There were a lot of changes to ICD-10-PCS for FY2017 involving the cardiovascular system. The biggest change was how coronary arteries are coded. With the implementation of ICD-10-PCS, these were classified by the number of distinct “sites” treated and not the number of coronary arteries treated (by distinct name).
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Coding colonoscopy records has always been a challenge when it comes to reporting the primary diagnosis for the account. All colonoscopy procedures are performed to look for potential malignancy and some coders think that all of these should be coded as screenings, code Z12.11. The coding advice for reporting screening vs. follow-up did not change with the implementation of ICD-10-CM.
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In ICD-9-CM it was easy to code a colon polyp or history of colon polyp as there were only one or two codes to report unless malignancy was found. In ICD-10-CM that is not the case as there is such specificity for the type of polyp. What is seen most of the time documented in the records is hyperplastic polyps of the colon/rectum.
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In five short years, Betsy’s vision has indeed become reality. The company has already expanded by 80%. In March, HIA commemorated their 25th anniversary with a record 108 employees at the Salamander Resort, a 340-acre property nestled in the foothills of the Blue Ridge Mountains amid Virginia’s famed horse and wine country.
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