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New Code for Insertion of Magnetic Lengthening Device into EsophagusUpdates: New codes are valid for October 1, 2023 discharges. Notes: It is implanted at the lower esophageal sphincter (LES), a circular band of muscle that closes the last few centimeters of...
New Technology Code: External Sheath for CABG Updates: New codes are valid for October 1, 2023 discharges. Notes: It is important to submit accurate ‘new technology’ codes because CMS provides an extra incremental payment (in addition to the MS-DRG payment) for...
April 2024 ICD-10-CM Coding UpdatesUpdates: There are NO new ICD-10-CM codes for April 2024. Notes: They have done some cleanup with punctuation and grammar within the ICD-10-CM Manual. They have also done some updating, often making many ‘Excludes1’ into ‘Excludes2’...
New codes for Sickle-Cell Disease with Dactylitis Valid for October 1, 2023 dischargesDactylitis: Otherwise known as 'hand-foot syndrome'. Symptoms Include: Bilateral exquisite pain and swelling of hands and/or feet in children. Occurs between age 6 months and 3...
Cerebral Edema & Brain CompressionCerebral Edema Definition: Swelling of the brain. Can result from a variety of derangements that can stem from trauma, hypoxia, infection, CVA, intracerebral hemorrhage, metabolic derangements, hepatitis, Reye syndrome, carbon...
Alagille Syndrome Alagille Syndrome is an inherited condition in which bile builds up in the liver because there are too few bile ducts to drain the bile. This results in liver damage. Symptoms Include: Yellow skin or eyes, itchy skin, delayed growth, hard skin bumps,...
Parkinson's Disease Here are some current terms and definitions used for Parkinson’s disease symptoms and new ICD-10-CM codes accompanying these terms. Terms and Definitions: ON TIME- G20.A1, Parkinson’s disease without dyskinesia, without mention of...
OIG Workplan: Review Medicare Inpatient Hospital Billing for Sepsis The OIG will be reviewing Medicare claims to assess patterns in the inpatient hospital billing of sepsis in 2023 and describe how the billing of sepsis varied among hospitals. The definition of and...
Dural Tear Clarification Per Coding Clinic, First Quarter 2024: A dural tear is clinically significant and should always be reported when documented by the provider. G97.41, accidental puncture or laceration of dura during a procedure is a CC...
Atrial Fibrillation (AF) Paroxysmal AF Definition: Episodes terminate either spontaneously or with treatment within 7 days; may recur Persistent AF Definition: AF is continuous and lasts > 7 days, fails to terminate spontaneously Long-standing Persistent AF...
Myocardial Infarction with Angina Per Coding Clinic, First Quarter 2024: Is it appropriate to assign a code for CAD with angina for the severe native multi-vessel disease that resulted in the MI? Examples: Assign code I21.4: Non-ST elevation (NSTEMI) myocardial...
UnderdosingPer Coding Clinic, First Quarter 2024: Underdosing when a PRN medication is not taken Example: Documentation states: A patient presents to the ED with shortness of breath due to an exacerbation of asthma. The patient did not take his PRN medication,...