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IN CASE YOU MISSED IT (RCI BONUS CONTENT):

April ICD-10-CM Update Comes in Like a Lamb

Published on Fri Feb 21, 2025

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February 2025

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Zone in on Key Points to Alleviate the Pain of Arthrodesis Surgery Coding
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Optometry/Ophthalmology Coding:
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Pulmonology Coding:
Know When to Separately Report Spirometry Results Interpretation
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Optometry/Ophthalmology Coding:
Correctly Bill for After-Hours Encounters
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E/M Coding:
Does a New Setting Determine Patient Status?
Question: I have a situation where our nurse practitioner (NP) performed a new visit for [...]

General Surgery Coding:
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Otolaryngology Coding:
Take These 3 Tips for Flawless Pharyngitis Coding
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Podiatry Coding:
Scan Your Way to Successful Orthotics Claims
Question: I just want to confirm something. At our podiatry practice (provider not facility), we [...]

Pulmonology Coding:
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Pulmonology Coding:
Boost Your Bacterial Pneumonia Coding Knowledge
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Podiatry Coding:
Heed These Heel Spur Coding Tips
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Neurology & Pain Management Coding:
Check for CT When Coding PET Scans
Sometimes, the physician will order both tests at the same time. Positron emission tomography (PET) [...]

Pediatric Coding:
Report Vitamin D Drops for Infant, Not Parent
Question: How do I report a nursing infant receiving vitamin D drops? Our provider wants [...]

Path/Lab Coding:
Don’t Let Mistakes Muddle You Modifier 90 or 91 Claims
Here’s how to avoid duplicate billing. Clinical labs frequently reach for modifiers 90 (Reference (outside) [...]

Diagnostic Radiology Coding:
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Oncology Coding:
Take Time to Code Care Management Services Correctly
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Neurology & Pain Management:
Medical Device Pain? There’s a Dx for That
Question: Encounter notes indicate that the pain management (PM) specialist saw a patient in the [...]

E/M Coding:
Don’t Let Technical Difficulties Ruin Your Claim
Question: If a telehealth visit was converted to an audio-only visit due to technical difficulties [...]

Path/Lab Coding:
Look to Neoplasm Codes for Inflammatory Breast Cancer Dx
Question: Our pathologist diagnosed inflammatory breast cancer. Should we report this using N61 instead of [...]

Diagnostic Radiology Coding:
Pick the Correct Code for 3-Finger X-Rays
Question: A patient presented with pain in the third, fourth, and fifth digits of the [...]

Emergency Department Coding:
Definitive Dx Changes ICD-10-CM Code Choice
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Pediatric Coding:
Unlock Better Care With New Childhood Obesity Codes
Question: How will the new ICD-10-CM codes for childhood obesity, which became effective October 1, [...]

Podiatry Coding:
Don’t Cut Yourself Short on This Ingrown Toenail Encounter
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Neurosurgery Coding:
Take These Tips to Tame T Codes
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Urology Coding:
Use Documentation to Correctly Report Bladder Biopsies and Lesion Removals
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General Coding:
Be Specific, Not Leading, in Query
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General Coding:
Use These Tips for Finding Information on Payer Policies
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Compliance:
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Question: I know audit policies are part of a comprehensive compliance program, but what should [...]

Path/Lab Coding:
Pick These Codes for Tubal Ligation and Placenta Pathology
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Diagnostic Radiology Coding:
Assess Your Image Guidance Coding Knowledge
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General Surgery Coding:
Code This Breast Cystectomy Case
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Orthopedic Coding:
Code Ankle Arthroscopy With Confidence
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Compliance:
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Question: I’m reading more about compliance and recently saw the term “diligence audit.” Is this [...]

Neurology & Pain Management Coding:
Doppler Study Code Gets 2025 Add-Ons
Question: When our neurologist performs a complete transcranial Doppler study (TCD), they sometimes also perform [...]

IN CASE YOU MISSED IT (RCI BONUS CONTENT):
April ICD-10-CM Update Comes in Like a Lamb
Small but significant changes to the code set are on the way. ICD-10-CM has released [...]

Otolaryngology Coding:
Use These Codes to Document Flu With Sinusitis
Question: A patient with congestion, thick nasal drainage, facial pain, and a headache presented to [...]

Emergency Department Coding:
Focus on Details in Lesion Coding
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Cardiology Coding:
Look for Link Before Coding Adverse Effect
Question: We have a patient who presented to the emergency department (ED) with swelling of [...]

