More than 135 ICD-10-CM changes and 69+ CPT® updates are in the year 2019. General surgery coders are most impacted in 2019. You’ll need to navigate changes for eyelid neoplasm, post-procedural infection, appendicitis, FNA, allograft, transcatheter insertion or replacement or removal of permanent leadless pacemaker, and more. Some impact of General Surgery coding updates on reimbursement in 2019 is discussed below.
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- K35: Apply the newly expanded code set for appendicitis
- K82: Grab the right gall bladder code every time
- N35: Unblock your confusion over urethral stricture codes
- Capture the severity of rectal abscess with the K61 code set
- Use specific codes for cholangitis (K83.0)—including changed combination codes
- Ditch your old post-procedure infection codes and use the new T81.4 series instead
- Avoid common errors in diagnosis documentation and surgery coding
- And change your ICD-10 ways to maximize CDI efforts and satisfy MIPS
It’s imperative that you sharpen your understanding of what the documentation must say to support each ICD-10 surgery code. Spend some time for gaining knowledge will pay off all year long by maximizing reimbursement and clinical documentation improvement efforts.
Initially in 2019 ICD-10-CM code list introduces approximately 500 diagnosis code changes, with well over 100 in the general surgery category. You have until October 1, 2018 to prepare.
To prevent miscoding, a parenthetical was added to the CPT code set that instructs not to report 29581 in conjunction along with codes for treatment of incompetent veins (36465, 36466, 36468, 36470, 36471, 36473, 36474, 36475, 36476, 36478, 36479, 36482, and 36483) for the same extremity. You should also be note that the code 29581 should not be reported for simply wrapping the lower extremity with elastic bandages.
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