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Coding Tips

Insights and Education

Comparing Codes Across ICD Versions: Coronary Artery Disease

The WHO ICD-11 classification is very different from the 10th version that the United States modified to create the ICD-10-CM code set that is used for reporting healthcare services on claims in the US today. One distinct difference is ICD-11 codes can be either pre-coordinated or post-coordinated, whereas all ICD-10-CM codes are post-coordinated. Let’s compare…

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2024 CMS Proposed ICD-10-CM Changes

On Friday, June 16, the proposed CMS ICD-10-CM diagnosis code changes were released. The diagnosis code set changes consist of 395 additions, 12 revisions and 25 deletions. The total ICD-10-CM codes proposed for FY 2024 is 74,044. Other inclusions in the newly released proposal is a 2.8% increase in payments as well as increasing the…

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Comparing Codes Across ICD Versions: Diabetes

The WHO ICD-11 classification is very different from the 10th version that the United States modified to create the ICD-10-CM code set that is used in the US today. One key difference, ICD-11 post-coordinated code clusters, provides a flexible way to represent details about a condition. Let’s compare codes for a common condition, diabetes mellitus,…

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Comparing Codes Across ICD Versions: Osteoarthritis

While implementation of ICD-11 in the US is likely years away, it is not too early to become familiar and comfortable with the structure and format. ICD-11 is a digital classification that is very different from ICD-10-CM. Let’s compare and contrast coding of a common condition, osteoarthritis. Note: In this example, the ICD-11 code is…

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Rib Fracture – March 2023 Coding Tip

A new subcategory for the fracture of ribs associated with compression of the chest and cardiopulmonary resuscitation, has been created.

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Comparing Codes Across ICD Versions: Gastroenteritis

To become familiar and comfortable with the structure and format of ICD-11, compare and contrast the coding of gastroenteritis.

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New Technology Section – February 2023 Coding Tip

Many of the new technology section codes may be eligible for New Technology Add-On Payment (NTAP). Included in this tip are a few examples.

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ICD-10-PCS 2023 Update

Learn the 2023 ICD-10-PCS Updates for three sections including Medical and Surgical, Administration, and New Technology.

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2023 ICD-10-CM Update

Check out this 2023 ICD-10-CM update which is effective April 1, 2023. There are many new codes in a variety of chapters.

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Use of Additional Code – January 2023 Coding Tip

When using an additional code for an unspecified condition type, it is imperative to decide if it adds additional information or not.

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High Risk Diagnosis Codes and Risk Adjustment

High risk diagnosis codes are like any other ICD-10 code, and the more severe or complex a diagnosis, the higher the risk associated.

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Comparing Codes Across ICD Versions: Hypertension

This month Mary Stanfill compares and contrasts hypertension codes across ICD versions (WHO ICD11 and ICD-10-CM.

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