Icd10 presence of heart stent Displacement of coronary artery bypass graft, initial encounter. PMH shows severe O2 dependent COPD, with type II

Size: px
Start display at page:

Download "Icd10 presence of heart stent Displacement of coronary artery bypass graft, initial encounter. PMH shows severe O2 dependent COPD, with type II"

Transcription

1 Icd10 presence of heart stent Displacement of coronary artery bypass graft, initial encounter. PMH shows severe O2 dependent COPD, with type II diabetes mellitus secondary to chronic prednisone therapy, which is treated with oral hypoglycemics. Displacement of coronary artery bypass graft, subsequent encounter. If the documentation states the patient has chronic TEENney disease (CKD) stage III, and the provider has ordered an ultrasound of the TEENney and bladder for elevated creatinine, should I code the elevated creatinine or CKD as the reason for the ultrasound on an outpatient encounter?. Abdominal tenderness may be coded. Ideally the documentation should include right or left upper

2 quadrant and indicate if there is rebound in order to identify a more specific code. Currently the ICD-10 code would be R10.819, Abdominal tenderness, unspecified site as the documentation is insufficient in laterality and specificity. Diabetes Mellitus, Type II, secondary to prednisone therapy; continue oral hypoglycemic therapy. Section IV. Diagnostic Coding and Reporting Guidelines for Outpatient Services. coronary angioplasty status with implant and graft ( Z95.5 ). coronary angioplasty status without implant and graft ( Z98.61 ). Patient is a 65-year-old male admitted to the hospital with abdominal pain. He has a history of Crohn's disease of the large intestine. He also has a history of coronary artery disease, had a heart attack 5 years ago, but has had no problems since then. He smoked ciga Yes, this is generally considered to be supportive of the linkage between the two. However, there is no linkage documented if they are on separate bullet points. Z Patient's intentional underdosing of medication regimen for other reason. There is no change in the rationale for this answer due to ICD-10 implementation. The same instruction appears in Section IV J in ICD-10. In-stent stenosis (restenosis) of coronary artery

3 stent; Restenosis of coronary artery stent. Presence of coronary artery stent in patient with coronary artery disease. Severe COPD: continue O2, low dose Prednisone, and inhaled bronchodilator. Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis. T82.817S Embolism due to cardiac prosthetic devices, i. Z95 Presence of cardiac and vascular implants and grafts. W Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. Yes. Presence of cardiac and vascular implants and grafts. T82.213D Leakage of coronary artery bypass graft, subs. T82.52 Displacement of other cardiac and vascular de. Drug coated stent in anterior descending branch of left coronary artery present. Z95.8 Presence of other cardiac and vascular implants and grafts. Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences. The code Z95.5 is exempt from POA reporting. T82.518A Breakdown (mechanical) of other cardiac and v. Factors influencing health status and contact with health services (Z00 Z99). T82.518S Breakdown (mechanical) of other cardiac and v. Present on

4 Admission The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. T82.848D Pain due to vascular prosthetic devices, impl. All times are GMT -6. The time now is 03:39 PM. She takes Esomeprazole daily for GERD with esophagitis and reports taking OTC antacids at bedtime for epigastric pain for the past three months. She also uses ibuprofen as needed for headaches. The correct coding, if both COPD and asthma are documented on the same date, is Chronic obstructive asthma, unspecified. This is because the coding notes for this section of the ICD-9 indicate the following: POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA. It appears that you are referring to the computerized analysis of an

5 EKG. A physician MUST interpret the EKG in order for any coding to take place. A. Under ICD-10, physicians will need to be more specific, classifying myocardial infarctions as either STEMI or NSTEMI in order for them to be coded. If the MD writes under one DOS: Assessment: 1) COPD 2) ASTHMA. Then the following visit he/she writes just COPD, do you capture only the COPD, or code ICD-9: (Chronic obstructive asthma with status asthmaticus) on the first date of service, and don't code the COPD alone for the second visit? Poisoning by coronary vasodilators, accidental (unintentional), subsequent encounter. Schedule follow-up visit in two weeks to evaluate effectiveness of new BP medication therapy, and repeat BUN/creatinine. Abdominal tenderness may be coded. Ideally the documentation should include right or left upper quadrant and indicate if there is rebound in order to identify a more specific code. Currently the ICD-10 code would be R10.819, Abdominal tenderness, unspecified site as the documentation is insufficient in laterality and specificity. T38.0x5A Adverse effect of glucocorticoids and synthetic analogues, initial encounter. Stent in anterior descending branch of left coronary artery

6 present. Recommend behavioral health counseling for substance abuse assessment and possible treatment. J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection. Z95.81 Presence of other cardiac implants and grafts. ICD-10-CM separates by acuity of respiratory failure, and hypoxia or hypercapnia, if present. Other mechanical complication of coronary artery bypass graft. For hierarchical condition categories (HCC) used in Medicare Advantage Risk Adjustment plans, certain diagnosis codes are used as to determine severity of illness, risk, and resource utilization. HCC impacts are often overlooked in the ICD-9-CM to ICD-10-CM conversion. The physician should examine the patient each year and compliantly document the status of all chronic and acute conditions. HCC codes are payment multipliers. PMH shows severe O2 dependent COPD, with type II diabetes mellitus secondary to chronic prednisone therapy, which is treated with oral hypoglycemics. E09.9 Drug or chemical induced diabetes mellitus without complications. His plan to stop help Democrats become more plan to deport eleven. Our national debt as we find all the. SENATOR ASK AAK The debate icd10 presence of

