Coding - ICD10monitor

This area of coding is not so easy. While most maternal deaths are preventable, the rate has been increasing in the United States since 2000. As a matter of fact, the U.S. has twice as many maternal deaths than other high-income countries. To reverse this trend, The Joint Commission, the…
The first step is to identify a need for the new code or a revision of a current code.   Anyone can petition for a new ICD-10-CM or ICD-10-PCS code.    ICD-10-CM is administered by the Centers of Disease Control and Prevention (CDC) and ICD-10-PCS is administered by the Centers for Medicare…
Coders, CDISs and physician advisors should review the new guidelines. I thought I would share some thoughts about the updates to the 2022 ICD-10-CM Coding and Reporting Guidelines (https://www.cms.gov/files/document/fy-2022-icd-10-cm-coding-guidelines.pdf) with you. None of the edits seem shocking. I think most of them are just clarifications, and some fall into the…
Three ideas to fix healthcare could provide industry efficiencies. An article that appeared in the July/August 2021 issue of BC Advantage got me thinking about some of the bureaucratic, redundant, labor-intensive, wasteful, and costly things that we do in healthcare – and how much more efficient we could be without…
Medical practices are leaving money on the table by under-coding. Are one or more of your physicians under-coding? Missing revenue? Or relying too much on COVID-related funding?These are valid questions, as medical practices are getting back to pre-pandemic levels of care and encounters. Under-coding in particular has been a topic…
ICD10monitor contributor Rose T. Dunn has a formidable legacy as a leader in the field of coding. It was the luckiest mistake I ever made.  I am from a very small township in Pennsylvania, and my high-school counselor, like many at that time, encouraged me to go into teaching or…
April 20, 2021

Had a Nuss of this?

Nuss Principal Procedure (ICD-10-PCS 0PS0447) Editor’s Note: This article was originally published in the American College of Physician Advisors Newsletter. IntroductionHow many times have you had a provider immediately respond, “the coding must be wrong,” when you engaged in a quality discussion? And, after you went in circles (and took several…
March is National Nutrition Month. In honor of National Nutrition Month (March), here is a review of weight-related diagnoses. The Official Coding and Reporting Guidelines for ICD-10-CM state that other clinicians may document body mass index (BMI), but the provider must document the weight diagnosis. The BMI codes are found…
The new code is expected to be here in October. EDITOR’S NOTE: The following is the broadcast script from Dr. Erica Remer’s segment during Talk Ten Tuesdays, March 16, 2021. One of the highlights of my year, and most definitely in this past year, is participating in the ICD-10-CM Coordination and…
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…