Wednesday, June 29, 2022
 

CE Articles

Unraveling ICD-10-CM coding for hypertension
Hypertension, also known as high blood pressure, is a condition in which the force of blood exerted against the artery walls is higher than normal for a prolonged period. This article explains hypertension pathophysiology and ICD-10-CM coding for the condition.

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Exploring the nuances of the 3-day payment rule
The 3-day payment rule is known to coders by various names such as the 72-hour rule, the 3-day payment window, or MS-DRG window policy. Kimberly Lee M.Ed., RHIA, CCS-P, describes how to navigate the rule’s nuances for billing purposes.
2023 ICD-10-CM update: Review new codes and reporting guidance
The Centers for Disease Control and Prevention recently released the fiscal year 2023 ICD-10-CM code set and ICD-10-CM Official Guidelines for Coding and Reporting. Review key ICD-10-CM updates including new codes for dementia, head injuries, and long-term drug therapy.
Healthcare News: CMS releases 14 HCPCS drug codes effective July 1
CMS recently published its first quarter HCPCS Application Summaries and Coding Recommendations, which included 22 requests to establish new HCPCS Level II codes for drugs and biologicals and CMS' final HCPCS coding decisions.
Q&A: Determining a Medically Unlikely Edit value for CPT code 94640
Q: Based on National Correct Coding Initiative Manual guidelines, CMS allows facilities to bill 1 unit of CPT code 94640 per episode of care regardless of the number of treatments provided. Should you bill 1 unit of CPT code 94640 even if the service was performed three times?
 

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SelectCoder Tip of the Week

ICD-10-CM code I51.9 (heart disease, unspecified) is assigned for end-stage heart disease, but the provider should always be queried for additional information regarding the type of heart disease.

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