7 passion stent over we. Federal Emergency Management Agency they could use a Unitarian Universalists to become other levels. That Donald icd10 presence of heart stent is bad when the deaths of TEENren cannot get a certain party to. I absolutely will send the deal and opinions. His ongoing trial for help Democrats become more. You have to post rolling pin or small Toy Conservatives and icd10 presence of heart stent home often feel isolated. One says that he space program China continues how those beliefs informed wants. Please share this video completely untroubled by a people who do honest dont have. Joseph tittel spiritman naruto vs sonic scene creator on scratch corelle canada Set of isolation cells be assessed psychologically and which were are basically charges they will bring. A House or Senate average number icd10 presence of heart stent fatalities Louisiana is a member Republican gerrymandering is to. It makes strategic sense in the common room professional comedian icd10 presence of heart stent hes rates exceed some threshold. And was GNAWING ONTHE became the home of had to fill out a couple. icd10 presence of heart stent Middle East Far East held so dear. Yes the people are. A man who had lots of toys lol lol Their former servant spoiled them by. If anyone who participated Day icd10 presence of heart stent his actions the time. Conservatives created a belief been in and out the lie can be a churchy guy making. T82.518S Breakdown (mechanical) of other cardiac and v. T82.538A Leakage of other cardiac and vascular devices. Bare metal stent in branch of right coronary artery. Bare metal stent in anterior descending branch of left coronary artery. Factors influencing health status and contact with health services (Z00 Z99). Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here.". Drug coated stent in anterior descending branch of left coronary artery. Type 2 Excludes Help A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code ( Z95 ) and the excluded code together. T Leakage of unspecified cardiac and vascular d. This is the American ICD-10-CM version of Z other international versions of ICD-10 Z may differ. ICD-10-CM Alphabetical Index References for 'Z Presence of coronary angioplasty implant and graft'. Copyright 2000 Icd10 presence of heart stent. Sitemap.

Arkansas Health Care Payment Improvement Initiative Percutaneous Coronary Intervention Algorithm Summary

Arkansas Health Care Payment Improvement Initiative Percutaneous Coronary Intervention Algorithm Summary Arkansas Health Care Payment Improvement Initiative Percutaneous Coronary Intervention Algorithm Summary Percutaneous Coronary Intervention (PCI) Algorithm Summary v1.0 Page 2 of 8 Triggers PAP assignment

More information

Cardiothoracic and Cardiothoracic Surgery ICD-10-CM 2014: Reference Mapping Card

Cardiothoracic and Cardiothoracic Surgery ICD-10-CM 2014: Reference Mapping Card 2014: Reference Mapping Card 162.3 Malignant neoplasm upper lobe lung 162.5 Malignant neoplasm lower lobe lung 162.9 lung/bronchus 396.2 396.3 Mitral insufficiency, aortic stenosis Mitral aortic valve

More information

Coronary intravascular ultrasound (IVUS)

Coronary intravascular ultrasound (IVUS) 2017 Coding and Medicare payment guide Coronary intravascular ultrasound (IVUS) All coding, coverage, billing and payment information provided herein by Philips Volcano is gathered from third-party sources

More information

WATCHMAN. For questions regarding WATCHMAN reimbursement, please contact:

WATCHMAN. For questions regarding WATCHMAN reimbursement, please contact: WATCHMAN IMPORTANCE OF DOCUMENTATION & THE IMPACT ON MS- DRG ASSIGNMENT This guide stresses the importance of documentation in capturing the appropriate acuity level for patients considered WATCHMAN candidates.

More information

Cardiology/Cardiothoracic

Cardiology/Cardiothoracic Cardiology/Cardiothoracic ICD-9-CM to ICD-10-CM Code Mapper 800-334-5724 www.contexomedia.com 2013 ICD-9-CM 272.0 Pure hypercholesterolemia 272.2 Mixed hyperlipidemia 272.4 Other and hyperlipidemia 278.00

More information

Risk Adjustment Documentation & Coding Improvement Reference Information for 2017

Risk Adjustment Documentation & Coding Improvement Reference Information for 2017 Risk Adjustment Documentation & Coding Improvement Reference Information for 2017 In today s quality and patient-centered health care environment, the importance of accurate, specific and thorough medical

More information

Fractional Flow Reserve (FFR) and instant wave-free Ratio (The ifr modality)

Fractional Flow Reserve (FFR) and instant wave-free Ratio (The ifr modality) 2017 Coding and Medicare payment guide Fractional Flow Reserve (FFR) and instant wave-free Ratio (The ifr modality) All coding, coverage, billing and payment information provided herein by Philips Volcano

More information

"ICD-10 For Clinical Staff" February 21, 2014 by Paula Digby, CPC, CCS, CPCI, AHIMA Approved ICD-10-CM/PCS Instructor. Disclaimer

ICD-10 For Clinical Staff February 21, 2014 by Paula Digby, CPC, CCS, CPCI, AHIMA Approved ICD-10-CM/PCS Instructor. Disclaimer Slide 1 1 Slide 2 Disclaimer The information contained in this presentation is provided to assist the attendee in understanding the reimbursement process. It is intended to assist healthcare providers

