Coding - ICD10monitor

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,…
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…
September 14, 2020

New COVID-19 Codes Coming

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…
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…
A few weeks ago, I introduced my new project; I’m affectionately referring to it as “A Question a Day Keeps the Queries Away.” It is going to be a curriculum for providers, clinical documentation improvement specialists (CDISs), and coders, taught in parallel. It takes me a while to research the…
We are learning more every day about the sequela conditions that might arise as a result of COVID-19. The early studies have found decreased lung function that might not be reversible, as well as potentially permanent damage to the heart, kidneys, and liver, along with GI conditions. Scientists and clinicians…
I am continuing my project, “A Question a Day Keeps the Query Away,” and today’s topic is functional quadriplegia. Let me preface this TalkBack with: this is an example of a coding construct that does not have a clinical diagnosis correlate. These types of diagnoses drive some physicians crazy. When…