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Trouble viewing? See it online! Thursday, July 5, 2018
 

CE Articles
Take the sting out of coding for pain management

Coding for pain management requires a detailed understanding of medical anatomy and terminology as well as the guidelines for reporting complex surgical procedures. Review ICD-10-CM coding for chronic and acute pain diagnoses and CPT coding for trigger point, joint, and epidural steroid injections.

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FY 2019 ICD-10-CM update: Returning (somewhat) to the norm
Coding professionals will need to familiarize themselves with 2019 updates to the ICD-10-CM Manual, including significant changes to chapter two for neoplasms and chapter 5 for mental disorders. Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, summarizes important 2019 ICD-10-CM updates, which will impact payment for claims submitted on or after October 1.
CMS clarification leads to more confusion over bilateral indicator for new HCPCS code
A July 2018 update to the OPPS clarifies that coders can report HCPCS code C9749 for an inherently bilateral procedure with modifiers -73 or -74 to indicate that the procedure was unilateral. Debbie Mackaman, RHIA, CPCO, CCDS, unpacks this seemingly contradictory guidance and addresses implications for coding and billing professionals.
Healthcare News: QPP exceeds 90% participation goal for 2017
CMS exceeded its goal of 90% participation in the first year of the Quality Payment Program (QPP), according to a May blog post from CMS Administrator Seema Verma.
Q&A: CPT coding for wound debridement with bilateral compression dressings
Q: A physician performs wound debridement on a patient’s right foot, then applies bilateral, multilayer compression dressings to each leg. How should this be reported?
 

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JustCoding’s July Member Spotlight

This month, we are pleased to introduce Kathy Dorich, RN, CCDS, CHPQ, who has over 30 years of acute care experience and 10 years of experience in clinical documentation improvement (CDI).
 

SelectCoder Tip of the Week

Assign ICD-10-CM code I15.0 (renovascular hypertension) when hypertension is specified as due to renal artery stenosis or reported as "renovascular." Do not use a code from category I12- (hypertensive chronic kidney disease) to report hypertension when hypertension is noted as renovascular. This condition is caused by narrowing of the renal arteries leading to the kidneys. An additional code for the causative condition should be assigned.

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Platinum Newsletters

Platinum members can view the latest stories from Briefings on APCs and Briefings on Coding Compliance Strategies.
 

Product Spotlight

Master Coding for Pregnancy, Delivery, and Puerperium

Hospital coding and billing for pregnancy-related services can be more complicated than simply reporting procedures, as claims often require a detailed understanding of the CPT® global obstetrical (OB) package and how to denote separate OB/GYN visits.

During this 90-minute webinar, Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, will review ICD-10-CM and CPT coding for pregnancy and delivery.

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Sarah Gould
Editor
JustCoding News: Outpatient
editor@justcoding.com


HCPro
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JustCoding's Member Spotlight

This month, we are pleased to introduce Kathy Dorich, RN, CCDS, CHPQ, who has over 30 years of acute care experience and 10 years of experience in clinical documentation improvement (CDI).

Why did you get into this line of work? 

After working in quality department of an acute care hospital, I was asked to lead a team of nurses who specialize in CDI. The hospital saw the value of CDI and decided to expand the team and formalize the program.

Continue reading the member spotlight here.

JustCoding is always looking for more members to feature in this section. If you’d like to share your coding story, please email editor Sarah Gould at sgould@hcpro.com.
 

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