Tag: Medical Codes

Reimbursement-methodology

Understanding Medical Codes and Reimbursement Methodologies

The Role of Medical Codes in Reimbursement Methodologies: Medical codes, such as CPT, HCPCS, and ICD-10 (CM and PCS), are essential components of various reimbursement methodologies. The Inpatient Prospective Payment System (IPPS), used by Medicare fee-for-service, categorizes patient stays into Medicare Severity Diagnosis Related Groups (MS-DRGs) based on ICD-10 codes processed through a computerized system. […]
Learn More
Check-Out-New-Codes-for-Reporting-Services

Check Out All the New Codes for Reporting Services

Don’t assume the codes you’ve been using to report drugs and biologicals still apply. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare & Medicaid Services (CMS) includes 184 new codes for reporting services and supplies. Approximately 36 of the new codes were created to separately identify products […]
Learn More
new-codes-in-2022-for-principal-care-and-chronic-care-management-services

New codes in 2022 for principal care and chronic care management services

There are three new codes in the care management section of the CPT codebook, covering principal care management and chronic care management services. Here’s what physicians need to know about them. Principal Care Management Services New CPT codes have been added in 2022 to describe “Principal Care Management Services.” These codes are like chronic care […]
Learn More
master-2022-cpt-changes-with-this-expert-overview

Master CPT® 2022 Coding With This Expert Overview

The CPT® 2022 edition incorporates a total of 249 novel codes, along with 93 codes that have been revised, and 63 codes that have been removed. Every segment of the CPT® code set has undergone modifications to codes and guidelines. The most substantial revisions are observed in evaluation and management (E/M) codes, spine-related procedures such […]
Learn More
reporting-covid-19-vaccination-status-in-2022

Reporting COVID-19 Vaccination Status in 2022

Three new diagnosis codes for reporting COVID-19 vaccination status will go into effect April 1, 2022. The codes were presented by the National Center for Health Statistics (NCHS) at the Sept. 14-15, ICD-10 Coordination and Maintenance Committee meeting, so they are not listed in the 2022 ICD-10-CM code book. The new ICD-10-CM codes for reporting […]
Learn More
the-impact-of-coding-on-maternal-outcomes-part-iii

The Impact of Coding on Maternal Outcomes: Part III

Severe maternal morbidity often intersects with cesarean deliveries. Reducing the number of cesarean deliveries can lower the maternal mortality rate, and one of the drivers of cesarean rates is thought to be induction of labor (IOL). In 2014, the American College of Obstetricians and Gynecologists (ACOG) adopted definitions for labor, labor induction, and augmentation of […]
Learn More
new-icd-10-cm-pcs-codes-warrant-attention

New ICD-10-CM/PCS Codes Warrant Attention

Here is an important checklist to help you prepare for new codes effective now. On Oct. 1, the new 2022 fiscal year (FY) ICD-10-CM/PCS codes became effective. The new CM code set includes 159 new codes, 20 revised codes, and 18 deleted codes. The new ICD-10-PCS code set include 191 new codes, 62 revised titles, […]
Learn More
ama-issues-more-covid-19-vaccine-codes

AMA Issues More COVID-19 Vaccine Codes

 The American Medical Association’s (AMA’s) CPT® Editorial Panel has released eight new COVID-19-related codes to report a new formulation of the Pfizer vaccine, a Moderna booster vaccine, and a Pfizer booster using either the new or old formulation. These codes are in addition to the four new CPT codes released last month and the many […]
Learn More
x