Does anyone know definitively whether or not a patient’s provider may bill Z55-Z65 as a principal ICD-10 code or may they only be used as a secondary code to some other medical/clinical ICD-10 code? Do some payers pay for Z55-Z65 as a principal ICD-10 diagnosis and others do not?
Click here for more sample CPC practice exam questions with Full Rationale Answers
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
Tag Archives: Principal
Top 20 Principal Hospice Diagnoses for 2017
Since the implementation of the hospice benefit in 1983, the number of Medicare beneficiaries receiving hospice services has grown from 513,000 in 2000 to nearly 1.5 million in 2017. Over the years, there have been changes in the diagnosis patterns among Medicare hospice enrollees — largely due to changes in coverage. In 2002, lung cancer […]
AAPC Knowledge Center
Use of Z45.42 as principal diagnosis for the adjustment of a neurostimulator
Does anyone have insight on the use of ICD-10 Z45.42 as a principal diagnosis for a vagus nerve stimulator adjustment? The reason for the encounter is the adjustment of the neurostimulator for a patient who has (or had intractable seizures). CMS only covers intractable partial seizure diagnoses but if the device already implanted and is working I would believe you would use Z45.42 in position 1 and the epilepsy diagnosis code in position 2. The problem is if the patient is no longer intractable then you can’t use a covered CMS diagnosis code to manage patients who have controlled their seizures though the use of an already implanted VNS Therapy system. I would be interested in what the AAPC membership thinks about the issue. Many thanks!
Sepsis Coding as Principal
Hi. I am wondering if anyone can explain the flow of coding when it comes to sepsis cases. I want to know on what situations will the sepsis codes A40.0 – A41.9 be coded as principal? We are having doubts on whether these codes will be accepted as principal codes by different payers. Thank you.
Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions
LOUISVILLE, KY – MD2U Holding Company, including its related companies and individually named owners (“Defendants”), have agreed to pay millions to resolve a government lawsuit alleging that they violated the federal False Claims Act by knowingly submitting false medical claims to Medicare and other government health care programs, altering records to support false claims, and providing services that were medically unnecessary U.S. Attorney John E. Kuhn, Jr. today announced….
MD2U also utilized an electronic medical records (EMR) system that permitted the NPPs to easily electronically cut, copy and paste medical notes from prior visits. The ability to migrate notes from visits that occurred weeks, months, or even years prior to the current patient encounter created the illusion that MD2U’s NPPs were performing a significant amount of work during their patient encounters when, in fact, they were not. If the documentation was deficient to bill the highest level code, MD2U would direct NPPs to go back and change the medical record – after the encounter had occurred – to falsely show that more work was performed during the visit in order to support the highest level billing.
The post Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions appeared first on The Coding Network.
Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions
LOUISVILLE, KY – MD2U Holding Company, including its related companies and individually named owners (“Defendants”), have agreed to pay millions to resolve a government lawsuit alleging that they violated the federal False Claims Act by knowingly submitting false medical claims to Medicare and other government health care programs, altering records to support false claims, and providing services that were medically unnecessary U.S. Attorney John E. Kuhn, Jr. today announced….
MD2U also utilized an electronic medical records (EMR) system that permitted the NPPs to easily electronically cut, copy and paste medical notes from prior visits. The ability to migrate notes from visits that occurred weeks, months, or even years prior to the current patient encounter created the illusion that MD2U’s NPPs were performing a significant amount of work during their patient encounters when, in fact, they were not. If the documentation was deficient to bill the highest level code, MD2U would direct NPPs to go back and change the medical record – after the encounter had occurred – to falsely show that more work was performed during the visit in order to support the highest level billing.
The post Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions appeared first on The Coding Network.
Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions
LOUISVILLE, KY – MD2U Holding Company, including its related companies and individually named owners (“Defendants”), have agreed to pay millions to resolve a government lawsuit alleging that they violated the federal False Claims Act by knowingly submitting false medical claims to Medicare and other government health care programs, altering records to support false claims, and providing services that were medically unnecessary U.S. Attorney John E. Kuhn, Jr. today announced….
MD2U also utilized an electronic medical records (EMR) system that permitted the NPPs to easily electronically cut, copy and paste medical notes from prior visits. The ability to migrate notes from visits that occurred weeks, months, or even years prior to the current patient encounter created the illusion that MD2U’s NPPs were performing a significant amount of work during their patient encounters when, in fact, they were not. If the documentation was deficient to bill the highest level code, MD2U would direct NPPs to go back and change the medical record – after the encounter had occurred – to falsely show that more work was performed during the visit in order to support the highest level billing.
The post Louisville Based MD2U and Its Principal Owners Admit To Violating The Federal False Claims Act And Being Liable For Millions appeared first on The Coding Network.