CMS adds Remote Therapeutic Monitoring (RTM) codes in 2022

The Centers for Medicare & Medicaid Services (CMS) has issued its 2022 Medicare Physician Fee Schedule proposed rule. This time new CPT codes has been added for remote therapeutic monitoring (RTM), which will be totally new for medical coders. Proposed Remote Therapeutic Monitoring Coding and Coverage and Coding The remote therapeutic monitoring codes are described … Read more

2022 CPT code set released by AMA

Healthcare coding professionals should take note of changes issued by the American Medical Association (AMA) to the Current Procedural Terminology (CPT) code set for 2022. Some changes apply to administration of the COVID-19 vaccine. Eight codes in the series for COVID-19 vaccination were approved in the latest update. A tracker is available to help with coding based on vaccine brand and dose. … Read more

List of New ICD-10 codes for 2022

Below are the list of New ICD 10 codes added for 2022 ICD 10 codebook M54.50 Low back pain, unspecified M54.51 Vertebrogenic low back pain M54.59 Other low back pain R05.1 Acute cough R05.2 Subacute cough R05.3 Chronic cough R05.4 Cough syncope R05.8 Other specified cough S06.A Traumatic brain compression and herniation S06.A0 Traumatic brain … Read more

AMA Issues CPT Codes for COVID-19 Vaccine for Pediatric Doses of Pfizer

The American Medical Association (AMA) has issued new Current Procedural Terminology (CPT) codes for pediatric doses of the Pfizer COVID-19 vaccine. In September 2021, Pfizer and BioNTech shared the results of a Phase 2/3 clinical trial in which two doses of the vaccine elicited a strong immune response in children ages 5 to 11. Following the trial, the … Read more

Practice Q&A for Medical coders for AAPC exams

1. A patient receives two vaccines that are administered intramuscularly and two vaccines that are administered orally. The patient receives no counseling on the vaccines. Which codes should be used to report these services? A. 90471 x2, 90473 x2 B. 90471, +90472, 90473, +90474 C. 90471, +90472, +90474 x2 D. 90460, +90461 x3 2. A … Read more

2022 ICD-10-PCS Procedure Code Changes: Part 2

New Technology Section A new device for “T- Computer-aided Mechanical Aspiration” has been added to New technology section, Cardiovascular system, Extirpation.  Computer Aided Mechanical Aspiration treats occlusions. The Indigo® System uses a mechanical pump (the Penumbra Engine®) to generate a vacuum for aspiration. Additionally, the Lightning™ tubing is the technology aspect of the Indigo® System … Read more

New 2022 ICD-10-PCS Procedure Code Changes: Part 1

For FY2022 ICD-10-PCS  there are: 78,220 total codes  (FY2020 total was 78,136) 191 new codes  (556 new last year in FY2021) 107 deleted codes (0 last year in FY2021) 62 revised codes (0 last year in FY2021) Official Guidelines for Coding and Reporting ICD-10-PCS There were about 6 updates to the procedure guidelines. B3.7 for Control vs more definitive … Read more

Sample coded surgery Medical coding charts Part 14

Medical coding Sample report 1 Pre-op Diagnosis: Left hip recurrent acetabular labral tear Post-op Diagnosis: Same Procedure: Left hip acetabular labral reconstruction using semi tendinosis allograft 6 mm in diameter.  Revision cam resection or femoral osteoplasty Implants:  Five cinch lock anchors and 1 NanoTack anchor from Stryker Anesthesia Type: GETA and regional (Fascia iliacus block) … Read more

Medicare covered COVID-19 Vaccine Boosters

Make sure claims and documentation support medical necessity. Healthcare providers have been given the go-ahead to provide an additional dose of the COVID-19 vaccine to certain patients. Here’s what you need to know for Medicare claims. The U.S. Food and Drug Administration (FDA) amended the emergency use authorization for both the Pfizer BioNTech COVID-19 vaccine … Read more

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