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Medical Coding Blog

/Medical Coding Blog

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28 05, 2016

ICD-10-PCS Code for ALIF (Anterior Lumbar Interbody Fusion Procedure)

Q: “I’m getting confused trying to code for ALIF in ICD-10-PCS. It seems so different from ICD-9-CM volume 3 codes.” A: It is very different. First thing we need to know is, what does ALIF stand for? ALIF is an Anterior Lumbar Interbody Fusion Procedure, and so, an additional question

26 05, 2016

Modifier 24 — E/M During Post-Op Period (GSP)

Q: “Provider billed with a modifier 24 with a diagnosis code for trigger thumb only. Does this justify modifier 24? Is it significant enough to warrant payment of E/M within the global period?” A: Really what this question came down to is, what do we have to have to use

23 05, 2016

Coding Aftercare — Can a Z code be a Primary / Admitting Dx?

Q: Can a Z code be a Primary / Admitting Dx? “Can I use a Z code as a primary/first listed diagnosis? I am struggling with coding aftercare especially.” A: The answer is yes. You can use a Z code for a first listed diagnosis. The thing to understand and

22 05, 2016

Review of X Modifiers (EPSU) | Modifier 59 Alternatives

Q: Review of X Modifiers (EPSU) (modifier 59 alternatives) — “Can you review the X modifiers implemented January 1, 2015?” A: Honestly, there really hasn’t been that much of a change. In fact, CMS Medicare hasn’t given us much feedback or examples that consultants and coders have been looking for.

20 05, 2016

Modifiers, Global Surgical Package and Bundled Services Explained

Q: “Can you explain a little bit about modifiers, global surgical package and bundled services?” A: There’s a lot of information in one question. When we start to talk about these, a lot of times you’re going to hear the phrases “global surgical package” and “bundled services.” When you hear

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