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…
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…
Many insurers are not experienced in processing claims for transgender patients. When the Patient Protection and Affordable Care Act (PPACA) went into effect on July 18, 2016, Section 1557 included a provision that prohibited most health insurance plans from discrimination based on gender identity and transgender status, under the category…
Understanding the ICD-10-CM Z codes is essential. On Feb. 6, RACmonitor posted an article by Ellen Fink-Samnick, a frequent contributor to ICD10monitor and Talk Ten Tuesdays. It was titled “Underutilization of ICD-10-CM Z Codes for Medicare Beneficiaries.” She reminded us that it’s been two years since we were given dispensation…
Medical coding errors fall into the broad categories of “fraud” and “abuse.”  Medical practices are concentrating on critical practice changes in 2020 and 2021, but it is important not to lose focus on the basics of correct coding. Don't be guilty of common CPT and ICD-10-CM coding errors, as it…
Success can cost you more than you thought it would. You might have heard the phrase, “everyone wants to be successful until they see what it actually takes.”  While I’m not sure where the quote originates, I’ve seen it attached to various images, one of which is the feet of…
New guidance for coding vaping is retroactive to Oct. 1 discharges.   The Center for Disease Control and Prevention (CDC) has posted new coding guidance regarding e-cigarette lung injuries. This guidance, posted Oct. 17, 2019, is retroactive to Oct. 1, 2019 discharges.   The guidance states that coding professionals should report…
Conduct coding audits in all settings and check vendors’ coding credentials are among lessons learned under ICD-10. When we left ICD-9-CM, there were around 14,000 diagnosis codes in use across the healthcare industry – and then, on Oct. 1, 2015, we moved to approximately 69,000 codes. ICD-10-CM/PCS implementation was a…
During a recent conference call, the agency described assessing 64,883 ICD-10-CM diagnoses. I participated in the Centers for Medicare & Medicaid Services (CMS) conference call last Tuesday, explicitly focusing on complication and co-morbidity (CC) or major CC (MCC) designation methodology. This process is similar to how CMS originally determined comorbid…
The actual go-live of ICD-10-CM/PCS was generally smooth, with no major problems.  For health information management (HIM) coding and clinical documentation improvement/integrity (CDI) professionals, the use of and adherence to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting is a must. In addition, the American Hospital Association (AHA) ICD-10-CM/PCS Coding…