New codes to be presented at the September Coordination and Maintenance Committee meeting
There is a lot of buzz in the industry about the possibility of ICD-11. We are so many years from that becoming a possibility, though, with our clinical modifications and political culture. And we still have a lot of work to make ICD-10-CM all that we need it to be. It would be disappointing to move to a new code set without making sure all of our coding options have been thought through appropriately. We continue to refine and work on improving ICD-10-CM, and that will only make our efforts for ICD-11 more productive.
Recently I had the pleasure of helping the American Partnership for Eosinophilic Disorders (APFED) work on requesting some new codes, along with some revisions that will be presented at the September Coordination and Maintenance Committee Meeting.
Medicine is constantly evolving, and it’s still important to keep our coding up to date. For this project, it was recognized that some codes in ICD-9-CM were not captured in ICD-10-CM, nor were some terminology changes. What was really interesting is that while some of the codes were missed in ICD-10-CM, they were captured or added in ICD-11. Of the 12 new and 13 revised codes, five of the codes requested are captured in ICD-11. They have also gained the support of several other organizations.
Eosinophils are a type of white blood cell, and they play an important role in our immune system. Eosinophils help us fight off certain types of infections, such as parasites. Eosinophil-associated diseases are chronic and require long-term management. The symptoms may be debilitating and often lead to missed time at school and work, and may greatly impact a patient’s quality of life, according to APFED.
In the organization’s proposal, it cites the need for better research, quoting a recent National Institutes of Health (NIH) article in support:
“A recently published article, Revisiting the NIH Taskforce on the Research needs of Eosinophil-Associated Diseases (RE-TREAD), authored by 27 researchers and clinicians, documented (that) ‘eosinophil-associated diseases are rare, heterogeneous disorders characterized by the presence of eosinophils in tissues and/or peripheral blood resulting in immunopathology…histopathologic scoring, patient- and clinician-reported outcomes, and appropriate coding were deemed of paramount importance for research advancements, drug-development and their approval by regulatory agencies…Unique ICD-10 codes can improve disease management and treatment choices, and may result in improved resource allocation and understanding of unmet needs in rare eosinophilic diseases. From a research perspective, utilization of more specific codes is important for better understanding of prevalence, incidence, treatment, and healthcare utilization associated with these diseases, as well as the identification of subjects for potential recruitment into clinical trials.”Khoury PAkuthota PAckerman SJ
The request includes:
|
|
Hypereosinophilic Syndromes |
|
1 |
Myeloid Hypereosinophilic Syndrome Without a Known Molecular Abnormality |
|
2 |
Myeloid Hypereosinophilic Syndrome with Mutations in PDGFRA, PDGFRB, FGFR1, or JAK2 |
|
3 |
Lymphoid Variant Hypereosinophilic Syndrome |
|
4 |
Idiopathic Hypereosinophilic Syndrome |
|
5 |
Hypereosinophilic Syndrome, NOS |
|
|
Eosinophilic Pneumonia |
|
6 |
Acute Eosinophilic Pneumonia |
|
7 |
Chronic Eosinophilic Pneumonia |
|
8 |
Eosinophilic Asthma |
|
9 |
Eosinophilic Hepatitis |
|
10 |
Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) |
|
11 |
Episodic Angioedema with Eosinophilia (EAE), also Known as Gleich’s Syndrome |
|
12 |
Eosinophilic Myositis |
|
|
Request for Amendments |
|
13 |
Eosinophilic Granulomatosis with Polyangiitis |
|
14 |
Eosinophilic Gastroenteritis |
|
15 |
Eosinophilic Gastritis |
Hopefully, the September meeting will generate support for these new codes and revisions so that better data can be tracked, and progress continued. I will be following this proposal in September and then start helping educate our practices on how to use the new codes, along with documentation best practices.
Program Note:
Listen to Rhonda Buckholtz report on topic today on Talk Ten Tuesday, 10 a.m. EDT.
