Hospital Outpatient Articles

Below is a complete listing of all Hospital Outpatient articles that have appeared in JustCoding News.

  • GEMs a useful addition to ICD-10-CM transition tool kit

    May 14, 2013

    General equivalence mapping (GEM) is a good tool to use to convert ICD-9-CM codes to ICD-10-CM, but the maps are only a tool. Lori Andersen, MS, and Patrick Romano, MD, MPH, explain to use GEMs as part of your ICD-10 coding transition.

  • Q&A: Coding for cerebral hemorrhage sequela in ICD-10-CM

    May 14, 2013

    Q: A patient suffered a nontraumatic intracerebral hemorrhage six months ago and is now being seen for long-standing aphasia as a result of the stroke. How would we code this in ICD-10-CM?

  • CMS corrects edit 84, deletes modifiers

    April 30, 2013

    CMS corrected edit 84, added five APCs, deleted two APCs, and changed the description of another as part of the April updates to the I/OCE. Dave Fee, MBA, reviews the most significant changes CMS implemented

  • Healthcare News: CMS releases Quarterly Provider Compliance Newsletter

    April 30, 2013

    The April 2013 issue of CMS’ Medicare Quarterly Provider Compliance Newsletter highlights two Comprehensive Error Rate Testing (CERT) issues that affect outpatient providers.

  • Understand anatomy to transition reporting hypertension from ICD-9-CM to ICD-10-CM

    April 30, 2013

    According to the Centers for Disease Control and Prevention, 31% of all American adults have high blood pressure, so odds are coders see the condition documented often. Shelley C. Safian, PhD, CCS-P, CPC-H, CPC-I, AHIMA-Approved ICD-10-CM/PCS Trainer, compares coding for hypertension in ICD-9-CM and ICD-10-CM.

  • Q&A: Performing multiple fusions at same spinal level

    April 30, 2013

    Q: If a patient has a spinal deformity on L5-S1 and we use the appropriate codes from 2280X and then the physician performs an arthrodesis/fusion on the same level, can we bill the appropriate fusion codes (225XX-226XX) as well?  My impression is no, but I would love to get some insight into this question.

  • Ten steps to code for anesthesia services

    April 30, 2013

    Anesthesia coding in some ways is similar to evaluation and management coding—only easier. Chandra Stephenson, CPC, CPC-H, CPMA, CPC-I, CANPC, CEMC, CFPC, CGSC, CIMC, COSC, explained the 10 steps to coding anesthesia during the AAPC National Conference in Orlando, Fla., April 14-17.

  • Q&A: ICD-9 coding for screening pap

    April 16, 2013

    Q: A physician's office collects a pap specimen and sends the specimen to the hospital lab for processing. The physician's office lists ICD-9-CM code V72.31 (general gynecological examination with or without Papanicolaou cervical smear) as the diagnosis for this service. What is the proper diagnosis code for the hospital to use for billing when only processing the specimen?

  • Local Coverage Determinations provide the missing link to complement coding guidelines

    April 16, 2013

    The missing link to correct coding is coder knowledge and practical application of Local Coverage Determinations (LCDs). Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS, reveals how LCDs compliment official coding guidelines for compliant coding.

  • New molecular pathology coding still complex

    April 16, 2013

    At first glance, the new CPT® codes for reporting molecular pathology services might seem simple. They certainly look easier than the old stacking codes that focused on methodology and processes, resulting in multiple codes and quantities being used to report a single test. Jugna Shah, MPH, and Michelle L. Ruben, detail some of the nuances of correct code assignment for molecular pathology tests.