelines for flu vaccination. Their advice is that routine annual vaccination is recommended for everyone 6 months of…
Action applies to the Medicare Accelerated and Advanced Payment Loan Program. In March, the Centers for Medicare & Medicaid Services (CMS) expanded the Accelerated and Advanced Payment Program (AAP) due to the COVID-19 public health emergency (PHE), in an effort to increase cash flow to providers. Under the current terms, repayment for…
On Sept. 8, the American Medical Association (AMA) released two new codes related to the coding and reporting of COVID-19 testing and management. The additions include one new code in the Pathology and Laboratory sections and one new code in the Medicine section of CPT. A summary of the new…
The Coordination and Maintenance Committee meetings were held virtually on Sept. 8 and 9. For proposals presented for an April 1, 2021 effective date, comments are due by Oct. 9, 2020. For proposals presented for an Oct. 1, 2021 effective date, comments are due by Nov. 9, 2020.  Comments may…
Twice a year, in March and September, the Centers for Medicare & Medicaid Services (CMS) ICD-10 Coordination and Maintenance (C&M) Committee meets, and the public is encouraged to participate. I personally find it extremely rewarding. I feel like I am contributing to the evolution of the ICD-10-CM code set. I…
According to ICD-10, gone are the days when you had to be chemically dependent on a substance in order to experience withdrawal (I will defer my criticism of that logic to another time):  F10 Alcohol abuse with withdrawal series F11 Opioid abuse with withdrawal series F13 Sedative, anxiety, or hypnotic…