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Medical Coding Blog

ICD 10 Impact on Risk Adjustment | Risk Adjustment Training

November 20, 2016June 27, 2016 by AliciaScott-Instructor
ICD 10 Impact on Risk Adjustment

ICD 10 Impact on Risk Adjustment Q: How have ICD -10-cm impacted risk adjustment conditions? Depression is an example. It will be important for the provider to mention the severity (mild, moderate, severe) or clinical status since in ICD-9-CM, Depression was coded …

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How to Code for a Foley Catheter in a Skilled Facility?

November 20, 2016June 9, 2016 by Laureen Jandroep
How to Code for a Foley Catheter in a Skilled Facility?

Q: “How do I code for a Foley catheter in a skilled facility?” A: That is a great question, and the answer unfortunately is it depends on who you’re coding for. I have two different scenarios, the first one says, …

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How Does COC Differs from CPC? — Medical Coding Question

November 20, 2016June 7, 2016 by Laureen Jandroep
How Does COC Differs from CPC?

Q: How does COC differs from CPC? Chandra: A: OK. So when we look at how the CPC differs from the COC. How these two things are different? You’re going to notice that everywhere that there’s a shaded box there …

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Morphology Codes — What Are They Used For?

November 20, 2016June 3, 2016 by Laureen Jandroep
Morphology Codes - What Are They Used For

Q: What in the world are these morphology codes? What are they used for? I don’t see them in any of my coding materials. None of my class work covers them. Nobody seems to use them but they are prominent …

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

November 20, 2016May 28, 2016 by AliciaScott-Instructor
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 …

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

November 20, 2016May 26, 2016 by Laureen Jandroep
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 …

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

November 20, 2016May 23, 2016 by AliciaScott-Instructor
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 …

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Review of X Modifiers (EPSU) | Modifier 59 Alternatives

November 20, 2016May 22, 2016 by Laureen Jandroep
Review of X Modifiers (EPSU) | Modifer 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 …

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