Knowledge Center
Moderate sedation, also sometimes referred to as conscious sedation, is a drug-induced depression of consciousness. A patient who has been sedated in this way is relaxed and generally insensitive to pain, but remains awake and able to respond to verba...
By John Verhovshek
In Coding
Apr 5th, 2019
Comments Off on Medical Necessity: Why It Matters, Ways to Demonstrate It
“Medical necessity” is difficult to define, with as many different interpretations as there are payers; however, most definitions incorporate the idea that healthcare services must be “reasonable and necessary” or “appropriate,” given a patient’s cond...
For 2019, the CPT® codebook made changes that affect proper coding for replacement or change of a gastrostomy tube. Here’s what you need to know to be sure your coding is current and correct. A gastrostomy tube, or G-tube, is a tube inserted through t...
The 2019 CPT® codebook introduced three new, add-on codes to report bone allograft: + 20932 Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List...
By John Verhovshek
In Coding
Mar 29th, 2019
Comments Off on Achieving Clinical Documentation Improvement
Clinical documentation improvement (CDI) is a process that continually seeks to answer, “How best can maximize the integrity of the medical record?” Although the goal of CDI is always the same—to provide a complete and accurate picture of a patient’s ...
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