Revenue Cycle

ICD-10-PCS introduces procedure guidelines and coder confusion

Strategies for Health Care Compliance, May 1, 2013

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Currently we only have a little advice when it comes to coding procedures using ICD-9-CM Volume 3 codes, and most of that comes from AHA Coding Clinic. So I was really excited to see that the ­Cooperating Parties developed guidelines with the new ICD-10-PCS system. However, once I began studying them, I noticed some guidelines that are going to present a challenge for coders since many of them will change how coders report inpatient procedures using ICD-10-PCS codes. They will also change how coders report procedures using the CPT® and HCPCS Level II codes for outpatient facility/physician services. The ICD-10-PCS draft ­guidelines raise a lot of questions as to why the rules will change for the coding of certain procedures ­using ICD-10-PCS.

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