This week's note looks at how to accurately calculate new technology add-on payment charges and ensure your facility is appropriately reimbursed for them.
The new ICD-10-CM codes for FY 2018, effective October 1, 2017, represent significant changes in some of our documentation and coding practices. Review the changes to the FY 2018 ICD-10-CM Official Guidelines for Coding and Reporting (the Guidelines), which must be embraced if our documentation, coding, and billing is to withstand compliance scrutiny from outside auditors and accountability agents.
This week’s Medicare updates include an update to the Ambulatory Surgical Center Payment System; revisions to the State Operations Manual; information on CMS approval of CHIP provisions to assist with Hurricane Harvey disaster relief; and more!
Q: Our team had a recent case that involved a small midline episiotomy which extended to a second-degree laceration which was repaired with 3-0 vicryl rapide sutures. Would we code the episiotomy and repair or just the repair, and why? We are considering ICD-10-PCS code 0KQM0ZZ (Repair of the perineum muscle, open approach) and/or 0W8NXZZ (Division of the female perineum, external approach).
