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ICD-10-CM/PCS News for:
February 1, 2018

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ICD-10-CM coding of pathological fractures

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The importance of coding transcends reimbursement

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ICD-10-CM/PCS News Archives

Back to the Future! Documentation Improvement Should Cover CPT Also

June 16, 2015:

“Stepped-up documentation efforts for ICD-10 should be addressing CPT too,” say Optum360 Clinical Technical Editors Deborah Hall and Leanne Patterson. Before worries about the complex ICD-10-CM coding system became a primary concern of coders and revenue cycle specialists, getting improved documentation for CPT was the focus of “clinical cooperation” and “communication” efforts for years. It wasn’t until 2011 that attention to CPT documentation gave way to ICD-10. In this way, focusing on CPT, and ICD-10, mixes past and future, note Hall and Patterson.

Marty McFly: “Doc, you mean the future is in the past?”
Dr. Emmett Brown: “Right, Marty. We’re going back to the future!”
Universal Pictures, Back to the Future, 1985

But focusing on both CPT and ICD-10 makes perfect sense. For facility and professional services, it’s the procedures and treatments that primarily determine reimbursements. Diagnostic coding, whether ICD-9-CM or ICD-10-CM, provides the medical justification necessary for claims, but payments are most directly linked to services performed for the patient, with the obvious exception of medical DRGs and HCC payment systems. That’s why Hall and Patterson are updating their best-selling clinical documentation book for 2016 to include attention to documentation ICD-10, and CPT, and HCPCS. The new “Clinical Documentation Improvement for ICD-10-CM and Procedure Coding, available November 2015. Click here for more information.


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