Coding Tips

FY 2022 IPPS MS-DRG Updates

By Natalie Sartori / May 12, 2021

On April 27th CMS released the 2022 Inpatient Prospective Payment System (IPPS) proposed rule.[1] One of the most significant changes proposed for the V39 MS-DRG grouper logic includes changes to the severity level designation for unspecified codes. Recall for FY 2020, CMS proposed changes to the severity designation for 1,492 ICD-10-CM diagnosis codes which was…

FY 2022 IPPS ICD-10-PCS Updates

By Natalie Sartori / May 12, 2021

On April 27th CMS released the FY 2022 Inpatient Prospective Payment System (IPPS) proposed rule.[1] The proposal describes 127 new ICD-10-PCS codes, with a majority of the changes in the Surgery section. The Table below presents an outline of proposed changes to the surgery section by body system. In addition to the 79 new codes…

FY 2022 IPPS ICD-10-CM Updates

By Natalie Sartori / May 12, 2021

On April 27th CMS released the FY 2022 Inpatient Prospective Payment System (IPPS) proposed rule.[1] The Table below provides an outline of 153 proposed new ICD-10-CM codes, distributed across several chapters. Notable highlights for the proposed ICD-10-CM changes include new codes for: Immune effector cell associated neurotoxicity syndrome (ICANS) in category G92. ICANS is a clinical…

UASI Solutions

Leading Cause of Death in America – April 2021 Coding Tip

By Marcy Blitch / April 20, 2021

Medical claims denials in 2019 approached $9 billion. The denial rate in 2020 increased by 23%. Coding/billing errors accounted for approximately 15% of all denials. Specificity of coding was one of the reasons claims were denied. In 2019, stroke was the leading cause of death and killed approximately 140,000 Americans. Three Simple Questions to Ask…

UASI Solutions

Inpatient Only List – March 2021 Coding Tip

By Marcy Blitch / March 12, 2021

The inpatient only list is composed of procedures for which Medicare will only pay for when performed in the hospital inpatient setting. CMS has determined this list to be an area of concern in that it restricts patient choice when it comes to surgery. CMS has proposed to eliminate the list over the next three…

COVID-19 POA Indicators – February 2021 Coding Tip

By Marcy Blitch / February 18, 2021

COVID-19 is a complex disease with a wide spectrum of clinical patterns. COVID-19 was initially viewed as primarily a respiratory disease, but is now recognized as a complex disorder affecting many body systems. Coding professionals need to be knowledgeable of the testing of COVID-19 (e.g., diagnostic and antibody tests) and the COVID-19 disease processes (e.g.,…

The Structure of ICD-11

By Staff / February 18, 2021

The eleventh version of the International Classification of Diseases (ICD-11) is structured very differently than previous ICD versions. At the core of this difference is the ICD-11 Foundation component and the ability to define a linearization. The Foundation is the underlying structure of ICD-11. It is a large data base that includes all ICD concepts,…

Medical Coding

Introduction to ICD-11 Codes – UASI Lunch and Learn

By Mary Stanfill / February 10, 2021

Click the button below to download a PDF copy of Mary Stanfill’s Lunch and Learn, “Introduction to ICD-11 Codes.” Follow the link to view and listen to the recording of the presentation. UASI Lunch and Learn: Introduction to ICD-11 Codes – Zoom

UASI Solutions

Coding Tip of the Month – January 2021

By Marcy Blitch / January 22, 2021

New Add-On-Code 57465 Computer-Aided Mapping of Cervix Uteri New  to Current Procedural Terminology 2021 is the add-on-code 57465. This code was created for the Female Genital System/Endoscopy subsection of the Surgery section to report computer-aided mapping of cervix uteri during colposcopy. +57465  Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and…

UASI Solutions

Coding Tip of the Month – December 2020

By Marcy Blitch / December 21, 2020

CPT Coding Changes for 2021 Effective January 1, 2021 shoulder debridement codes 29822 and 29833 will be revised. Currently codes 29822 and 29823 only describe shoulder arthroscopy with limited and extensive debridement. Starting in January these codes will be revised to specify the number of “discrete” structures debrided and include anatomical examples.* 29822: Arthroscopy, shoulder,…