Click the button below to download a PDF of Natalie Sartori’s Lunch and Learn, “Spinal Fusions Advanced Applications.”
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… Read More »New FY22 Code: Coronary Intravascular Lithotripsy (IVL)
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… Read More »Critical Limb Ischemia – June 2021 Coding Tip
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… Read More »New FY22 Code: Vertebral Body Tethering
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… Read More »FY 2022 ICD-10-PCS Final Updates
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… Read More »ICD-11 Post-Coordinated Code Clusters
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… Read More »CERT (Comprehensive Error Rate Testing) – May 2021 Coding Tip
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… Read More »FY 2022 IPPS MS-DRG Updates
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… Read More »FY 2022 IPPS ICD-10-PCS Updates
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… Read More »FY 2022 IPPS ICD-10-CM Updates