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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

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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

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Ace ICD-10-CM Coding for Insect Bites, Poison Ivy, and Heatstroke

Know what to watch when coding bug bites, poison ivy, and heatstroke! Get ICD-10 pointers. Somehow it is mid-August already, and talk about 2020 code updates is buzzing. But summer 2019 isn’t done yet! How many of these warm-weather diagnoses have you coded so far this year? Verify Venom Before You Report That Bug Encounter […]

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AAPC Knowledge Center

ICD-10-CM Excludes1 Notations Impact the Bottom Line

Alert coders of Excludes1 conflicts to help you catch problems in problem lists and avoid costly denials and rework. By Rebecca Caux-Harry, CPC In April’s Healthcare Business Monthly (pages 56-57), in the article “Take the Problem Out of Problem Lists,” authors Mary Wood, CPC, CPC-I, and Michael Warner, DO, CPC, CPCO, CPMA, AAPC Fellow, include […]

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AAPC Knowledge Center

Hundreds of New ICD-10-CM Codes Effective Oct. 1 2019


The Centers for Medicare & Medicaid Services (CMS) released on June 20 the ICD-10-CM code descriptions, tables and index, and addendum for fiscal year 2020. There are 273 additions, 21 deletions, and 30 revisions, effective Oct. 1, 2019, which will increase the code set from 71,932 to 72,184 diagnoses.

Chapter Review

The majority of changes to ICD-10-CM for 2020 are seen in Chapters 9, 12, 17, 19, and 20 — adding a considerable number of new codes, mainly to improve data specificity.

Chapter 9: Diseases of the Circulatory System (I00-I99)

This chapter is getting many new codes to improve reporting specificity of phlebitis and thrombophlebitis, acute embolism and thrombosis, and chronic embolism and thrombosis. A few added, deleted, and revised codes elsewhere in this chapter serve to improve specificity of existing diagnoses, as well.

Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00-L99)
In this chapter, there are 25 codes being added to report pressure-induced deep tissue damage with more anatomical specificity.


Chapter 17: Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00-Q99)
There are 30 codes being added to this chapter for increased specificity of anatomical location. For example, Q66.0 Congenital talipes equinovarus will become:


Q66.00 Congenital talipes equinovarus, unspecified foot
Q66.01 Congenital talipes equinovarus, right foot,
Q66.02 Congenital talipes equinovarus, left foot


Chapter 19: Injury, Poisoning, and Certain other Consequences of External Causes (S00-T88)
Under S02 Fracture of skull and facial bones, there are 60 new fracture codes being added to describe with more specificity injuries to the orbital roof, medial or lateral orbital wall, or orbit.

Under Injury, poisoning and certain other consequences of external causes (T07-T88), you’ll find revisions to underdosing codes T40.9- to include [hallucinogens]; and 27 new codes for poisoning, adverse effects, underdosing of multiple unspecified drugs, and heatstroke. Three less-specific heatstroke codes are being deleted.

Chapter 20: External Causes of Morbidity (V00-Y99)
In this chapter, we’re getting minor revisions to three V codes describing auto accidents, and many new Y codes for describing injuries resulting from legal intervention. For example, Y35831A describes a physician’s initial encounter of a police suspect injured during legal intervention using a “conducted energy device.”

Other chapters that are getting minor changes include:

Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99): Just three codes (B96.21-B96.23) are being revised to change (STEC) to [STEC].

Chapter 3: Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) is getting five new codes and losing one to improve reporting for adenosine deaminase deficiency.

Chapter 6: Diseases of the Nervous System (G00-G99) is getting just two revisions for codes G43.A0 and G43.A1 to add “in migraine.”

Chapter 7: Diseases of the Eye and Adnexa (H00-H59) has four code deletions: H81.41-H81.43 and H81.49.

Chapter 10: Diseases of the Respiratory System (J00-J99) has just one code revision: The descriptor for J44.0 is being revised to put “acute” in parentheses.

Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) includes a handful of minor code revisions.

Chapter 14: Diseases of the Genitourinary System (N00-N99) is getting three new codes and one code revision.

