Coding Tips

Reporting Percutaneous Ventricular Assist Device Insertion – August 2021 Coding Tip

By Marcy Blitch / August 18, 2021

Learn more about codes 33995 and 33997, which are new to the 2021 Current Procedural Terminology (CPT).

FY 2022 IPPS MS-DRG Final Rule Updates

By Mary Stanfill / August 9, 2021

The annual final rule from the Centers for Medicare and Medicaid Services (CMS) regarding the Inpatient Prospective Payment System (IPPS) MS-DRGs was issued on August 2, 2021. [1] This final rule is effective October 1, 2021. [2] It was proposed in April that 3,490 unspecified diagnosis codes currently designated as either CC or MCC would…

CY 2022 OPPS Proposed Rule

By Mary Stanfill / August 9, 2021

On July 19th the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2022 Outpatient Prospective Payment System (OPPS) proposed rule. [1] After a comment period, the final rule will be published in November 2021. Notable changes proposed for CY 2022 include: A net increase in OPPS payment rates of 2.3% over…

New FY22 Code: Non-Traumatic Cardiac Injury

By Natalie Sartori / July 28, 2021

With the current ICD-10-CM code set, there is no specific code corresponding to non-traumatic myocardial injury. Given the high severity of illness typical of patients with non-ischemic myocardial injury, appropriate classification of these patients is paramount in terms of aligning appropriate diagnostic and treatment strategies while avoiding inappropriate approaches that would otherwise be suggested by…

New FY22 Code: Gastric Intestinal Metaplasia

By Natalie Sartori / July 15, 2021

Intestinal metaplasia (IM) occurs when cells in the tissues of the upper digestive tract, often in the stomach or esophagus, change and become more like cells from the intestines. Intestinal metaplasia in the esophagus is also called Barrett’s esophagus. Intestinal metaplasia is more common in people who have chronic acid reflux or gastroesophageal reflux disease (GERD). The…

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.”

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…