Coding Tips

Coding Tip: Getting Control of Root Operation Control

Coding Tip: Getting Control of Root Operation Control

Since the implementation of ICD-10-PCS in 2015, yearly changes have been made regarding the definition of, and guidelines associated with, the root operation Control. This has caused coding professionals much confusion in determining whether to assign a procedure to root operation Control, to assign another root operation, or to not assign a procedure code at all. The objective of this article is to learn when the root operation Control should be assigned when coding a procedure.

read more
Coding Tip: Reporting Intra-Aortic Balloon Pump (IABP) in ICD-10-PCS

Coding Tip: Reporting Intra-Aortic Balloon Pump (IABP) in ICD-10-PCS

From a coding perspective, the IABP is not classified as a device such as the VAD’s. The IABP is not coded as a device within ICD-10-PCS and is coded with the root operation of “Assistance.” The ICD-10-PCS code for insertion of an IABP for continuous pumping would be 5A02210, Extracorporeal or Systemic Assistance, Physiologic Systems, Assistance, Cardiac, Continuous, Output, Balloon Pump.

read more
Q1 2018: Top 5 Procedure Code Changes

Q1 2018: Top 5 Procedure Code Changes

Locating ventilator times were difficult in the paper medical record, but has not become any easier with the implementation on the electronic health record (EHR.) Coders should be encouraged to review the record for exact ventilator times. As mentioned above, this could come down to minutes when selecting the correct ICD-10-PCS code.

read more
Coding Tip: Excisional Debridement Coding to the Furthest Layer

Coding Tip: Excisional Debridement Coding to the Furthest Layer

Procedure code assignment for excisional debridement has always been a focus area in coding audits. The biggest concern is whether or not the debridement is truly excisional in nature, and if the documentation truly supports an excisional debridement. HIA has written a previous Coding Tip on determining nonexcisional vs excisional debridement.

read more

Pin It on Pinterest