Coding Resource Center
June 2022
The ICD-10 Procedural Coding System (ICD-10-PCS) codes and updates for fiscal year (FY) 2023 have been released, and are available on the 2023 ICD-10-PCS Home Page of the CMS website. These codes are to be used for discharges occurring from October 1, 2022, through September 30, 2023. The update files include official coding and reporting […]
The FY 2023 ICD-10-CM diagnosis codes have been released by the Centers for Disease Control and Prevention (CDC) and are available on the CDC ICD-10-CM Home Page and the CMS 2023 ICD-10-CM Page. These codes are to be used for discharges and patient encounters occurring from October 1, 2022, through September 30, 2023. The update files include official coding reporting guidelines, […]
Several changes will be made to the Current Procedural Terminology (CPT®) 2023 code set that will affect diagnostic services and procedures, effective January 1, 2023. Of interest is percutaneous arteriovenous fistula creation. Two new codes will be available for percutaneous or endovascular approaches for creating arteriovenous anastomoses. Currently, there are only codes to describe this […]
Gore and Associates recently announced U.S. approval by the Food and Drug Administration (FDA) for the GORE® TAG® Thoracic Branch Endoprosthesis (TBE). This device is indicated for endovascular repair of lesions of the descending thoracic aorta, while maintaining flow into the left subclavian artery. This is for patients who have adequate iliac/femoral access, and eligible […]
May 2022
The US government will likely extend the COVID-19 PHE past mid-July. The Department of Health and Human Services (HHS) has renewed the PHE every 90 days since its implementation in January 2020, with the latest extension in April 2022. This means the PHE expiration date is now July 15, 2022. The extension of the PHE […]
Patent Foramen Ovale (PFO) Closure guidelines released by the Society for Cardiovascular Angiography and Interventions (SCAI) addressed patient groups who were not included in the randomized controlled trials (RCTs). These groups include patients who are advanced in age or who have certain rare conditions (like platypnea-orthodeoxia and systemic thromboembolism) are now included in the guidelines, […]
According to a new report by the Office of Inspector General (OIG), results of case reviews determined Medicare Advantage Organizations (MAOs) sometimes delayed or even denied beneficiaries’ access to services, even though prior authorization requests met Medicare coverage policies. This also included payment request denials. The OIG concluded the MAOs denied prior authorization and payment […]
April 2022
The Department of Health and Human Services (HHS) has requested healthcare providers pay back $100 million collectively in COVID-19 PHE assistance for failing to comply with reporting requirements. Notices were sent to 10,000 non-compliant healthcare practices and providers on March 10, with a 30-day deadline in which to return the funds. Individual fund returns range […]
On April 12, 2022, Xavier Becerra, Secretary of Health and Human Services (HHS) announced the renewal of the public health emergency (PHE) declared due to the Coronavirus Disease 2019 (COVID-19). The PHE was originally declared on January 31, 2020. Extensions occurred on April 21, 2020; July 25, 2020; October 23, 2020; January 7, 2021; April 15, 2021; July 19, […]
On April 18, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) for fiscal year (FY) 2023. Once these polices become final, they will cover inpatient hospital discharges on or after October 1, 2022. Highlights are described […]
