ED Coding and Reimbursement Alert
ICD-10 Coding:
Follow These Steps to Burn Coding Success
Corrosion or burn? Here's why it matters. Patients who report to the ED with burns have a... Read more
Follow These Steps to Burn Coding Success
Corrosion or burn? Here's why it matters. Patients who report to the ED with burns have a... Read more
E/M Coding:
Take a Second Look at MDM Table
Does data factor into this ED E/M claim? Given the recent and extensive changes to the ev... Read more
Take a Second Look at MDM Table
Does data factor into this ED E/M claim? Given the recent and extensive changes to the ev... Read more
Cybersecurity:
Stay on Top of Cyber Threats As You Introduce New Tech and Services
Bookmark the HC3 webpage for quick access to federal guidance. With the rise of telehea... Read more
Stay on Top of Cyber Threats As You Introduce New Tech and Services
Bookmark the HC3 webpage for quick access to federal guidance. With the rise of telehea... Read more
You Be the Coder:
Fracture by Assault
Question: Encounter notes indicate that a patient reported to the ED after someone assault... Read more
Fracture by Assault
Question: Encounter notes indicate that a patient reported to the ED after someone assault... Read more
Reader Questions:
Keep CPR, E/M Separate
Question: Can I report an ED evaluation and management (E/M) code along with a code for ca... Read more
Keep CPR, E/M Separate
Question: Can I report an ED evaluation and management (E/M) code along with a code for ca... Read more
Reader Questions:
Medicare Ups Conversion Factor … Slightly
Question: Has there been any change to the Medicare Physician Fee Schedule (MPFS) conversi... Read more
Medicare Ups Conversion Factor … Slightly
Question: Has there been any change to the Medicare Physician Fee Schedule (MPFS) conversi... Read more
Reader Questions:
Gather Info for Accurate AAA Dx
Question: A patient reports to the ED with complaints of severe back pain, clammy skin, an... Read more
Gather Info for Accurate AAA Dx
Question: A patient reports to the ED with complaints of severe back pain, clammy skin, an... Read more
Reader Questions:
Know When ‘Procedures’ Don’t Get Procedure Codes
Question: One of my providers recently removed an ear piercing, and he documented that “... Read more
Know When ‘Procedures’ Don’t Get Procedure Codes
Question: One of my providers recently removed an ear piercing, and he documented that “... Read more
Reader Questions:
Determine Whether to Code Dementia With Alzheimer’s Diagnosis
Question: Dementia is a symptom of Alzheimer's, so does that mean I can't code them togeth... Read more
Determine Whether to Code Dementia With Alzheimer’s Diagnosis
Question: Dementia is a symptom of Alzheimer's, so does that mean I can't code them togeth... Read more
News You Can Use:
Use Updated Guidelines to Allow for Multiple Unlisted Procedures
Also, CPT® updates modifiers you can — and can't — use with unlisted codes. If... Read more
Use Updated Guidelines to Allow for Multiple Unlisted Procedures
Also, CPT® updates modifiers you can — and can't — use with unlisted codes. If... Read more
ICD-10 Coding:
Prep for Warm-Weather ED Presentations With These Tips
Anaphylactic shock a factor in insect bite coding. It seems to be getting warmer earlier... Read more
Prep for Warm-Weather ED Presentations With These Tips
Anaphylactic shock a factor in insect bite coding. It seems to be getting warmer earlier... Read more
Case Study Corner:
Listen Up for Cerumen Removal Advice
Do you know what instruments the physician might use? When a patient reports to the ED ... Read more
Listen Up for Cerumen Removal Advice
Do you know what instruments the physician might use? When a patient reports to the ED ... Read more
Reader Questions:
Drill Down for Details on Head Crush Injury
Question: Encounter notes indicate that a patient suffers from a crushing injury of t... Read more
Drill Down for Details on Head Crush Injury
Question: Encounter notes indicate that a patient suffers from a crushing injury of t... Read more
Reader Questions:
Make Modifiers Work for You on Lesion Removal
Question: After a level-three ED evaluation and management (E/M) service, the physici... Read more
Make Modifiers Work for You on Lesion Removal
Question: After a level-three ED evaluation and management (E/M) service, the physici... Read more
Reader Questions:
Note Procedure Details to I.D. Abscess Drainage Type
Question: What is the difference between a simple and complicated finger abscess drai... Read more
Note Procedure Details to I.D. Abscess Drainage Type
Question: What is the difference between a simple and complicated finger abscess drai... Read more
You Be the Coder:
ED E/M With Critical Care
Question: A patient reports to the ED with chest pain. During the course of an ED eva... Read more
ED E/M With Critical Care
Question: A patient reports to the ED with chest pain. During the course of an ED eva... Read more
Injection Coding:
Know Joint Size for Accurate Arthrocentesis Coding
Use nebulous CPT® descriptors as guidepost for other joints. Patients who report to the ... Read more
Know Joint Size for Accurate Arthrocentesis Coding
Use nebulous CPT® descriptors as guidepost for other joints. Patients who report to the ... Read more
ICD-10 Coding:
Get Specifics to Nail Hypertensive Disease Dx
Here's the code to use for essential hypertension. When patients are suffering from a hyp... Read more
Get Specifics to Nail Hypertensive Disease Dx
Here's the code to use for essential hypertension. When patients are suffering from a hyp... Read more
E/M Coding:
Rehash Hospital Coding Rules to Ensure Compliance
Do you know which hospital services share codes now? In case you haven't noticed, CPT® ... Read more
Rehash Hospital Coding Rules to Ensure Compliance
Do you know which hospital services share codes now? In case you haven't noticed, CPT® ... Read more
Reader Questions:
Never Report Prolonged ED E/M Services
