CE Articles

Unpack ICD-10-PCS coding for amputations

Approximately 185,000 amputations occur in the U.S. each year, according to the Amputee Coalition. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, breaks down documentation and ICD-10-PCS coding for amputations of the upper and lower extremities.

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CMS mulls MS-DRG changes and relief for hospitals in 2022 IPPS proposed rule

CMS offers hospitals some breathing room to recover from the effects of the COVID-19 pandemic in the 2022 IPPS proposed rule. Review proposed updates to complication/comorbidity (CC) and major CC classifications, and a proposed new MS-DRG rate-setting method aimed at alleviating hospital burden.

Decipher documentation and billing for acute and post-acute transfers

A recent Office of Inspector General audit estimates that Medicare improperly paid inpatient hospitals $267 million over a two-year period for transfer services incorrectly billed as discharges. Judith Kares, JD, analyzes documentation and billing rules for acute and post-acute transfers.

Healthcare News: Anthem received an estimated $3.5 million in Medicare overpayments, says OIG

The Office of Inspector General (OIG) recently performed a compliance audit of specific diagnosis codes billed by Anthem Community Insurance Company Inc. to CMS and found that the company submitted unsupported diagnosis codes for 123 of the 203 enrollee-years.

Q&A: ICD-10-CM coding for diabetes with Fournier gangrene

Q: What ICD-10-CM codes would be used to report Fournier gangrene in a patient with Type 2 diabetes?

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SelectCoder Tip of the Week

ICD-10-CM codes in category L89.- (pressure ulcer) are combination codes that do not require a second code to describe the stage. The sixth character of the code indicates the stage. Coders may choose the stage based on clinicians' documentation, but the physician must establish the type of ulcer.

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