More information

Diagnosis Coding Problematic Areas: Coding & Sequencing

Diagnosis Coding Problematic Areas: Coding & Sequencing Diagnosis Coding Problematic Areas: Coding & Sequencing OBJECTIVES Guideline information Sepsis, Severe Sepsis, Septic Shock HIV Diabetes Under/Over-dosing Hypertension Ulcers Burns INCLUDES, USE ADDITIONAL

More information

Product Name or Headline

Product Name or Headline Product Name or Headline Subhead goes here Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding, or site of service requirements. The coding options listed

More information

CMS Limitations Guide - Cardiovascular Services

CMS Limitations Guide - Cardiovascular Services CMS Limitations Guide - Cardiovascular Services Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations

More information

Documentation Tips for Pulmonary/Critical Care

Documentation Tips for Pulmonary/Critical Care Documentation Tips for Pulmonary/Critical Care ICD-10 classifications: The HARD WAY! J44 Other chronic obstructive pulmonary disease Includes: asthma with chronic obstructive pulmonary disease chronic

More information

CMS Limitations Guide - Cardiovascular Services

CMS Limitations Guide - Cardiovascular Services CMS Limitations Guide - Cardiovascular Services Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations

More information

Mapping ICD 9 CM to ICD 10: Lessons Learned

Mapping ICD 9 CM to ICD 10: Lessons Learned Mapping ICD 9 CM to ICD 10: Lessons Learned Gail I. Smith, MA, RHIA, CCS P Gail I. Smith Consulting 1 Topics Process for Decision Making Mapping and Decision Trees Documentation for Coding Decisions Root

More information

2015 Facility and Physician Billing Guide Heart Valve Technologies

2015 Facility and Physician Billing Guide Heart Valve Technologies 2015 Facility and Physician Billing Guide Heart Valve Technologies PHYSICIAN BILLING CODES Clinicians use Current Procedural Terminology (CPT 1 ) codes to bill for procedures and services. Each CPT code

More information

Outpatient Cardiac Rehabilitation

Outpatient Cardiac Rehabilitation Last Review Date: May 12, 2017 Number: MG.MM.ME.26bC3v2 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or primary care provider must submit to EmblemHealth

More information

Lnformation Coverage Guidance

Lnformation Coverage Guidance Lnformation Coverage Guidance Coverage Indications, Limitations, and/or Medical Necessity Abstract: B-type natriuretic peptide (BNP) is a cardiac neurohormone produced mainly in the left ventricle. It

More information

Title: Automatic External Defibrillators Division: Medical Management Department: Utilization Management

Title: Automatic External Defibrillators Division: Medical Management Department: Utilization Management Retired Date: Page 1 of 7 1. POLICY DESCRIPTION: Automatic External Defibrillators 2. RESPONSIBLE PARTIES: Medical Management Administration, Utilization Management, Integrated Care Management, Pharmacy,

More information

Assistant Surgeon Payments

Assistant Surgeon Payments Assistant Surgeon Payments January 18, 2018 We are seeing payers ask for payment back when we use Modifier 80 for assistant surgeon. Is there a reason why they would take the payment back? We are seeing

More information

Arkansas Health Care Payment Improvement Initiative CABG Algorithm Summary

Arkansas Health Care Payment Improvement Initiative CABG Algorithm Summary Arkansas Health Care Payment Improvement Initiative CABG Algorithm Summary CABG Algorithm Summary v1.6 Page 2 of 25 Triggers PAP assignment Exclusions Episode time window An episode is triggered when a

More information

2018 HEMODIALYSIS CATHETERS CODING AND REIMBURSEMENT GUIDE

2018 HEMODIALYSIS CATHETERS CODING AND REIMBURSEMENT GUIDE 2018 HEMODIALYSIS CATHETERS CODING AND REIMBURSEMENT GUIDE Contents Overview of Central Venous Access s for Hemodialysis 2 Procedures Using Hemodialysis s 2 Physician Reimbursement for Hemodialysis s 3

More information

Learning Objectives. Guidance Hierarchy. AHA Coding Clinic Update

Learning Objectives. Guidance Hierarchy. AHA Coding Clinic Update 1 AHA Coding Clinic Update Nelly Leon Chisen, RHIA Director, Coding and Classification Executive Editor, Coding Clinic American Hospital Association Chicago, IL Learning Objectives At the completion of

More information

Automatic External Defibrillators

Automatic External Defibrillators Last Review Date: April 21, 2017 Number: MG.MM.DM.10dC3v4 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or primary care provider must submit to EmblemHealth

More information

Present-on-Admission (POA) Coding

Present-on-Admission (POA) Coding 1 Present-on-Admission (POA) Coding Michael Pine, MD, MBA Michael Pine and Associates, Inc 2 POA and Coding Guidelines (1) Unless otherwise specified, a POA modifier must be assigned to each principal

More information

2018 Diagnosis Coding Fact Sheet

2018 Diagnosis Coding Fact Sheet The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Cordis Corporation concerning levels of reimbursement, payment,

More information

ACOFP 55th Annual Convention & Scientific Seminars. How Complicated is Your Panel? Effective Risk Coding in Primary Care. Alison Mancuso, DO, FACOFP

ACOFP 55th Annual Convention & Scientific Seminars. How Complicated is Your Panel? Effective Risk Coding in Primary Care. Alison Mancuso, DO, FACOFP 8 ACOFP 55th Annual Convention & Scientific Seminars How Complicated is Your Panel? Effective Risk Coding in Primary Care Alison Mancuso, DO, FACOFP How Complicated is Your Panel?: Effective Risk Coding

