Coding Tips

Medical Coding

FY 2022 ICD-10-CM Updates

By Staff / July 13, 2021

Abnormal Findings on Neonatal Screening Currently there is only a single code to capture any or all types of newborn screenings that may have positive or abnormal results. The American Academy of Pediatrics requested expansion of category P09 Abnormal findings on neonatal screening, to specifically show which screening categories were abnormal. Table 1 shows the…

Glasgow Coma Scale – July 2021 Coding Tip

By Marcy Blitch / July 12, 2021

The Glasgow Coma Scale (GCS) is a clinical scale used to measure a person’s level of consciousness after a brain injury. The scoring is determined by three factors: amount of eye opening, verbal responsiveness, and motor responsiveness. The Glasgow Coma Scale has an adult version and a pediatric version. The pediatric version is also composed…

New FY22 Code: Measurement of Flow in a Cerebral Fluid Shunt

By Natalie Sartori / July 8, 2021

There are currently no unique ICD-10-PCS codes to describe the noninvasive measurement of flow through a cerebrospinal fluid (CSF) shunt. Hydrocephalus is a debilitating neurological disorder that results from the overproduction and/or impaired reabsorption of cerebrospinal fluid (CSF) in the ventricles of the brain. Hydrocephalus affects over 1 million people in the United States alone….

Spinal Fusions Advanced Applications – UASI Lunch and Learn

By Natalie Sartori / June 23, 2021

Click the button below to download a PDF of Natalie Sartori’s Lunch and Learn, “Spinal Fusions Advanced Applications.”

Medical Coding

New FY22 Code: Coronary Intravascular Lithotripsy (IVL)

By Natalie Sartori / June 22, 2021

Currently, there is no unique ICD-10-PCS code to identify the use of intravascular lithotripsy (IVL) to treat calcified lesions in the coronary arteries. Percutaneous coronary intervention (PCI) with drug-eluting stent (DES) implantation is the most frequent mode of coronary revascularization. Advanced age and an increasing frequency of diabetes mellitus, hypertension, and renal insufficiency contribute to…

Medical Coding

Critical Limb Ischemia – June 2021 Coding Tip

By Marcy Blitch / June 17, 2021

Critical limb ischemia, also known as chronic limb-threatening ischemia, is a clinical syndrome of peripheral artery disease of the lower limbs with ischemic pain at rest and ischemic tissue such as nonhealing ulcers or gangrene. Critical limb ischemia (CLI) does not happen overnight and does occur over time. Patients are at a much higher risk…

New FY22 Code: Vertebral Body Tethering

By Natalie Sartori / June 14, 2021

Overview: The fiscal year 2022 ICD-10-PCS code set updates [1] address the lack of a specific code for vertebral body tethering performed in the treatment of scoliosis. Scoliosis is a condition that manifests in a significant number of skeletally immature patients annually and is generally defined as an abnormal curvature of the spine greater than…

FY 2022 ICD-10-PCS Final Updates

By Natalie Sartori / June 14, 2021

On June 4th, 2021, CMS released the 2022 ICD-10 Procedure Coding System (ICD-10-PCS) updates. These codes will be applied beginning with discharges on October 1, 2021. The updated ICD-10-PCS codes contain 191 new codes, 62 revised titles, and 107 deleted codes, bringing the 2022 ICD-10-PCS code set total to 78,220. The leading code changes by…

UASI At A Glance

ICD-11 Post-Coordinated Code Clusters

By Mary Stanfill / May 24, 2021

ICD-11 introduces some great new features, including post-coordinated codes. Though you may not use these terms, we’re all familiar with pre-coordinated codes since all of the codes in the code sets we use today (including ICD-10-CM, ICD-10-PCS and CPT for example) are pre-coordinated. Pre-coordinated codes contain the pertinent information about a clinical concept in a…

CERT (Comprehensive Error Rate Testing) – May 2021 Coding Tip

By Marcy Blitch / May 20, 2021

Effective August 11, 2020, the Centers for Medicare & Medicaid Services resumed the Comprehensive Error Rate Testing program activities that were temporarily suspended in response to the public health emergency for the 2019-Novel Coronavirus (COVID-19) pandemic. CMS uses Comprehensive Error Rate Testing to verify Medicare Administrator Contractors are properly paying claims. CERT audits coding and…