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Home Health & Hospice Week

Diagnosis Coding:

NOTE THE CORRECTIONS TO CMS' THERAPY EXCEPTIONS LIST

Published on Thu Jan 11, 2007

Many of last year's diagnosis codes were missing fifth digits.

A beneficiary's diagnosis determines her therapy cap exceptions under Part B, but the Centers for Medicare & Medicaid Services' original ICD-9 list was flawed. Note the changes between the old list and the updated, corrected list outlined in Transmittal 1106, issued Nov. 9, 2006.

Note: Table provided by Joanne Byron, president of Health Care Consulting Services in Hickory, NC, based on CMS Transmittal 1106. For codes added to the exceptions list in Transmittal 1145, see a future issue of Eli's Home Care Week.
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