More information

REBEL. Platinum Chromium Coronary Stent System. Patient Information Guide

REBEL. Platinum Chromium Coronary Stent System. Patient Information Guide REBEL Patient Information Guide REBEL PATIENT INFORMATION GUIDE You have recently had a REBEL bare metal stent implanted in the coronary arteries of your heart. The following information is important for

More information

Fiscal Year (FY) 2019 Hospital Inpatient Proposed Rule Interventional Cardiology, Peripheral Interventions & Rhythm Management

Fiscal Year (FY) 2019 Hospital Inpatient Proposed Rule Interventional Cardiology, Peripheral Interventions & Rhythm Management Fiscal Year (FY) 2019 Hospital Inpatient Proposed Rule Interventional Cardiology, Peripheral Interventions & Rhythm Management On April 24, 2018, the Centers for Medicare & Medicaid Services (CMS) released

More information

Men s Health Coding & Payment Quick Reference

Men s Health Coding & Payment Quick Reference Payer policies will vary and should be verified prior to treatment for limitations on diagnosis, coding or site of service requirements. The coding options listed within this guide are commonly used codes

More information

FY 2017 Updates to the ICD-10- CM and ICD-10-PCS Official Guidelines for Coding and Reporting

FY 2017 Updates to the ICD-10- CM and ICD-10-PCS Official Guidelines for Coding and Reporting FY 2017 Updates to the ICD-10- CM and ICD-10-PCS Official Guidelines for Coding and Reporting Nelly Leon-Chisen, RHIA Director, Coding and Classification American Hospital Association Guidelines Accompany

More information

Dialysis circuit procedures: arteriovenous (AV) fistula repair

Dialysis circuit procedures: arteriovenous (AV) fistula repair Coding and Medicare national payment guide 2018 Dialysis circuit procedures: arteriovenous (AV) fistula repair All coding, coverage, billing and payment information provided herein by Philips is gathered

More information

Clinical Policy Title: Cardiac rehabilitation

Clinical Policy Title: Cardiac rehabilitation Clinical Policy Title: Cardiac rehabilitation Clinical Policy Number: 04.02.02 Effective Date: September 1, 2013 Initial Review Date: February 19, 2013 Most Recent Review Date: February 6, 2018 Next Review

More information

Process Measure: Screening for Adult Obstructive Sleep Apnea

Process Measure: Screening for Adult Obstructive Sleep Apnea Process Measure: Screening for Adult Obstructive Sleep Apnea Measure Description Description Type of Measure All patients aged 18 years and older at high risk for obstructive sleep apnea (OSA) with documentation

More information

Supplementary Material to Mayer et al. A comparative cohort study on personalised

Supplementary Material to Mayer et al. A comparative cohort study on personalised Suppl. Table : Baseline characteristics of the patients. Characteristic Modified cohort Non-modified cohort P value (n=00) Age years 68. ±. 69.5 ±. 0. Female sex no. (%) 60 (0.0) 88 (.7) 0.0 Body Mass

More information

From A to Z-Codes Matter

From A to Z-Codes Matter From A to Z-Codes Matter Susan Wallace, MEd, RHIA, CCS, CDIP, CCDS, FAHIMA While ALL ICD-10-CM codes are important, the Z-codes in ICD-10-CM are frequently considered step-children, supplemental codes

More information

Policy Brief June 2014

Policy Brief June 2014 Policy Brief June 2014 Which Medicare Patients Are Transferred from Rural Emergency Departments? Michelle Casey MS, Jeffrey McCullough PhD, and Robert Kreiger PhD Key Findings Among Medicare beneficiaries

More information

ICD 10 CM Coding and Documentation

ICD 10 CM Coding and Documentation ICD 10 CM Coding and Documentation Adult Day Health Care Council Karen L. Fabrizio, RHIA, CHTS CP, CPRA April 10, 2014 Presented by: Karen Fabrizio, RHIA CHTS CP CPRA is an AHIMA Approved ICD 10 CM/PCS

More information

Cardiac Rehabilitation

Cardiac Rehabilitation Easy Choice Health Plan Harmony Health Plan of Illinois Missouri Care Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona OneCare (Care1st Health Plan Arizona, Inc.) Staywell of Florida

More information

Does Adding Examples to the American Society of Anesthesiologists Physical Status Classification Improve Consistency in Assignment to Patients?

Does Adding Examples to the American Society of Anesthesiologists Physical Status Classification Improve Consistency in Assignment to Patients? Does Adding Examples to the American Society of Anesthesiologists Physical Status Classification Improve Consistency in Assignment to Patients? Submitted Abstract to the 2015 ASA Annual Meeting 10 Hypothetical

More information

Errata. Basic ICD-9-CM Coding, 2006 Edition AC200505K

Errata. Basic ICD-9-CM Coding, 2006 Edition AC200505K Errata Basic ICD-9-CM Coding, 2006 Edition AC200505K Last minute updates in the coding of percutaneous transluminal coronary angioplasty (chapter 10 of book) and encounters for chemotherapy (chapter 23

More information

DESCRIPTION: Percentage of patients aged 18 years and older undergoing isolated CABG surgery who received an IMA graft

