Category: Medical Coding

ICD-10-PCS Coding

ICD-10-PCS 2021 Adds 544 New Codes

  The 2021 ICD-10-PCS files are now available. Inpatient coders will have 544 new codes to work with beginning Oct. 1, 2020, as well as changes to tables and the index. New PCS Codes Additions include several codes for: Insertion of radioactive element into various body sites, by various approaches Fragmentation of various veins and arteries Removal […]
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Telemedicine Coding

Telemedicine Takes Healthcare Into the 21st Century

  Update your understanding of how to code telehealth services now and in the future. Without telehealth, the COVID-19 pandemic could be much worse. Imagine if practitioners were not able to socially distance their infected patients from their healthy patients. Think of all the people who would not seek medical attention if it meant leaving […]
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COVID-19 Specimen Collection

COVID-19 Specimen Collection and Testing

How to code Medicare Part B claims for reimbursement. These past few months have been a whirlwind for everyone, but it’s fair to say medical coders have been hit with a category 5 hurricane. New codes and revised guidelines have been whirring about, making our heads spin. And now we have another new CPT® code […]
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Telehealth Future

Telehealth is the Future- and the Future has Arrived

For several years, we’ve seen Medicare and the American Medical Association’s Current Procedural Terminology (CPT) manual slowly approach the age of telehealth. Despite a lot of discussion and many headlines during each of the past few years, the codes and coverage embracing the modern age of medicine have lagged far behind the technology. This isn’t […]
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COVID-19 Diagnosis Testing

Diagnosis Coding for COVID-19: Better to be Lucky Than Good

  Stakeholders need to work collaboratively to ensure that diagnostic information is complete and accurate. The COVID-19 pandemic has created many overwhelming and heartbreaking medical challenges. In theory, the easiest task is accurate diagnosis coding for suspected exposure, confirmed and presumed cases, and possible disease. The new ICD-10-CM codes are few and clearly defined.  However, […]
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COVID-19 COding and Billing

4 Critical Attributes of A COVID-19 Billing And Coding Workbook

  Our goal was to develop a single source of truth that is user-friendly, dynamic, and easily accessible,” said Jeannette Wood, vice president of revenue cycle management for Privia Health. A rapidly changing situation like the COVID-19 pandemic calls for a dynamic solution for tracking billing and coding changes for virtual services from different payers […]
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COVID-19 Coding

CMS Releases Medicare Payment Rates for COVID-19 Test CPT Codes

Medicare payment rates for CPT codes 87635, 86769, and 86328 range from $42.13 to $51.31, CMS recently announced. CMS recently revealed how much it will pay for new Current Procedural Terminology (CPT) codes developed by the American Medical Association (AMA) for COVID-19 diagnostic tests. The guidance previously detailed Medicare payment rates for Healthcare Common Procedure […]
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Covid-19 Reimbursement

Safeguarding COVID-19 Reimbursement

Waivers, modifiers, lab tests, multiple diagnosis codes…the layers and specifics of COVID-19 coding cannot be overlooked when ensuring appropriate reimbursement and safeguarding claims against third-party payer audits. As hospitals and healthcare organizations begin to assess the required steps necessary to prepare for the transition back to a pre-COVID-19 operating environment, apart from timelines and state […]
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