Q: What documentation criteria are required to report CPT critical care codes 99291-99292?
A: First, you have to document high-complexity medical decision-making (MDM) and that's using whatever methodology is currently put forth in the...Read More »
Q: Our coding and CDI team have been discussing coding diagnoses from physician orders recently. This topic comes up occasionally and I am curious as to what other systems are doing in this space. We are aware of the older Coding Clinic from Third Quarter...Read More »
A new study published in JAMA Open Network suggests that preemptive podiatric care decreases the risk of amputation in diabetic and kidney failure patients, according to...Read More »
Q: Should coders report HCPCS code G0136 (administration of a standardized, evidence-based social determinants of health [SDOH] risk assessment, 5-15 minutes, not more often than every 6 months) when the service is performed by a provider in the patient’s home? And does the provider...Read More »
Medicare coverage for remote monitoring was limited up until 2019, when Medicare allowed doctors to bill for monitoring more routine vital signs than those with a pacemaker, such as blood pressure, weight, and blood sugar. They also allowed monitoring to be done by clinical staff who work in...Read More »
For people with suspected community-acquired pneumonia (CAP) in the emergency department (ED), routine polymerase chain reaction (PCR) testing on lower respiratory tract samples led to faster and more targeted treatment, according to a study published in ...Read More »
by Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC
The first quarterly release of Coding Clinic focused on the changes and new codes effective April 1, 2024. If you wish to review the updated Official Guidelines for Coding and Reporting, they can be accessed...Read More »
Patients who take glucagon-like peptide-1 receptor agonists (GLP-1 RA) have significantly higher residual gastric content, a major risk factor for aspiration under anesthesia, according to a new study published in...Read More »