O21.2Late vomiting of pregnancy - Excessive vomiting starting after 20 completed weeks of gestation
Be sure to look for coding notes. "Use additional code," for example, requires you report a code from I15- to identify the type of secondary hypertension. If the patient has pre-existing diabetes mellitus, identify any insulin use (Z79.4). Do not use this code if the patient has gestational diabetes, as this code is for long-term use.
Take a look at another example of a pre-existing condition and the notes associated with this code:
O34.41 Maternal care for other abnormalities of cervix, first trimester
Includes: the listed conditions as a reason for hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor
Code First: any associated obstructed labor (O65.5)
Use additional code for specific condition
These instructions are not optional. They must be included in your documentation and coding to ensure proper reimbursement.
If you have questions or comments about this article please contact us. Comments that provide additional related information may be added here by our Editors.
We have been receiving several DDS referrals to our massage therapists who do intra-oral work. The only problem is that the referral from the DDS lists code R51 for headaches as the only DX code. Since most plans don't cover massage therapy for headaches alone, are there any codes that can distinguish the headaches as ...
I am a certified DOT medical examiner and have applied to get my CLIA lab (waiver) for urinalysis, finger prick blood tests for A1c, cholesterol and glucose. I realize I cannot diagnose patients with these tests, but I am using them to make decisions in the DOT process and with ...
Pelvic floor dysfunction is often the underlying cause of conditions such as pelvic pain; urinary or bowel dysfunction; and/or sexual symptoms. Treatment generally begins with an evaluation and testing (e.g, EMG) followed by a variety of services (e.g., biofeedback, manipulation, pelvic floor electrical stimulation), depending on the findings.
Coverage by payers ...
Time, as it applies to E/M codes, has often been viewed as an "if/then" proposition. "If" the documentation shows that a majority of the encounter was based on counseling and/or coordination of care, "then" we choose the highest level of service based on the total time of the encounter.
However, a ...
The following table is taken from the Contract-Level Risk Adjustment Data Validation Medical Record Reviewer Guidance dated 2017-09-27 (see References). It is a listing of acceptable provider interpretation of diagnostic testing.
Acceptable Examples include:
Cardiology and Vascular Surgeons
Echocardiogram (including Doppler, Duplex, Color flow of the heart vessels)
EKG (electrocardiogram) – Stress test, Cardiac ...
The biggest thing modifiers 25 and 57 have in common is that they both assert that the E/M service should be payable based on documentation within the record showing the procedure should not be bundled into the E/M. After that, the similarities end, and it is important to know the...
The OIG recently concluded an audit on a chiropractic office located in Florida and had some significant findings. They recommended the following:
Refund to the Federal Government the portion of the estimated $169,737 overpayment for claims for chiropractic services that did not comply with Medicare requirements and are within the 4-year ...