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ICD-10 Coding

ICD-10 Coding

ICD-10-CM

4 New External Cause ICD-10-CM Code Sets to Know for 2024

The 2024 ICD-10-CM codes — which took effect on Oct. 1 —include nearly 450 changes, with many of the new codes slotted into chapter 20, which describes external causes of illness or injury. While not all payers require the use of these codes, they can absolutely help you paint a clearer picture of why a service […]
New icd-10 codes for 2024

Osteoporosis, Parkinson’s Among New ICD-10-CM Codes for 2024

If you’ve been feeling stifled by the lack of specificity among diagnosis codes for conditions like osteoporosis, retinopathy, Parkinson’s disease or congenital malformations, you’re in luck. CMS has released the ICD-10-CM codes for 2024, which will go into effect on Oct. 1, 2023, and they include new codes describing those conditions. There are over 350 […]
ICD-10 Z codes

Clearly Describe Patients’ Conditions With NEW ICD-10 Z Codes

If your practice is like most, you’ve been busily working to add the 2023 ICD-10-CM codes to your electronic health records and superbills to prepare for the Oct. 1, 2022 implementation date. But one area that many practices may not have spent much time absorbing involves the ICD-10 Z codes that are new this year. […]
ICD-10-CM guidelines

Aced the New ICD-10 Codes? Now Master Guideline Changes

You’ve got less than a month before you must start using the 2023 ICD-10-CM codes, but just as importantly, Oct. 1 is also the deadline for you to start following the 2023 ICD-10-CM Guidelines, and you’ll find major updates to those rules hitting next month. Here’s what they are: The ICD-10-CM Guidelines provide instructions for […]
ICD-10-CM coding guideline

Correctly Apply 2022 ICD-10-CM Changes Before Oct. 1st Deadline

You only have a few weeks to fully implement the 2022 ICD-10-CM coding guideline changes by the October 1st deadline. ICD-10-CM coding guideline. It is essential that you apply the 2022 outpatient diagnosis code updates correctly the first time. Failure to do so can lead to denied claims and a halt to your reimbursement. Not to mention the […]
2021 ICD-10 Code Updates

2021 ICD-10 Code Updates: Speed Pay for Headache, Abuse, Eye Claims

It’s that time of year again — while summer temps rise, CMS looks towards fall with the release of the 2021 ICD-10-CM code changes. You’re up to your neck dealing with all things COVID, so you may have missed the release — but don’t let that catch you off guard come October 1st. Collecting every […]
ICD-10-CM Code U07.1 COVID

COVID-19 Diagnosis Coding Surprises Boost Accuracy

You can use a confirmed COVID-19 diagnosis even when a positive test is not documented. This is one of the many recent surprises in ICD-10-CM COVID-19 related coding guidelines. With more patients coming into your office for screening, exposure and signs of COVID-19 and tests being in limited supply, you’ve got to nail down your […]

Differentiate Opioid Use, Abuse, Dependence to Pin Down Accurate ICD-10-CM F11 Code

QUESTION: We are seeing more and more patients who have at least one substance abuse related diagnosis. We want to ensure that each claim accurately reflects the patient’s diagnosis and the services provided. Can you explain the difference between the opioid-related terms of opioid use, abuse and dependence and their associated ICD-10-CM F11.xx  opioid codes? […]
OIG Medicare Payment

OIG Report Raises Concerns about Medicare Advantage Payments

You should expect to see Medicare providing more oversight and audits on chart reviews, specifically ones that result in additional patient diagnoses and payment. A U.S. Department of Health and Human Services Office of Inspector General (OIG) December 2019 report has raised concerns over billions of dollars in Medicare Advantage payments generated from chart reviews. […]