August 1, 2014
Briefings on APCs

The July quarterly I/OCE update from CMS brought few new APCs or edit updates, but did deliver new modifier -L1. Hospitals will use the new modifier to submit outpatient laboratory tests paid under the Clinical Laboratory Fee Schedule (CLFS) in certain circumstances to claim separate payment.

August 1, 2014
Briefings on APCs

Coders have only two options for reporting fractures of the patella in ICD-9-CM, closed (822.0) and open (822.1). In ICD-10-CM, that number will jump to more than 400.

Many of these options are the result of separate codes to denote laterality (right or left) in ICD-10-CM. However, the code set also includes options for specific types of fractures, increasing the importance of clear and accurate provider documentation.

August 1, 2014
Briefings on APCs

"Sometimes the questions are complicated and the answers are simple." ?Dr. Seuss

This quote seemed an appropriate way to begin a discussion about outpatient encounters and ICD-10-PCS.

You see, outpatient procedures will still be coded using CPT®/HCPCS?the HIPAA-approved code set for reporting hospital outpatient procedures?regardless of when ICD-10 is implemented.

August 1, 2014
Briefings on APCs

Our experts answer questions on coding chronic illnesses, reporting screw removals, E/M denials, and more.