Question: Is there a way to account for extra time on an ED evaluation and managemen... Read more
Never Report Prolonged ED E/M Services
Question: Is there a way to account for extra time on an ED evaluation and managemen... Read more
Reader Questions:
Know Complication Type to Choose Dx
Question: If a patient suffers from an intra- or postoperative complication involving... Read more
Know Complication Type to Choose Dx
Question: If a patient suffers from an intra- or postoperative complication involving... Read more
Reader Questions:
These 2 Effusions Get 1 ICD-10 Code
Question: If a patient suffers from effusion of the same ankle and foot, should I sub... Read more
These 2 Effusions Get 1 ICD-10 Code
Question: If a patient suffers from effusion of the same ankle and foot, should I sub... Read more
Reader Questions:
Know Stages for Optimal Pressure Ulcer Coding
Question: If a patient has a pressure ulcer on their back, what is the difference amo... Read more
Know Stages for Optimal Pressure Ulcer Coding
Question: If a patient has a pressure ulcer on their back, what is the difference amo... Read more
You Be the Coder:
Critical Care Time
Question: I have an encounter form in front of me that's a bit confusing. Notes indic... Read more
Critical Care Time
Question: I have an encounter form in front of me that's a bit confusing. Notes indic... Read more
E/M Coding:
Time Is of the Essence When Reporting Critical Care
Know how to count critical care minutes. Proper documentation and coding of critical care... Read more
Time Is of the Essence When Reporting Critical Care
Know how to count critical care minutes. Proper documentation and coding of critical care... Read more
Compliance:
Make Sure Fairness Marks Sanction Policy
Tip: Ensure employees receive training equivalent to their duties. Data breaches are ser... Read more
Make Sure Fairness Marks Sanction Policy
Tip: Ensure employees receive training equivalent to their duties. Data breaches are ser... Read more
ICD-10 Coding:
Use These Tips to Get Top Neurology Diagnoses Out of Your Head
Do you know how to code headache syndromes? In an ED, there are going to be a number of... Read more
Use These Tips to Get Top Neurology Diagnoses Out of Your Head
Do you know how to code headache syndromes? In an ED, there are going to be a number of... Read more
You Be the Coder:
Separate E/M With Minor Procedure
Question: A patient reports to the ED with an ingrown toenail. During the exam, the p... Read more
Separate E/M With Minor Procedure
Question: A patient reports to the ED with an ingrown toenail. During the exam, the p... Read more
Reader Questions:
Get More Info to Before Picking PICC Code
Question: Encounter notes indicate that the ED physician inserted a peripherally inse... Read more
Get More Info to Before Picking PICC Code
Question: Encounter notes indicate that the ED physician inserted a peripherally inse... Read more
Reader Questions:
Report Manipulation Along With Palmar Fascial Cord Injection
Question: Encounter notes indicate that the ED physician injected collagenase for a ... Read more
Report Manipulation Along With Palmar Fascial Cord Injection
Question: Encounter notes indicate that the ED physician injected collagenase for a ... Read more
Reader Questions:
Don’t Treat All Fatigue Syndromes the Same
Question: Are all fatigue syndromes the same, for diagnosis purposes? For example, if... Read more
Don’t Treat All Fatigue Syndromes the Same
Question: Are all fatigue syndromes the same, for diagnosis purposes? For example, if... Read more
2024 MPFS:
CMS Aligns With CPT® on Split/Shared Visits
See how the change will affect MDM scoring. In 2024, the stars will align and CPT® and M... Read more
CMS Aligns With CPT® on Split/Shared Visits
See how the change will affect MDM scoring. In 2024, the stars will align and CPT® and M... Read more
2024 MPFS:
CMS Follows Through With CF Cut
Here's what factored into the final decrease. It's happened again. With no one displayi... Read more
CMS Follows Through With CF Cut
Here's what factored into the final decrease. It's happened again. With no one displayi... Read more
Procedure Coding:
Spark Your Burn Coding With CPT® Smarts
Do you know when burn Tx isn't reported with a burn Tx code? When a patient reports to th... Read more
Spark Your Burn Coding With CPT® Smarts
Do you know when burn Tx isn't reported with a burn Tx code? When a patient reports to th... Read more
You Be the Coder:
Multiple Laceration Repairs
Question: Encounter notes indicate that the ED physician treated two wounds to a pati... Read more
Multiple Laceration Repairs
Question: Encounter notes indicate that the ED physician treated two wounds to a pati... Read more
Reader Question:
Know Specifics of Chickenpox for Optimal Code Selection
Question: Encounter notes indicate that the ED physician treated a patient with “cx... Read more
Know Specifics of Chickenpox for Optimal Code Selection
Question: Encounter notes indicate that the ED physician treated a patient with “cx... Read more
Reader Question:
Allergy to Cement? Report This Dx
Question: When a patient has allergic contact dermatitis to cement dust, how should I... Read more
Allergy to Cement? Report This Dx
Question: When a patient has allergic contact dermatitis to cement dust, how should I... Read more
Reader Question:
Code Carefully When Considering CPR/Critical Care Combo
Question: Encounter notes indicate that the ED physician performed 43 minutes of crit... Read more
Code Carefully When Considering CPR/Critical Care Combo
Question: Encounter notes indicate that the ED physician performed 43 minutes of crit... Read more
Reader Question:
Consider Independent Historian When Seeking Px Info
Question: I am working as a coder for the first time and one of my providers wrote th... Read more
Consider Independent Historian When Seeking Px Info
Question: I am working as a coder for the first time and one of my providers wrote th... Read more