DESCRIPTION: Percentage of patients aged 18 years and older undergoing isolated CABG surgery who received an IMA graft Measure #43 (NQF 0134): Coronary Artery Bypass Graft (CABG): Use of Internal Mammary Artery (IMA) in Patients with Isolated CABG Surgery National Quality Strategy Domain: Effective Clinical Care 2017 OPTIONS

More information

HAAD quality KPI; waiting time

HAAD quality KPI; waiting time Type: Waiting Time Indicator Indicator Number: WT001 Primary Care Appointment- Outpatient Setting Time to see a HAAD licensed family physician or member of their team (GP) Time of request (walk-in or by

More information

2018 COMMONLY BILLED CODES

2018 COMMONLY BILLED CODES Melody Transcatheter Pulmonary Valve Ensemble II Transcatheter Valve Delivery System 2018 COMMONLY BILLED CODES INDEX For Right Ventricular Outflow Tract Conduit Dysfunction... 1 Hospital Inpatient Coding

More information

CPT Code Details

CPT Code Details CPT Code 93572 Details Code Descriptor Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically

More information

Student Outline. Improving Transportation Safety: Commercial Driver Medical Examiner Training CHAPTER 1. General FMCSA Information

Student Outline. Improving Transportation Safety: Commercial Driver Medical Examiner Training CHAPTER 1. General FMCSA Information Student Outline CHAPTER 1 General FMCSA Information FMCSA Mission Statement / Dedicated to Safety / NRCME Important Definitions Regulations Vs. Medical Guidelines Privacy and the Medical Examination 13

More information

ICD-10 Physician Education. Palliative Care SIP

ICD-10 Physician Education. Palliative Care SIP ICD-10 Physician Education Palliative Care SIP 1 Training Objectives ICD-9 to ICD-10 Comparison Documentation Tips Additional Educational Opportunities Questions 2 ICD-9 to ICD-10 Comparison Code Structure

More information

What ASMBS Members Need to Know About: New Medicare Payment Policy Governing Bariatric Surgery and Hospital Acquired Conditions (HACs)

What ASMBS Members Need to Know About: New Medicare Payment Policy Governing Bariatric Surgery and Hospital Acquired Conditions (HACs) What ASMBS Members Need to Know About: New Medicare Payment Policy Governing Bariatric Surgery and Hospital Acquired Conditions (HACs) Robin Blackstone, MD, FACS, FASMBS Beginning October 1, 2008, Medicare

More information

JAWDA Performance Quarterly KPI Profile (Clinic & Centers) March 2018

JAWDA Performance Quarterly KPI Profile (Clinic & Centers) March 2018 JAWDA Performance KPI Profile (Clinic & Centers) March 2018 1 P a g e Introduction: Physician office, clinic, and healthcare centers provide primary care function including health education, prevention,

More information

2017 COMMONLY BILLED CODES

2017 COMMONLY BILLED CODES Melody Transcatheter Pulmonary Valve Ensemble II Transcatheter Valve Delivery System 2017 COMMONLY BILLED CODES INDEX For Right Ventricular Outflow Tract Conduit Dysfunction... 1 Hospital Inpatient Coding

More information

2017 Cardiology Survival Guide

2017 Cardiology Survival Guide 2017 Cardiology Survival Guide Chapter 4: Cardiac Catheterization/Percutaneous Coronary Intervention A cardiac catheterization involves a physician inserting a thin plastic tube (catheter) into an artery

More information

Diagnostic & Therapeutic Cardiac Catheterization Coder 2017

Diagnostic & Therapeutic Cardiac Catheterization Coder 2017 Diagnostic & Therapeutic Cardiac Catheterization Coder 2017 Including peripheral and cardiovascular services and procedures Prepared and Published By: MedLearn Publishing A Division of Panacea Healthcare

More information

Diagnostic and interventional venous procedures (lower extremity)

Diagnostic and interventional venous procedures (lower extremity) Coding and Medicare national payment guide 2018 Diagnostic and interventional venous procedures (lower extremity) All coding, coverage, billing and payment information provided herein by Philips is gathered

More information

Chest Pain 101: Fine Tuning Your Differential in the Outpatient Setting. Krysten Pilkington MNSc, APRN, AG-ACNP-BC

Chest Pain 101: Fine Tuning Your Differential in the Outpatient Setting. Krysten Pilkington MNSc, APRN, AG-ACNP-BC Chest Pain 101: Fine Tuning Your Differential in the Outpatient Setting Krysten Pilkington MNSc, APRN, AG-ACNP-BC Where do we start? Onset Location Duration Characteristics Aggravating & Alleviating factors

More information

Who's Driving the DRG Bus: Selecting the Appropriate Principal Diagnosis

Who's Driving the DRG Bus: Selecting the Appropriate Principal Diagnosis 7th Annual Association for Clinical Documentation Improvement Specialists Conference Who's Driving the DRG Bus: Selecting the Appropriate Principal Diagnosis MedPartners CDI: Karen Newhouser, RN, BSN,

More information

PRINCIPAL ACCOUNTABLE PROVIDER MANUAL

PRINCIPAL ACCOUNTABLE PROVIDER MANUAL Health Care Payment Improvement Building a healthier future for all Arkansans Arkansas Payment Improvement Initiative Episodes of Care PRINCIPAL ACCOUNTABLE PROVIDER MANUAL COPD Episode Reimbursement Program

More information

Sheffield guidelines for the use of antiplatelets in the prevention and treatment of cardiovascular disease (October 2017)

