Coding - ICD10monitor

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…
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…
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…