Here’s a summary of the changes for the July update to the 2018 Medicare Physician Fee Schedule Database (MPFSDB). Changes are effective for dates of service on and after July 1, 2018. Indicator Change for RHC and FQHC Care Management Codes For the following two HCPCS Level II codes, the PC/TC indicator is changed to 0 (zero) […]
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Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Brings
Outpatient dialysis brings coding challenges
By Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, AHIMA-approved ICD-10-CM/PCS trainer
- E10.22, Type 1 diabetes mellitus with diabetic chronic kidney disease
- E11.22, Type 2 diabetes mellitus with diabetic chronic kidney disease
- I12.0, hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
- I13.11, hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease or end stage renal disease
- 90935, hemodialysis procedure with single evaluation by a physician or other qualified physician or other health care professional
- 90937, hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription
- 4052F, hemodialysis via functioning arteriovenous fistula [ESRD]
- 4053F, hemodialysis via functioning arteriovenous graft [ESRD]
- 4054F, hemodialysis via catheter [ESRD]
- 90940, hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method
- 93990, transcranial Doppler study of the intracranial arteries, vasoreactivity study
- Peritoneal dialysis: The catheter is connected to the abdominal cavity, using the peritoneal membrane to filter the blood
- Hemofiltration: A mechanical filtration circuit cleans the blood of waste products and excess fluid using a convection process
- 90945, dialysis procedure other than hemodialysis, with single evaluation by a physician or other qualified physician or other health care professional
- 90947, dialysis procedure other than hemodialysis, requiring repeated evaluation(s) by a physician or other qualified health care professional, with or without substantial revision of dialysis prescription
- 99601, home infusion/specialty drug administration, per visit (up to two hours)
- Add-on code 99602, each additional hour
- Patient’s age, grouped into ranges:
- Younger than 2
- 2–11 years old
- 12–19 years old
- 20 and older
- Location of where the services are performed, either an outpatient facility or through home dialysis
- Level of physician services determined by the number of face-to-face visits by a physician
July OPPS Update Brings Many Code Changes
Although comparing the third quarter 2017 payment amount with the prior quarter reveals that, on average, prices for Part B drugs increased by 0.1 percent, according to the Centers for Medicare & Medicaid Services (CMS), there are several code changes in the July 2017 update that will soon affect claims payment under the Outpatient Prospective […]
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Adding Credentials Brings Both Short and Long-Term Benefits
Are you thinking about adding to your current credentials? Are you unsure which one to go for next? Well, the answer to that question isn’t the same for everyone. Ask yourself a few questions and do your research. The questions below can help most individuals quickly narrow down their list of potentials. (Side note: Did […]
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The New Year Brings Changes to Shoulder Arthroscopy in the NCCI Manual
The National Correct Coding Initiative (NCCI) Policy Manual for Medicare Services is updated once a year. The 2017 updates have been released. Chapter IV Surgery: Musculoskeletal system contains revisions to clarify limited and extensive debridement of the shoulder when performed with other shoulder procedures on the same shoulder. Subsection 4 In 2016, Section E Arthroscopy […]
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