You Be the Coder: Location Determines Correct Z Code Use

Question: Our pediatrician performed a final hospital discharge for a newborn baby that lasted over 30 minutes, but when we submitted 99239 (Hospital discharge day management; more than 30 minutes) with [...]

Posted on: 21 June 2017 | 4:06 am

ICD-10 Coding: Arm Yourself with this Limb Pain Dx Primer

ICD-10 offers 1-, 2-code options for arm/leg pain. When patients report to your pediatric practice complaining of limb pain, you’ll need to know some ICD-10 basics in [...]

Posted on: 21 June 2017 | 4:06 am

ICD-10 Coding: Z Codes Key to Code Newborn Low Weight, Weight Loss

But P, R codes spell success for specific diagnoses. Weight loss among newborns after birth is a common occurrence. Most will surpass their birth weight after ten [...]

Posted on: 21 June 2017 | 4:06 am

Reader Question: Risk Factor, Primary Illness Determine Group Session Coding

Question: Our office has set up a group for several new mothers and their babies that will meet for about an hour a week. Should we code this as four units [...]

Posted on: 21 June 2017 | 4:06 am

E/M Coding: Use EHR, but Keep Your Eye on Exception E/M Time

Counseling exception can net you higher-level E/Ms … in specific situations. When your pediatric provider performs an office evaluation and management (E/M) service, you’ll typically choose a [...]

Posted on: 21 June 2017 | 4:06 am

Reader Question: When There's a Problem, Report a Problem-Focused E/M Code

Question: A patient came in for a physical exam. While there, one of our physicians also diagnosed the patient with a sore throat. What is the best way to code for [...]

Posted on: 21 June 2017 | 4:06 am

E/M Coding: Drive Hard for Details on Exceptions Claims

Providers play a vital role in counseling exception coding success. Pediatric practices that have success coding for counseling exception evaluation and management (E/M) services all have one [...]

Posted on: 21 June 2017 | 4:06 am

You Be the Coder: Reporting Z Code for Screenings

Question: A patient presented to our practice after he failed a school hearing test, but our physician determined that the child’s hearing was actually perfect. Which diagnosis code should we assign [...]

Posted on: 24 May 2017 | 1:05 am

Reader Question: Educate Physicians on 'Automatic' Coding Dangers

Question: I am having an issue with one of our physicians who wants to report almost all of his hospital inpatient subsequent visit services as 99233. His rationale is that [...]

Posted on: 24 May 2017 | 1:05 am

Reader Question: Tread Carefully on Mixed CP Dx

Question: Our physician treated a patient in the observation unit of the local hospital for complications related to mixed cerebral palsy (CP). Notes indicate that the physician performed a second-day observation [...]

Posted on: 24 May 2017 | 1:05 am