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In This Issue:
Initial 2010 code list released CMS released the new diagnosis codes in the Federal Register as part of a larger proposed rule revising the Medicare hospital inpatient prospective payment system (IPPS). What was released is a listing of new, invalid and changed codes; there is no indication as to what Tabular List rules apply or what the changes will be, if any. The biggest code changes appear to be related to venous embolism coding where about 20 new codes will be added to increase specificity. V codes should also impact home health, and a new anemia code will make documentation for anemia and cancer more critical Final revisions and new codes usually are released in early June through the National Center for Health Statistics. In the meantime, you'll find the entire proposed list beginning on page 956 of the 1,228 page document.
Focus on venous ulcers: new code specificity coming Take a look at the basics of venous coding now. You will certainly need to know how to use these codes correctly before the new changes take effect. Ulcer There is no need for an ulcer code if a 454 code is used! If there is no documentation of varicose veins, assign:
New edition of Home Care Coding Expert is coming online! The online magazine just for AHCC members is being posted in the second week of June … go to the AHCC website … www.homecarecoders.org to log in and see your new issue! We have education on CAD, OASIS-C, risk adjustment and more! A venous stasis ulcer of the ankle A male patient has swollen legs, cellulitis, draining ulcers on the calves and crusting. The diagnosis is stasis dermatitis and stasis ulcerations and cellulitis. Primary focus of care is the treatment of the cellulitis.
Questions, comments, or suggestions about the content of this newsletter? CONTACT: AHCC at info@homecarecoders.org The material in this e-newsletter is copyrighted and cannot be reprinted in part or in whole without the express written permission of the publisher. |
Recommended Resources 2010 Compete Home Health ICD-9-CM Diagnosis Coding Manual ICD-9-CM Pocket Reference for Home Health 2009 Home Care Resource Guide & Answer Book for ICD-9-CM 2009 Coding Scenario Educator Manual & Coding Scenario Workbook (set)
Featured Education 7th Annual Home Health Coding Summit
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