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What code will you use for BOOP? BOOP stands for Bronchiolitis obliterans organizing pneumonia. It is a lung disease that causes inflammation in the small air tubes (bronchioles) and air sacs (alveoli). It can be caused by viruses, various drugs, and other medical conditions. In many cases, the

The CPT Editorial Panel has updated the Current Procedural Terminology (CPT®) code set to include a new administration code that is unique to a potential third dose of the current COVID-19 vaccine offered by Pfizer. The provisional CPT code will be valid for use on the condition that a third dose

HCC coders.... do not have any power of diagnosis coding decision.They cannot apply a clinical interpretation to information within the record. Accurate diagnosis code assignment is dependent on the healthcare provider clearly describing each medical diagnosis to the higher level of specificity.

We all know that medical coders do not have any power to make diagnosis decisions. They must apply a strictly literal interpretation to the healthcare provider’s medical record documentation. They are not allowed to make assumptions or presume to know the healthcare provider’s intent. But, there is

We always submit the code E11.51 every time we see both DM and PVD reported in the notes, even in the absence of the healthcare provider documentation explicitly linking them. It is the same scenario when a patient has both DM and Atherosclerosis of arteries of lower extremity where we report E11.51

Malnutrition develops when the body lacks the needed vitamins, minerals, and other nutrients to maintain healthy tissues and organ functions. As Risk Adjustment coders, we always look at the BMI to think about Malnutrition. But what other clinical indicators can drive us to query the healthcare pro

The American Medical Association (AMA) is issuing the CPT code update to ensure electronic systems across the U.S. health care system are ready in advance for the potential FDA authorization. The AMA announced an editorial update to Current Procedural Terminology (CPT), including recently assigne

The CPT Editorial Panel has updated the Current Procedural Terminology (CPT) code set to include vaccine and administration codes that are unique to the COVID-19 vaccine candidate under development by Novavax Inc. But we need to wait for the Novavax COVID-19 vaccine to receive approval or emergen

The documentation in the medical record is essential for coding and reimbursement. It is also critical for caring for the patient. Healthcare providers often get focused on curing and healing and give less time for documenting. Going to the providers to get more information is an essential link. M

HCC coders should carefully review the patients' health records with known conditions associated with Heart failure (CAD, Renal failure, Hyperthyroidism, MI, Heart valve disorder, Arrhythmia, Sarcoidosis) for any signs and symptoms. Look at the medication list. Are there any medications indicating

Codes Effective April 1, 2020 .U07.0 Vaping-related disorder Use additional codes to identify manifestations .U07.1 COVID-19 Use additional codes to identify manifestations New codes: Elevated Liver Enzymes . R74.01 Elevation of levels of liver transaminase levels . R74.02 Elevation of levels o