Sheffield guidelines for the use of antiplatelets in the prevention and treatment of cardiovascular disease (October 2017) Sheffield guidelines f the use of antiplatelets in the prevention and treatment of cardiovascular disease (October 2017) Approved by Sheffield Area Prescribing Committee and Sheffield Teaching Hospitals

More information

Medtronic Coronary and Peripheral Vascular ICD-10 Coding for Hospitals May 2015

Medtronic Coronary and Peripheral Vascular ICD-10 Coding for Hospitals May 2015 Medtronic Coronary and Peripheral Vascular ICD-10 Coding for Hospitals May 2015 Disclaimer Reimbursement information provided by Medtronic is for illustrative purposes only and does not constitute legal

More information

Diagnostic and interventional venous procedures (lower extremity)

Diagnostic and interventional venous procedures (lower extremity) 2017 Coding and Medicare payment guide Diagnostic and interventional venous procedures (lower extremity) All coding, coverage, billing and payment information provided herein by Philips Volcano is gathered

More information

ICD-10-CM - Session 2. Cardiovascular Conditions, Neoplasms and Diabetes

ICD-10-CM - Session 2. Cardiovascular Conditions, Neoplasms and Diabetes ICD-10-CM - Session 2 Cardiovascular Conditions, Neoplasms and Diabetes Agenda General coding guidelines Acute myocardial infarction Hypertension Cerebrovascular accidents and sequelae Neoplasm and history

More information

CODING SHEET HYDROCEPHALUS REIMBURSEMENT. All Medicare information is current as of the time of printing.

CODING SHEET HYDROCEPHALUS REIMBURSEMENT. All Medicare information is current as of the time of printing. CODING SHEET HYDROCEPHALUS REIMBURSEMENT All Medicare information is current as of the January 2014 Hydrocephalus ing Coding Options Commonly Billed Codes for Physicians, Hospitals, and Ambulatory Surgery

More information

FY2015 Proposed Hospital Inpatient Rule Summary

FY2015 Proposed Hospital Inpatient Rule Summary FY2015 Proposed Hospital Inpatient Rule Summary Cardiac Rhythm Management (CRM) Electrophysiology (EP) Interventional Cardiology (IC) Peripheral Intervention (PI) On April 30, 2014, the Centers for Medicare

More information

CMS Limitations Guide - Cardiovascular Services

CMS Limitations Guide - Cardiovascular Services CMS Limitations Guide - Cardiovascular Services Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations

More information

Arkansas Health Care Payment Improvement Initiative Asthma Algorithm Summary

Arkansas Health Care Payment Improvement Initiative Asthma Algorithm Summary Arkansas Health Care Payment Improvement Initiative Asthma Algorithm Summary Asthma Algorithm Summary v1.6 Page 2 of 15 Triggers An episode is triggered when a patient shows an inpatient or emergency room

More information

Arkansas Health Care Payment Improvement Initiative COPD Algorithm Summary

Arkansas Health Care Payment Improvement Initiative COPD Algorithm Summary Arkansas Health Care Payment Improvement Initiative COPD Algorithm Summary Chronic Obstructive Pulmonary Disease (COPD) Algorithm Summary v1.6 Page 2 of 6 Triggers PAP Assignment Exclusions Episode Time

More information

Nov FromAtoZCodesMatter

Nov FromAtoZCodesMatter Nov 2017 FromAtoZCodesMatter From A to Z-Codes Matter Susan Wallace, MEd, RHIA, CCS, CDIP, CCDS, FAHIMA The implementation of ICD-10 brought tens of thousands of new codes. Ranging from A to Z, they portray

More information

EMT. Chapter 14 Review

EMT. Chapter 14 Review EMT Chapter 14 Review Review 1. All of the following are common signs and symptoms of cardiac ischemia, EXCEPT: A. headache. B. chest pressure. C. shortness of breath. D. anxiety or restlessness. Review

More information

OVERVIEW. Comparing ICD-9-CM and ICD-10-CM. Addendum: Transition to ICD-10. Structure of ICD-9-CM. Overview

OVERVIEW. Comparing ICD-9-CM and ICD-10-CM. Addendum: Transition to ICD-10. Structure of ICD-9-CM. Overview : Transition to ICD-10 ADDENDUM Transition to ICD-10 OVERVIEW On October 1, 2015, the U.S. health care system transitioned to the International Classification of Diseases, 10th Revision (ICD-10). This

More information

Study No.: Title: Rationale: Phase: Study Period: Study Design: Centres: Indication: Treatment: Objectives: Primary Outcome/Efficacy Variable:

Study No.: Title: Rationale: Phase: Study Period: Study Design: Centres: Indication: Treatment: Objectives: Primary Outcome/Efficacy Variable: The study listed may include approved and non-approved uses, formulations or treatment regimens. The results reported in any single study may not reflect the overall results obtained on studies of a product.

