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Patients are taking a more active role in their blood pressure (BP) monitoring, making it easier for physicians to diagnose and manage hypertension. “With the advance of new technologies for e-visits and health monitoring, many patients are realizing the best access point for physician care is once again their home,” said American Medical Association (AMA) […]
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Physicians are better equipped to correctly diagnose Medicare patients with hypertension thanks to a new national coverage policy. The Centers for Medicare & Medicaid Services (CMS) issued, July 2, a final decision memo regarding its national coverage policy for ambulatory blood pressure monitoring (ABPM). For nearly two decades, Medicare coverage for ABPM has been limited […]
The post Ambulatory Blood Pressure Monitoring Coverage Expanded appeared first on AAPC Knowledge Center.
"We began the case by marking the left ischial ulcer with methylene blue. The edges of the ischial wound were incised with 15 blade scalpel, and dissection was carried down to the level of the subcutaneous tissues using monopolar electrocautery. The ischial ulcer was systematically excised down to the level of the ischium. The ischium was then debrided by rongeur, and bone cultures were sent. In addition, soft tissue was excised and sent for culture. We then proceeded to raise a gluteal muscle flap for coverage of the fascial defect. A 12 cm incision was made from the inferior aspect of the ischial wound extending laterally along the inferior gluteal crease. Dissection was carried down to the level of the fascia using monopolar electrocautery. A lipocutaneous flap was then raised using monopolar electrocautery. The gluteus maximus was identified and incised with electrocautery to allow rotation into the ischial defect. The gluteal muscle flap was mobilized and introduced to the ischial defect and secured in place using 0 Vicryl sutures. The wound was then subsequently closed in 3 layers using 0 Vicryl sutures in Scarpa’s fascia, followed by 0 Vicryl sutures in the deep dermis, followed by 0 nylon sutures for skin reapproximation. A dressing consisting of Xeroform, gauze, and ABD was applied."
I was wondering if anyone could offer any guidance please. I have a Dr. that did 2 debridements on a pt that is in house.
On their rounding days they are applying a would vac/Negative pressure therapy. I was under the impression that this
would get bundled into the 90 day global. I know that the Hospital (PT Department) can charge for it but the Dr. is wanting
to charge for it. Any feed back would be greatly appreciated!
Make sure your staff knows and implements your policy on continuous observation of suicidal patients, check and recheck that air pressures are appropriate to the room, update infection control procedures to the latest recommendations, and be prepared for surprise surveys.
We frequently have mothers come in for OB checks with a dx of elevated blood pressure. This all the info I have to go off of. How would you all code this?
Thank you
Thank you,
A
Pressure ulcer and non-pressure chronic ulcer diagnostic codes are located in ICD-10-CM chapter 12, Disease of the skin and subcutaneous tissue. The concept of laterality (e.g., left or right) is pertinant, and should be included in the clinical documentation for skin ulcers. ICD-10-CM codes for Pressure ulcers, located in Category L89, are combination codes that […]
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