Chiropractic Coding & Compliance Alert
Make the Most of the New ICD-10 LCDs
PDF
Question: How can we access updates to ICD-10 Local Coverage Determinations in the CMS Medicare coverage database?
Iowa Subscriber
Answer: An LCD is a valuable administrative and educational tool that can assist you in submitting correct claims. It tells you about the coverage criteria, defines medical necessity, covered services, primary and secondary ICD codes for the expected diagnosis. These codes describe covered and/or noncovered services when the codes are integral to the discussion of medical necessity.
At the time of this writing, the ICD-10 based LCDs are available as “Future” LCDs, and available under the Medicare coverage database-> Index section on the CMS website. You should go to these to discover a wealth of information the ICD-10 codes you are required to use as primary codes( M99.01 to M99.05) to demonstrate spinal subluxation, and a plethora of ICD-10 codes for the secondary under lying diagnosis that you may want to report as well.
Related Articles
Chiropractic Coding & Compliance Alert
- Reimbursement:
Get to Know What Other Payers Think About Using ICD-10
Know these 4 empirical facts on ICD-10 preparations and claims processing. Worried about the stand [...] - Policy:
Know These 3 Legislative Issues That ACA Salvaged
Score big with ACA’s work on documentation, parity, PPACA, and more. It’s time to connect [...] - ICD-10 Update:
Decoding the ICD-10 Flexibilities: What the Guidance Does and Does Not Cover
Look forward to disclaimers, status quo, and a new ombudsman. ICD-10 is here, finally. As [...] - You Be the Coder:
Coding the Second Encounter for a Neck Strain Patient
Question: A patient visits the office for a second time. She has the diagnosis of neck [...] - Reader Question:
Does Medicare Reimburse Multiple Daily Visits?
Question: In this era of accelerated treatment protocols for faster recovery, some DCs use an intensive [...] - Reader Question:
Clear Up the Confusion on X-ray Billing
Question: As a chiropractor, we often need to use diagnostic services such as X-rays to help [...] - Reader Question:
Does Medicare Accept Other Words for Spinal Manipulation?
Question: While documenting spinal manipulation treatment for a patient with spinal subluxation at lumber level, our [...] - Reader Question:
Make the Most of the New ICD-10 LCDs
Question: How can we access updates to ICD-10 Local Coverage Determinations in the CMS Medicare coverage [...]