List ICD-10 codes in correct order to preserve medical necessity
The order that diagnosis codes are listed do matter when it comes to reimbursement. And electronic health records (EHRs) might not choose the optimal order.
SuperCoder goes over which diagnoses need to be listed first on a medical claim according to the ICD-10-CM guidelines.
First, comes the diagnosis that is the reason for the encounter or the one that represents the highest risk to the patient's health.
The post continues with some examples worth working through.
Again, the EHR probably isn't ordering the diagnosis codes correctly.
— It's Me! Riam! (@mtovah) April 16, 2016
Here's a round up of recent articles and posts on how to code diagnoses and procedures in ICD-10:
- Podiatry: Specify Laterality to Arrive Quickly to the Correct Open Foot Wound Codes: There's a lot of specificity to document. (SuperCoder.com)
- Coding complications of pregnancy in ICD-10-CM: hypertension, pre-eclampsia, and eclampsia: If the physician isn't documenting sufficiently, queries will be needed. (justcoding.com)
- Coding Sepsis vs. Septic Shock: There has been a revision of the clinical criteria for the two diagnoses. (Journal of AHIMA)
- ICD-10-CM Diagnosis Codes for Bone Mass Measurement: Centers for Medicare and Medicaid Services (CMS) removesM85.80 from its list of ICD-10 codes that healthcare providers can report to MACs. (CMS)
— Preston Fedor (@OutOfTheDocBox) April 14, 2016
This is a weekly feature that I use to highlight practical tips on how to use and understand ICD-10-CM/PCS codes. Please let me know of any other sources that I can include.