Previously neuroendocrine tumors (NETs) were called carcinoid tumors and some clinicians will continue to call them carcinoid tumors. This is a physician query opportunity. They
When searching for an artificial intelligence (AI) tool to enhance medical coding or clinical documentation integrity (CDI), healthcare organizations face a rapidly evolving landscape of
Please log in to your account to comment on this article.
Optimize your outpatient clinical documentation and gain comprehensive knowledge from foundational practices to advanced technologies, ensuring improved patient care and organizational and financial success. This webcast bundle provides a holistic approach to outpatient CDI, empowering you to implement best practices from the ground up and leverage advanced strategies for superior results. You will gain actionable insights to improve documentation quality, patient care, compliance, and financial outcomes.
Enhancing outpatient clinical documentation is crucial for maintaining accuracy, compliance, and proper reimbursement in today’s complex healthcare environment. This webcast, presented by industry expert Angela Comfort, DBA, RHIA, CDIP, CCS, CCS-P, will provide you with actionable strategies to tackle complex challenges in outpatient documentation. You’ll learn how to craft detailed clinical narratives, utilize advanced EHR features, and implement accurate risk adjustment and HCC coding. The session also covers essential regulatory updates to keep your documentation practices compliant. Join us to gain the tools you need to improve documentation quality, support better patient care, and ensure financial integrity.
This webcast, presented by Angela Comfort, DBA, RHIA, CDIP, CCS, CCS-P, a recognized expert with over 30 years of experience, offers essential strategies to improve outpatient clinical documentation integrity. You will learn how to enhance the accuracy and completeness of patient records by adopting best practices in coding and incorporating Social Determinants of Health (SDOH). The session also highlights the role of technology, such as EHRs and CDI software, in improving documentation quality. By attending, you will gain practical insights into ensuring precise and compliant documentation, supporting patient care, and optimizing reimbursement. This webcast is crucial for those looking to address documentation gaps and elevate their coding practices.
ICD10monitor has teamed up with renowned CDI expert Dr. Erica Remer to bring you an exclusive webcast on how to recognize sepsis, how to get providers to give documentation that will support sepsis, and how to educate to avert sepsis denials. Register now and become a crucial piece of the solution to standardizing sepsis clinical practice, documentation, and coding at your facility.
Protect your facility from unwanted audits! Join Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, and take a deep dive into both the CMS and AMA guidelines for reporting post operative pain blocks. You’ll learn how to determine if the nerve block is separately codable with real life examples for better understanding. Becky will also cover how to evaluate whether documentation supports medical necessity, offer recommendations for stronger documentation practices, and provide guidance on educating providers about documentation requirements. She’ll include a discussion of appropriate modifier and diagnosis coding assignment so that you can be confident that your billing of post operative pain blocks is fully supported and compliant.
During this RACmonitor webcast Dr. Ronald Hirsch spotlights the areas of the OIG’s Work Plan and the findings of their most recent audits that impact utilization review, case management, and audit staff. He also provides his common-sense interpretation of the prevailing regulations related to those target issues. You’ll walk away better equipped with strategies to put in place immediately to reduce your risk of paybacks, increased scrutiny, and criminal penalties.
This webcast, presented by Tiffany Ferguson, LMSW, CMAC, ACM, addresses the critical gap in Social Determinants of Health (SDoH) reporting for pediatric populations. While SDoH efforts often focus on adults, this session emphasizes the unique needs of children. Attendees will gain insights into the current state of SDoH, new pediatric Z-codes, and the importance of interdisciplinary collaboration. By understanding and applying pediatric-specific SDoH factors, healthcare professionals can improve data capture, compliance, and care outcomes. This webcast is essential for those looking to enhance their approach to pediatric SDoH reporting and coding.
Join Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, VP of CDM, for a webcast addressing oncology service coding challenges. Learn to navigate coding for infusions and injections alongside Evaluation and Management (E/M) services, ensuring compliance and accurate reimbursement. Gain insights into documenting E/M services for oncology patients and determining medical necessity. This webcast is essential to optimize coding practices, maintain compliance, and maximize revenue in oncology care.
Copyright © 2024 ICD10monitor. Powered by MedLearn Media.
Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more
Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!