Cardiology Coding:
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Orthopedic Coding:
Wrap Your Head Around This Wrist Surgery
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Orthopedic Coding:
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Compliance:
Make Monitoring a Linchpin of Your Compliance Program
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ICD-10-CM Coding:
Grasp the Appropriate Use of Z51 Codes
Question: Can ICD-10-CM code Z51.11 be used when the provider sees a patient in between [...]

General Surgery Coding:
Figure Out This Fissurectomy Frustration
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E/M Coding:
Code Level 4 E/M for Strep? Not so Fast
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Gastroenterology Coding:
Solve This Angiodysplasia Coding Query
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Gastroenterology Coding:
Fix These Capsule Endoscopy Claims
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Medicare Regulations:
Medicare Preventive Services Get a Boost for 2025
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Practice Management:
Is Time Blocking Beneficial?
Question: Our organization is hiring a practice manager who wants to switch our scheduling model to [...]

Otolaryngology Coding:
Keep Your Eye on This Code for vHIT Procedures
Question: What is the correct CPTÒ code for the video head impulse test (vHIT), which [...]

Practice Management:
Learn the Limit for Medicare Overpayments
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Technology & Innovation:
Administer Epinephrine Without Needles
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Primary Care Coding:
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Technology & Innovation:
Screen for Colorectal Cancer With a Blood Test
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Medicare Regulations:
Find Appropriate Payer Order
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Neurosurgery Coding:
Look Into Interspaces Before Coding PEEK Cage Insertion
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Primary Care Coding:
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Primary Care Coding:
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Anesthesia Coding:
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Urology Coding:
Assess This Problematic Abscess Procedure
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Emergency Department Coding:
Choose Carefully on Refill E/M
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Urology Coding:
Figure Out This French Whistle Tip Stent Scenario
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Anesthesia Coding:
Educate Yourself on Moderate Sedation Documentation, Guidelines
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Gastroenterology Coding:
Learn When and How to Use 43246 for Percutaneous Endoscopic Gastrostomy
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ICD-10-CM Coding:
See the Difference Between Aftereffect and Sequela
Question: I’m relatively new to coding and my coworker and I are wondering how the [...]

Oncology Coding:
Don’t Take This Advice for PET Scan Dx
Question: I am having terrible issues with referring doctors using R91.8 for 78815/A9552. In the [...]

Oncology Coding:
Use Two Claim Lines in This Bilateral Mastectomy Scenario
Question: We recently had a patient come in for a bilateral mastectomy. The left breast [...]

General Coding:
Differentiate Modifiers GC, GE for Teaching Physician Services
Hint: Mastering the primary care exception rule helps open reimbursement doors. When your provider performs [...]

Pediatric Coding:
Lean On Other Signs/Symptoms to I.D. Viral, Bacterial, or Fungal Rashes
Hint: Sometimes the rash is the first sign, sometimes one of the last. According to [...]

Optometry/Ophthalmology Coding:
Clarify Your Cataract Extraction Coding Knowledge – Part 2
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ICD-10-CM Coding:
Reduce Denials by Brushing Up on Excludes1 and Excludes2 Notes
Do you know the difference between an Excludes1 note and an Excludes2 note? Sometimes, it [...]

Cardiology Coding:
Explore Transthoracic Echocardiography and Separately Billable Modalities
Pocket these tips for billing echocardiography services. Echocardiography (“echo”) is a procedure that uses high-frequency [...]

Medicare Regulations:
Look for Payment for Some HIV Drugs as Additional Preventive Services
Question: Does the Centers for Medicare & Medicaid Services (CMS) cover medication for prophylactic transmission [...]

Ob-Gyn Coding:
5 Tips for Reporting 99211 Every Day in Your Ob-Gyn Practice
Here’s what needs to be in the documentation. Having a nurse on staff at your [...]

Ob-Gyn Coding:
Adding 59 to 57500 Means Correct Dx Code
Question: Can we bill 58545 and 57500 together if the surgeon took out a cervical [...]

Anesthesia Coding:
Find Split Billing Payment Answers
Question: Can an AA (anesthesia assistant) bill with a QZ modifier? Does this mean all [...]

Ob-Gyn Coding:
Choose This Code for Aspirated Ectopic Pregnancy
Question: What is the best CPT® code for this case? Cesarean scar ectopic pregnancy at [...]

Practice Management:
Explore These Causes for CHAMPVA Claims Going Unpaid
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