In CMS
Jul 5th, 2019
Physicians are better equipped to correctly diagnose Medicare patients with hypertension thanks to a new national coverage policy. The Centers for Medicare & Medicaid Services (CMS) issued, July 2, a final decision memo regarding its national coverage policy for ambulatory blood pressure monitoring (ABPM). For nearly two decades, Medicare coverage for ABPM has been limited ...
In CMS
Apr 11th, 2019
Is ambulatory blood pressuring monitoring reasonable and necessary for people with masked hypertension? It has been 18 years since the Centers for Medicare & Medicaid Services (CMS) issued the National Coverage Determination (NCD) for Ambulatory Blood Pressure Monitoring (ABPM) (20.19). At the time, ABPM wasn’t even considered for patients diagnosed with hypertension. As such, Medicare ...
In Coding
Mar 9th, 2018
When assigning diagnosis codes for hypertension (HTN), there is an presumed causal relationship between hypertension and heart involvement, and between hypertension and kidney involvement. The ICD-10-CM Official Guidelines for Coding and Reporting (I.C.9) instruct, “These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the document...
In Coding
Feb 21st, 2018
A hypertensive crisis is a severe increase in blood pressure that can lead to stroke, organ damage, heart attack, and more. The Mayo Clinic defines extreme high blood pressure as  “a top number (systolic pressure) of 180 millimeters of mercury (mm Hg) or higher or a bottom number (diastolic pressure) of 120 mm Hg or ...
In Audit
Aug 30th, 2017
One week after the release of the 2018 ICD-10-CM Official Guidelines by the Centers for Disease Control and Prevention (CDC), the agency released an errata with updated rules for diabetes mellitus, hypertension, and principal diagnosis. And while some publishers, like AAPC, were able to put their ICD-10-CMs to press with the new guidelines, it was too ...