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March 27, 2018

Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More

Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

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OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More

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Medical Coding News Archives

October Coding Corner

October 17, 2017:

In the Optum360 Coding Corner, we highlight areas in which medical coding professionals are struggling for uniformity and correct coding amongst their peers. In this article, we discuss coding variances for ICD-10-CM, ICD-10-PCS and/or CPT® found on a monthly basis and explore the codes, coding concepts and conventions for those variances. This month’s article highlights updates to the 2017 ICD-10 CM guidelines effective October 1, 2017.

With guideline

Presently, this guideline states that two conditions can be coded as related in the absence of provider documentation. Effective October 1, 2017, if another guideline exists that requires documented linkage between two conditions, then provider documentation should state this linkage.

Neoplasm guidelines

In the Neoplasm guideline, a distinction has been made between external beam radiation and other types of radiation. If a patient is admitted for insertion of radioactive element, then the code for the malignancy is sequenced first. Diagnosis code Z51.0 (Encounter for antineoplastic radiation therapy) should not be assigned when the encounter is for the insertion of a radioactive element. If the patient develops complications from insertion of radioactive elements, then the diagnosis code for the malignancy is appropriate as the principal or fist-listed diagnosis. Additional codes should be assigned for the complications.

CPT is a registered trademark of the American Medical Association.


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