Cardiology Coding Alert
CMS's 'Clarifying Questions and Answers' Is a Must Read to Boost ICD-10 Understanding
CMS and the AMA got folks talking with the release of guidance in which CMS stated Medicare contractors won’t deny Part B claims based on ICD-10 specificity for 12 months after implementation as long as you report a valid code from the right family.
So what’s a family? CMS has now clarified that for this guidance, a family refers to a three-character category, such as H25 (Age-related cataract).
NCD/LCD alert: The guidance does not change the specificity required by NCDs and LCDs. Required specificity levels for ICD-10 should remain the same as they are under ICD-9 except for laterality, so be sure you’re able to quickly capture left or right side from your documentation for ICD-10 coding.
Resource: Review the clarification at www.cms.gov/Medicare/Coding/ICD10/Clarifying-Questions-and-Answers-Related-to-the-July-6-2015-CMS-AMA-Joint-Announcement.pdf.
Cardiology Coding Alert
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