Why Do We Need the General Equivalence Mappings?
* ICD-10 is much more specific:
For diagnoses, there are 14,025 ICD-9-CM codes and 68,069 ICD-10-CM codes; and
For procedures, there are 3,824 ICD-9-CM codes and 72,589 ICD-10-PCS codes (in the 2009 versions of
ICD-9-CM, ICD-10-CM, and ICD-10-PCS).
* One ICD-9-CM Diagnosis Code is represented by multiple ICD-10-CM codes:
82002 Fracture of midcervical section of femur, closed
— From S72031A Displaced midcervical fracture of right femur, initial encounter for closed fracture
— From S72031G Displaced midcervical fracture of right femur, subsequent encounter for closed fracture with delayed healing
— From S72032A Displaced midcervical fracture of left femur, initial encounter for closed fracture
— From S72032G Displaced midcervical fracture of left femur, subsequent encounter for closed fracture with delayed healing
— And other codes from the GEMs
* One ICD-10-CM Diagnosis Code is represented by multiple ICD-9-CM codes:
* E11341 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy
with macular edema
* To ICD-9 cluster:
— 25050 Diabetes with ophthalmic manisfestations, type II or specified type, not
stated as uncontrolled
— 36206 Severe nonproliferative diabetic retinopathy
— 36207 Diabetic macular edema
* A few ICD-10-CM codes have no predecessor ICD-9-CM codes:
-- T500x6A Underdosing of mineralocorticoids and their antagonists, initial encounter
-- T501x6A Underdosing of loop [high-ceiling] diuretics, initial encounter
-- T502x6A Underdosing of carbonic-anhydrase inhibitors, benzothiadiazides and other
diuretics, initial encounter
-- T503x6A Underdosing of electrolytic, caloric and water-balance agents, initial
encounter
-- T504x6A Underdosing of drugs affecting uric acid metabolism, initial encounter-- And others found in the GEMs
* One ICD-9-CM Procedure Code captured by multiple ICD-10-PCS codes:
8659 Suture of Skin and Subcutaneous Tissue of Other Sites
— To 0JQ10ZZ Repair Face Subcutaneous Tissue and Fascia, Open Approach
— To 0JQ13ZZ Repair Face Subcutaneous Tissue and Fascia, Percutaneous Approach
— To 0JQ40ZZ Repair Anterior Neck Subcutaneous Tissue and Fascia, Open Approach
— To 0JQ43ZZ Repair Anterior Neck Subcutaneous Tissue and Fascia,
Percutaneous Approach
— And others found in the GEMs
Learn Medical Billing Process, Tips to best AR Specialist. Medical Insurance Billing codes, Denial, procedure code and ICD 10, coverage guidelines. Demographic, charge, payment entry, AR process and eligibility and follow up. How to Guide.
Pages
- Home
- Medical Billing Question and Answer - Terms
- Insurance Denial Claim Appeal Guidelines.
- Medical Billing Downloads
- Understand Medical Billing
- Medical Billing Outsource
- Medicare Coverage and Plan Overview
- Advertise with us
- EVALUATION AND MANAGEMENT CPT code [99201-99499] - Full List
- Overall Medical billing process
- CPT Code 99201, 99202, 99203, 99204, 99205 - Which code to USE
- Internal Medical Billing Audit - how to do

Subscribe to:
Post Comments (Atom)
Medical Billing Popular Articles
-
CPT CODE AND Description 99391 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age...
-
Procedure CODES and Descriptions 99401 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an indi...
-
CPT Code and description 99381 - Initial comprehensive preventive medicine evaluation and management of an individual including an age an...
-
When an ERA is received, providers may: •Post decision and payment information automatically, for individual claims included in an R...
-
Procedure code and Description 99251 Inpatient consultation for a new or established patient, which requires these 3 key components: A pro...
-
CPT code and description 80050 - General health panel This panel must include the following: Comprehensive metabolic panel (80053), ...
-
Medicare denial code and Descripiton 1 Deductible Amount 2 Coinsurance Amount 3 Co-payment Amount 4 The procedure code is inconsistent ...
-
93000-93010: Hone Your ECG Coding Skills With 3 Essential Pointers Whether you call them ECGs or EKGs, chances are you see a lot of elec...
-
Background: Type of Service (TOS) is an indicator that the contractor places on the Form CMS-1500 paper form or electronic format. The indic...
-
Billed amount: It is the Amount charged for each service performed by the provider. In other words it is the total charge value of the cla...

No comments:
Post a Comment