Chapter 18: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) will see three new codes, one deletion, and one revision in October.

Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99): The new Z codes proposed by the American Medical Association and UnitedHealthcare to expand the codes we have know to describe social determinants of health (SDOH) were not approved for Oct. 1, 2019.
There are, however, several new codes to report personal history of in-situ neoplasm in various locations, and two code revisions in other areas of this chapter.

Status Quo

There are no changes to Chapter 2: Neoplasms (C00-D49), Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89), Chapter 5: Mental, Behavioral and Neurodevelopmental Disorders (F01-F99), Chapter 8: Diseases of the Ear and Mastoid Process (J00-H95), Chapter 11: Diseases of the Digestive System (K00-K95), Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A), and Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96).

Source: https://www.aapc.com/blog/47461-hundreds-of-new-icd-10-cm-codes-effective-oct-1
 


Coding Ahead

Hundreds of New ICD-10-CM Codes Effective Oct. 1

The Centers for Medicare & Medicaid Services (CMS) released on June 20 the ICD-10-CM code descriptions, tables and index, and addendum for fiscal year 2020. There are 273 additions, 21 deletions, and 30 revisions, effective Oct. 1, 2019, which will increase the code set from 71,932 to 72,184 diagnoses. Chapter Review The majority of changes […]

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AAPC Knowledge Center

ICD-10-CM Codes for Independence Day Follies

The Fourth of July is right around the corner, and United States friends will gather to celebrate our independence. With the celebration comes a slew of accidents and injuries. Here are some ICD-10 codes you may see during this holiday. Food and Outdoor Fun Nothing says “Independence Day” like picnics and barbeques. Here are some food hazards to […]

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AAPC Knowledge Center

Use ICD-10-CM Excludes Notes to Improve Coding

Excludes 1 and 2 notes often hold the key to preventing claims denials. There are two type of excludes notes in the ICD-10-CM classification system: Excludes 1 and Excludes 2. Medical coders need to understand the meaning of these notes because they are integral to correct coding, and payers are beginning to deny claims based […]

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AAPC Knowledge Center

Healthcare News: CMS ICD-10-CM resource covers numerous specialties and conditions

CMS recently released an ICD-10-CM resource for specialties and specific conditions and services that collects varied educational tools, including webcasts, case studies, and clinical concept guides.
 
The clinical concept guides, offered for broad topics such as cardiology and orthopedics, include common codes for the related specialty, a primer for clinical documentation, and clinical scenarios.  

 

The resource includes links to all of CMS’ interactive case studies, which provide a medical case and ask specific documentation and coding questions. Upon completion, coders will be able to see which responses other coders chose, as well as sample coding for the scenarios in ICD-9-CM and ICD-10-CM. 

HCPro.com – JustCoding News: Outpatient

New ICD-10-CM Codes Will Allow You to Report Social Determinants of Health

Healthcare practitioners may soon have 23 new ICD-10-CM codes to use for reporting social and environmental factors that affect their patients’ health. The American Medical Association (AMA) and UnitedHealthcare say they are collaborating to standardize data collection on the social determinants of health (SDOH). According to AMA senior news writer Andis Robeznieks, “The two organizations […]

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AAPC Knowledge Center

icd-10-cm code for vaginal cuff dehiscence post hysterectomy

What’s the best diagnosis for a vaginal cuff rupture/dehiscence? This is about 3 months after hysterectomy, op report says "vaginal cuff open approximately 1 inch with bowel present at the cuff edge.". I keep finding N99.3-vaginal vault prolapse after hysterectomy– but that doesn’t sound right to me.

Medical Billing and Coding Forum

Osteoporosis ICD-10-CM Coding

When reporting osteoporosis ICD-10-CM codes, you’ll need to choose from two separate code subcategories. Osteoporosis, or porous bone, is a systemic condition affecting all bones of the musculoskeletal system. Osteoporosis occurs when too little bone is made, or too much bone is lost. Human bones are constantly being remodeled. This process occurs more rapidly in […]

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