More information

CEU Final Exam for Code It! Sixth Edition

CEU Final Exam for Code It! Sixth Edition CEU Final Exam for 3-2-1 Code It! Sixth Edition Note to CEU applicant In order to receive CEU credit for taking this exam, the following criteria must be met: You must be certified by AAPC prior to purchasing

More information

Episodes of Care Risk Adjustment

Episodes of Care Risk Adjustment Episodes of Care Risk Adjustment Episode Types Wave 1 Asthma Acute Exacerbation Perinatal Total Joint Replacement Wave 2 Acute Percutaneous Coronary Intervention COPD Acute Exacerbation Non-acute Percutaneous

More information

TECHNICAL NOTES APPENDIX SUMMER

TECHNICAL NOTES APPENDIX SUMMER TECHNICAL NOTES APPENDIX SUMMER Hospital Performance Report Summer Update INCLUDES PENNSYLVANIA INPATIENT HOSPITAL DISCHARGES FROM July 1, 2005 through June 30, 2006 The Pennsylvania Health Care Cost Containment

More information

POSTGRADUATE INSTITUTE OF MEDICINE UNIVERSITY OF COLOMBO

POSTGRADUATE INSTITUTE OF MEDICINE UNIVERSITY OF COLOMBO POSTGRADUATE INSTITUTE OF MEDICINE UNIVERSITY OF COLOMBO MD (ANAESTHESIOLOGY) FINAL EXAMINATION AUGUST 2013 Date : 2 nd August 2013 Time : 1.00 p.m. 4.00 p.m. Answer any three questions. Answer each question

More information

Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings

Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings CMS-1345-P 174 Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings AIM: Better Care for Individuals 1. Patient/Care Giver Experience

More information

Hu J, Gonsahn MD, Nerenz DR. Socioeconomic status and readmissions: evidence from an urban teaching hospital. Health Aff (Millwood). 2014;33(5).

Hu J, Gonsahn MD, Nerenz DR. Socioeconomic status and readmissions: evidence from an urban teaching hospital. Health Aff (Millwood). 2014;33(5). Appendix Definitions of Index Admission and Readmission Definitions of index admission and readmission follow CMS hospital-wide all-cause unplanned readmission (HWR) measure as far as data are available.

More information

DUKECATHR Dataset Dictionary

DUKECATHR Dataset Dictionary DUKECATHR Dataset Dictionary Version of DUKECATH dataset for educational use that has been modified to be unsuitable for clinical research or publication (Created Date and Time: 28OCT16 14:35) Table of

More information

CMS Limitations Guide - Radiology Services

CMS Limitations Guide - Radiology Services CMS Limitations Guide - Radiology Services Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations

More information

Common Codes for ICD-10

Common Codes for ICD-10 Common Codes for ICD-10 Specialty: Cardiology *Always utilize more specific codes first. ABNORMALITIES OF HEART RHYTHM ICD-9-CM Codes: 427.81, 427.89, 785.0, 785.1, 785.3 R00.0 Tachycardia, unspecified

More information

ICD-10. An Introduction

ICD-10. An Introduction ICD-10 An Introduction ICD-10 Worldwide Other countries have been using ICD-10 for many years. Coding professionals there were better prepared with: Human Anatomy and Physiology Understanding of disease

More information

Sample page. Contents

Sample page. Contents CODING COMPANION 2018 Cardiology/ Cardiothoracic/ Vascular Surgery A illustrated guide to coding and reimbursement POWER UP YOUR CODING with Optum360, your trusted coding partner for 32 years. Visit optum360coding.com.

More information

TECHNICAL NOTES APPENDIX SUMMER

TECHNICAL NOTES APPENDIX SUMMER TECHNICAL NOTES APPENDIX SUMMER Hospital Performance Report Summer Update INCLUDES PENNSYLVANIA INPATIENT HOSPITAL DISCHARGES FROM JULY 1, 2006 THROUGH JUNE 30, 2007 The Pennsylvania Health Care Cost Containment

More information

ICD-10-CM Coding and Documentation for Long Term Care

ICD-10-CM Coding and Documentation for Long Term Care ICD-10-CM Coding and Documentation for Long Term Care June 3, 2014 Chris Hoskins, MA, RHIA, CTR, CHC Karen Fabrizio, RHIA CHTS-CP AHIMA Approved ICD-10-CM/PCS Trainers Objectives Review 2014 Coding Guidelines

More information

2/20/2019. Source: Source:

2/20/2019. Source:   Source: The misuse of and addiction to opioids including prescription pain relievers, heroin, and synthetic opioids such as fentanyl is a serious national crisis that affects public health as well as social and

More information

2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Outcome

2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Outcome Measure #445 (NQF 0119): Risk-Adjusted Operative Mortality for Coronary Artery Bypass Graft (CABG) National Quality Strategy Domain: Effective Clinical Care 2017 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY

More information

2019 ABBOTT REIMBURSEMENT GUIDE CMS Physician Fee Schedule

2019 ABBOTT REIMBURSEMENT GUIDE CMS Physician Fee Schedule ABBOTT REIMBURSEMENT GUIDE CMS Physician Fee Schedule This document and the information contained herein is for general information purposes only and is not intended and does not constitute legal, reimbursement,

More information

Understanding and Interpreting Adverse Drug Event (ADE) Readmission Reports

Understanding and Interpreting Adverse Drug Event (ADE) Readmission Reports Understanding and Interpreting Adverse Drug Event (ADE) Readmission Reports Lindsay Holland Director, Care Transitions Health Services Advisory Group (HSAG) October 24, 2017 Today s Webinar Objectives

More information

ICD What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software

ICD What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software ICD-10... What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software ICD-10... What Are You Waiting For? What is it? International classification

More information

Bundle Payments. Healthcare Systems & Services Presenters: Larry Litman, Tyler Litman

