There are new CPT® codes effective July 1, 2023, which are published in MLN Matters 13210 dated June 13. There is a companion Change Request 13210 document which provides greater detail.
The new COVID vaccine and administration codes are 0174A for the administration of Pfizer-BioNTech COVID vaccine, Bivalent for patients six months through four years of age. The vaccine is CPT 91317.
There are 15 new CPT Proprietary Laboratory Analyses codes effective July 1. The change request document will provide a detailed list with long descriptors and status indicators. The new codes fall between 0387U through 0401U.
There are 20 new CPT Category III codes that were released in January but were effective July 1. CPT 0791T through 0810T are the codes that have been added. For example, 0793T has the description of percutaneous transcatheter thermal ablation of nerves enervating pulmonary arteries and includes right heart catheterization, pulmonary artery angiography, and all imaging guidance.
There are some new HCPCS procedure codes including the following:
There are six new HCPCS codes for reporting drugs and biologicals with status indicator of G. For example, J1440 is new with the description of fecal microbiota, live-jslm, 1 ml.
There are three new HCPCS codes for high-cost skin substitute and 12 new HCPCS codes for low-cost skin substitutes.
If you collaborate with outpatient cases, perform charging, or are a chargemaster coordinator, it is imperative that you review MLN 13210 and/or Change Request 13210 for all the details.
The next Coordination and Maintenance Committee meeting will be held on Sept. 12 and 13. The tentative agendas have not been posted.
The National Center of Health Statistics (NCHS) released an erratum for FY24 ICD-10-CM on July 26 which corrected the Index entry for cachexia to R64. Dr. James Kennedy spoke about this issue during Talk Ten Tuesday, July 25.
Another inclusion in the errata was the correction of the spelling of thalassemia which is found in the inclusion terms for code H35.2 (Other non-diabetic proliferative retinopathy). A second update was made to this area with the correction of the code associated with the inclusion terms under category H35 (Disorders of endocrine glands in diseases classified elsewhere).
The diagnosis code associated with the inclusion term late congenital syphilis of thymus gland [Dubois disease] was corrected from A50.5 to A50.59.
Programming note: Listen to live coding reports by Laurie Johnson every Tuesday on Talk Ten Tuesdays with Chuck Buck and Dr. Erica Remer.
Resources:
MLN 13210
CR 13210
https://www.cms.gov/Medicare/Coding/ICD10/C-and-M-Meeting-Materials
https://www.cms.gov/medicare/icd-10/2024-icd-10-cm
The following topics have a place in your facility-specific coding guidelines: Personal History – Does the facility capture personal history codes? These codes may be
In its Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2025 fiscal year (FY), the Centers for Medicare & Medicaid Services (CMS) is considering
Please log in to your account to comment on this article.
Michelle Wieczorek explores challenges, strategies, and best practices to AI implementation and ongoing monitoring in the middle revenue cycle through real-world use cases. She addresses critical issues such as the validation of AI algorithms, the importance of human validation in machine learning, and the delineation of responsibilities between buyers and vendors.
Frank Cohen shows you how to leverage the Comprehensive Error Rate Testing Program (CERT) to create your own internal coding and billing risk assessment plan, including granular identification of risk areas and prioritizing audit tasks and functions resulting in decreased claim submission errors, reduced risk of audit-related damages, and a smoother, more efficient reimbursement process from Medicare.
Dr. Ronald Hirsch presents an essential “A to Z” review of Observation, including proper use for Medicare, Medicare Advantage, and commercial payers. He addresses the correct use of Observation in medical patients and surgical patients, and how to deal with the billing of unnecessary Observation services, professional fee billing, and more.
Explore the top-10 federal audit targets for 2024 in our webcast, “Top-10 Compliance Risk Areas for Hospitals & Physicians in 2024: Get Ahead of Federal Audit Targets,” featuring Certified Compliance Officer Michael G. Calahan, PA, MBA. Gain insights and best practices to proactively address risks, enhance compliance, and ensure financial well-being for your healthcare facility or practice. Join us for a comprehensive guide to successfully navigating the federal audit landscape.
Dive deep into the world of Social Determinants of Health (SDoH) coding with our comprehensive webcast. Explore the latest OPPS codes for 2024, understand SDoH assessments, and discover effective strategies for integrating coding seamlessly into healthcare practices. Gain invaluable insights and practical knowledge to navigate the complexities of SDoH coding confidently. Join us to unlock the potential of coding in promoting holistic patient care.
HIM coding expert, Kay Piper, RHIA, CDIP, CCS, reviews the guidance and updates coders and CDIs on important information in each of the AHA’s 2024 ICD-10-CM/PCS Quarterly Coding Clinics in easy-to-access on-demand webcasts, available shortly after each official publication.
Kay Piper reviews the guidance and updates coders and CDISs on important information in the AHA’s fourth quarter 2024 ICD-10-CM/PCS Quarterly Coding Clinic in an easy to access on-demand webcast.
Kay Piper reviews the guidance and updates coders on information in the AHA’s third quarter 2024 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Copyright © 2024 ICD10monitor. Powered by MedLearn Media.
Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’ is just $99 for a limited time! Use code WorldHealth24 at checkout.
