Medical Coding Rights

There are 1790 code changes in 2023 and including new, deleted, revised, and parent codes.   These 2023 ICD-10-CM codes are to be used from the effective date of services from October 1, 2022, through September 30, 2023.  Total changes - 1790 codes New Codes  - 1468 Additions Deleted Codes - 251 Deletions Revised Codes -  35 Revisions   Converted to Parent Code - 36 Codes DELETED CODE EFFECTIVE FROM OCTOBER 1ST, 2022 TO SEPTEMBER 30, 2023 Code      Description O35.0XX0 Maternal care for (suspected) central nervous system malformation in fetus, not applicable or unspecified O35.0XX1 Maternal care for (suspected) central nervous system malformation in fetus, fetus 1 O35.0XX2 Maternal care for (suspected) central nervous system malformation in fetus, fetus 2 O35.0XX3 Maternal care for (suspected) central nervous system malformation in fetus, fetus 3 O35.0XX4 Maternal care for (suspected) central nervous system malformation in fetus, fetus 4 O35.0XX5 Maternal care for (suspec

There are 1790 code changes in 2023 and including new, deleted, revised, and parent codes.   These 2023 ICD-10-CM codes are to be used from the effective date of services from October 1, 2022, through September 30, 2023.  Total changes - 1790 codes New Codes  - 1468 Additions Deleted Codes - 251 Deletions Revised Codes -  35 Revisions   Converted to Parent Code - 36 Codes REVISED CODE EFFECTIVE FROM OCTOBER 1ST, 2022 TO SEPTEMBER 30, 2023 Code      Description C84.4      Peripheral T-cell lymphoma, not elsewhere classified C84.40      Peripheral T-cell lymphoma, not elsewhere classified, unspecified site C84.41      Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of head, face, and neck C84.42      Peripheral T-cell lymphoma, not elsewhere classified, intrathoracic lymph nodes C84.43           Peripheral T-cell lymphoma, not elsewhere classified, intra-abdominal lymph nodes C84.44    Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of axil

The listed CPT codes are covered in telehealth and changes are effective from dated on June 16, 2022 Medicare telehealth services require that the services occur over real-time audio and visual interactive telecommunications. For purposes of diagnosis, evaluation, or treatment of mental health disorders. If the patient doesn’t have the technical capacity or the availability of real-time audio and visual interactive telecommunications, or they don’t consent to the use of real-time video technology, we allow audio-only communication for telehealth mental health services to established patients located in their homes. After the PHE ends, Telehealth Mental Health services may include new or established patients so long as an in-person, face-to-face, non-telehealth service takes place within 6 months of the telehealth mental health services. This means that all telehealth mental health patients should have had a first in-person visit no later than 6 months after the PHE. After the PHE and a

Domiciliary, Rest Home, or Custodial Care Services CPT codes 99324 - 99337 Domiciliary, Rest Home (e.g. Boarding Home), or Custodial Care Services, are used to report E/M services to individuals residing in a facility which provides room, board, and other personal assistance services, generally on a long-term basis.  These codes are also used to report E/M services in an assisted living facility. The facility’s services do not include a medical component. A home or domiciliary visit includes a patient History, Physical Examination and Medical Decision Making in various levels depending upon a patient’s needs and diagnosis.  The visits may also be performed as counseling and/or coordination of car, when medically necessary outside the office environment and are an integral part of a continuous of the patient's care.  The patients seen may have chronic conditions, may be disabled, either physically or mentally, making access to a traditional office visit very difficult, or may have l

Correction to Home Health (HH) Billing for Denial Notices The implementation of the one-time home health Notice of Admission (NOA) in calendar year 2022, every claim for a home health period of care first required the submission of a Request for Anticipated Payment (RAP). Correction to the Calculation of 60-Day Gaps in Home Health Services A sequence of related home health periods of care is defined beginning with an admission to home health services and ending when there is a 60-day gap in home health services. This 60-day gap is used by Medicare systems for two purposes. It is used to validate whether a home health period of care is correctly coded as an early or later period. It is also used to identify early periods that should pay a Low Utilization Payment Adjustment (LUPA) add-on amount. Medicare administrative contractors recently identified a minor variance between the way the 60-day gap is counted and used for these two purposes. The requirements below revise the counting meth

The Catheterization is divided into two types and there are,  Non Selective Catheter Placement Selective Catheter Placement Non Selective Catheter Placement The non selective catheter placement is not to be coded with selective catheter placement together.  And the following to be considered as non selective catheter placement, puncture of catheter, Insertion, and placement of catheter into the aorta.  Also, if the catheter does not have any further movement it should be considered as non selective catheter placement. E.g., When the documentation shows that the catheter placement was only in the aorta, the non-selective catheter placement CPT code 36200 is to be coded. Selective Catheter Placement The selective catheter placement is advanced from the original vessel of puncture sites to another vessels and it should be considered as selective catheter placement. When the catheter is advanced and/or crossed from the aorta and it should be considered as selective catheter placement. E.g.

The Pneumococcal Vaccine CPT codes will be payable by Medicare. The new codes will be in the 2021 Medicare Physician Fee Schedule Database file update and the annual HCPCS update.  90677-  Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use. Which is effective for Dates of Service (DOS) on or after July 1, 2021 90671 - Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Which is effective for DOS on or after July 16, 2021  The CPT 90677 does not apply for Coinsurance and deductible. A Medicare Administrative Contractor (MAC) will pay institutional providers for these codes based on the Type of Bill (TOB) used. The two payment methods are,        1. The Medicare Administrative Contractor (MAC) will pay these institutional providers using reasonable cost if you use the following, Hospitals (TOBs 12X and 13X) Skilled Nursing Facilities (TOBs 22X and 23X) Home Health Agencies (TOB 34X) Hospital-based Renal Dialysis Facilities (RDFS) (TOB 72X) Crit