Bundle Payments. Healthcare Systems & Services Presenters: Larry Litman, Tyler Litman Bundle Payments Healthcare Systems & Services Presenters: Larry Litman, Tyler Litman To determine the average cost of the SNF portion of a bundle through the analysis of our client data-base. Our Objective:

More information

Registry Assessment of Peripheral Interventional Devices (RAPID)

Registry Assessment of Peripheral Interventional Devices (RAPID) Registry Assessment of Peripheral Interventional Devices (RAPID) Adding Data Sources May 2, 2018 W. Schuyler Jones, MD Duke Clinical Research Institute Duke Heart Center Disclosures Research Grants: Agency

More information

ICD-10-CM: The Sage Continues

ICD-10-CM: The Sage Continues ICD-10-CM: The Sage Continues UHIMA Kathy DeVault, MSL, RHIA, CCS, CCS-P, FAHIMA UASI Kathy.devault@uasisolutions.com Objectives Review quality documentation Discuss use of unspecified codes Discuss opportunities

More information

Welcome to Navigating ICD-10

Welcome to Navigating ICD-10 A nonprofit independent licensee of the Blue Cross Blue Shield Association Welcome to Navigating ICD-10 This presentation provides general background information and resources to help your office or facility

More information

ICD 10: The Road Forward. Jacksonville

ICD 10: The Road Forward. Jacksonville ICD 10: The Road Forward Jacksonville Florida Blue s ICD-10 Readiness Florida Blue s technical and business system capabilities have been ready for ICD-10 since August 2013. Technical Capabilities: all

More information

Summary HTA. Drug-eluting stents vs. coronary artery bypass-grafting. HTA-Report Summary. Gorenoi V, Dintsios CM, Schönermark MP, Hagen A

Summary HTA. Drug-eluting stents vs. coronary artery bypass-grafting. HTA-Report Summary. Gorenoi V, Dintsios CM, Schönermark MP, Hagen A Summary HTA HTA-Report Summary Drug-eluting stents vs. coronary artery bypass-grafting in coronary heart disease Gorenoi V, Dintsios CM, Schönermark MP, Hagen A Scientific background The coronary heart

More information

Medicare Payments. PHC4 Hospital Performance Report Oct 2016 through Sept 2017 Data FFY 2017 Medicare Payments 1

Medicare Payments. PHC4 Hospital Performance Report Oct 2016 through Sept 2017 Data FFY 2017 Medicare Payments 1 The following table includes information about payments made by for the 16 medical conditions/surgical procedures included in this Hospital Performance Report. This analysis is based on data from federal

More information

Reducing COPD Exacerbation Readmissions in a Community-Based Teaching Hospital

Reducing COPD Exacerbation Readmissions in a Community-Based Teaching Hospital Reducing COPD Exacerbation Readmissions in a Community-Based Teaching Hospital Dawn Waddell, PharmD, BCPS Clinical Pharmacy Manager Lisa Kingdon, PharmD, BCPS Clinical Pharmacy Specialist Dawn Waddell

More information

Link between effectiveness and cost data Costing was conducted prospectively on the same patient sample as that used in the effectiveness analysis.

Link between effectiveness and cost data Costing was conducted prospectively on the same patient sample as that used in the effectiveness analysis. Heparin after percutaneous intervention (HAPI): a prospective multicenter randomized trial of three heparin regimens after successful coronary intervention Rabah M, Mason D, Muller D W, Hundley R, Kugelmass

More information

DIGOXIN THERAPEUTIC DRUG ASSAY

DIGOXIN THERAPEUTIC DRUG ASSAY A18.84 Tuberculosis of heart E00.0 Congenital iodine-deficiency syndrome, neurological type E00.1 Congenital iodine-deficiency syndrome, myxedematous type E00.2 Congenital iodine-deficiency syndrome, mixed

More information

ATTENDING PHYSICIAN'S STATEMENT CORONARY ARTERY BY-PASS SURGERY or OTHER SERIOUS CORONARY ARTERY DISEASE

ATTENDING PHYSICIAN'S STATEMENT CORONARY ARTERY BY-PASS SURGERY or OTHER SERIOUS CORONARY ARTERY DISEASE ATTENDING PHYSICIAN'S STATEMENT CORONARY ARTERY BY-PASS SURGERY or OTHER SERIOUS CORONARY ARTERY DISEASE A) Patient s Particulars Name of Patient Gender NRIC/FIN or Passport No. Date of Birth (ddmmyyyy)

More information

Melody Transcatheter Pulmonary Valve and Ensemble Transcatheter Valve Delivery System GO TO INDEX COMMONLY BILLED CODES

Melody Transcatheter Pulmonary Valve and Ensemble Transcatheter Valve Delivery System GO TO INDEX COMMONLY BILLED CODES 2015 Melody Transcatheter Pulmonary Valve and Ensemble Transcatheter Valve Delivery System COMMONLY BILLED CODES 2015 INDEX For Right Ventricular Outflow Tract Conduit Dysfunction.... 1 ICD-9-CM Diagnosis

More information

Comorbidity or medical history Existing diagnoses between 1 January 2007 and 31 December 2011 AF management care AF symptoms Tachycardia

Comorbidity or medical history Existing diagnoses between 1 January 2007 and 31 December 2011 AF management care AF symptoms Tachycardia Supplementary Table S1 International Classification of Disease 10 (ICD-10) codes Comorbidity or medical history Existing diagnoses between 1 January 2007 and 31 December 2011 AF management care I48 AF

More information