CE Articles

Review 2022 NCCI Manual edit updates and modifiers

The National Correct Coding Initiative (NCCI) Policy Manual for Medicare Services is used to control improper coding leading to inappropriate payment for Part B services. This article provides an in-depth overview of 2022 updates to the NCCI Manual including new and revised reporting guidance.

Note: To access this free article, make sure you first register here if you do not have a paid subscription.

Deconstruct ICD-10-CM guidelines for selecting a primary diagnosis code

Many factors influence the identification of a primary diagnosis, including varying provider documentation styles and health record nuances. Holly Cassano CPC, CRC, navigates challenges that come with selecting an appropriate primary diagnosis code.

Stick to the facts: Applying modifier -JW

Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. Refresh your knowledge of this modifier with coding tips and example scenarios.

Healthcare News: CMS releases new HCPCS code for EVUSHELD COVID-19 treatment

CMS recently announced that it released a new HCPCS Level II code for AstraZeneca's EVUSHELD COVID-19 antibody treatment, effective for dates of service on or after February 24. The initial dose authorized for use during the public health emergency has been changed to 600 mg for pre-exposure prevention of COVID-19.

Q&A: Defining differences between modifiers -LT/-RT and -50

Q: What are the main differences between modifiers -LT (left side)/-RT (right side) and modifier -50 (bilateral procedure)?

New on JustCoding.com

New on JustCoding Platinum!

Platinum members can access new clinical encyclopedia entries for furuncle, lymphangitis, and cellulitis. If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.

Free quiz

Test your knowledge with this week’s free quiz, which features ICD-10-CM codes for wrist and hand injuries.

Mini poll

What has been the most common reason for coding denials at your facility in 2022?

Click here to share your answer.

SelectCoder Tip of the Week

A peptic ulcer should be coded to ICD-10-CM code category K26 (duodenal ulcer) only when specified as duodenal or postpyloric. When documentation reports an ulcer as peptic and does not specify to one of these locations, assign a code from category K27 (peptic ulcer, site unspecified).

Interested in more coding tips and claim validation tools? Click here to sign up for a demo or to learn more about SelectCoder.

Platinum Newsletters

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

Product Spotlight

Boost Your E/M Revenue: Document and Code High-Level Visits with Confidence

Confusing new guidelines for office E/M visits, sparse guidance from official sources, and fear of audits have pushed some practices to down code their level 4 and 5 visits. During this 60-minute webinar on June 29, Nancy Enos, FACMPE, CPC-I, CPMA, CEMC, CPC, will describe how to use the new rules to your advantage.

For more information, call 800-650-6787 or visit the HCPro Healthcare Marketplace.

Contact Us

Savannah Schmidt
Editor
JustCoding News: Outpatient
editor@justcoding.com

HCPro
35 Village Road, Suite 200
Middleton, MA 01949
800-650-6787
http://www.hcpro.com

New to JustCoding?

Click the following links to:

Career Center

Post your open positions or find your next career move with the HCPro Career Center.