ICD-10 Articles : Medical Billing Blog

All ICD-10 Articles Added to Our Blog

This is the archive containing links to all ICD-10 articles written in our blog.

Click any of the article links below to read the entire article or browse another section to the right to read articles on another subject.

 

Tips and Considerations for Accurate Coding in Gynecology

Accurate medical coding is the backbone of the healthcare reimbursement process. For gynecology, precision in coding ensures that the services provided are properly documented and billed, which in turn affects the financial health of the practice. Accurate coding also supports patient care by ensuring that medical records are detailed and complete, facilitating better clinical decision-making. Common Challenges in Gynecology Coding Gynecology coding presents unique challenges due to the variety of services provided, from routine check-ups to complex surgical procedures. Coders must be familiar with a wide range of codes and stay updated with frequent changes in coding standards. Additionally, coding in gynecology often requires a deep understanding of female reproductive

Published By: Denise P. - OMG, LLC. Billing Specialist | No Comments

Understanding the Proper Use of CPT 99204, the Most Misused Medical Code

Medical coding is a critical component of the healthcare industry, enabling the systematic documentation, billing, and analysis of medical services. Among the various codes utilized, the 99204 code holds particular significance in outpatient care. This article explores the proper use of medical code 99204, explaining its criteria, application, and best practices to ensure accurate billing and compliance. Introduction to CPT 99204 Medical code 99204 is part of the Current Procedural Terminology (CPT) codes, specifically within the Evaluation and Management (E/M) services category. This code is used to denote a comprehensive, moderate complexity visit for new patients in an outpatient setting. Proper utilization of 99204 ensures that healthcare providers are compensated

Published By: Ashley C. - OMG, LLC. Billing Specialist | No Comments

Tips for Coding Cardiology and Coding Professional Development

Cardiology coding can be a complex and challenging task due to the intricate nature of cardiac procedures and diagnoses. Accurate coding is essential for ensuring proper reimbursement, compliance with regulations, and providing high-quality patient care. This article provides comprehensive tips for coding in cardiology, focusing on essential areas such as understanding medical terminology, selecting the correct codes, documenting thoroughly, and staying updated with coding changes. Importance of Medical Terminology Accurate coding begins with a strong understanding of medical terminology and anatomy, particularly related to the cardiovascular system. Coders must be familiar with the names and functions of the heart’s structures, common cardiovascular diseases, and procedures. Key Terminologies Anatomical Structures: Familiarize

Published By: Melissa C. - OMG, LLC. CEO | No Comments

2025 ICD-10 Updates – ICD-10-CM and ICD-10-PCS

CMS has updated the ICD-10 FY 2025, It is a fairly extensive update with a number of files to review. Below, are the links to each of the file downloads directly from the CMS website. Download or share these links for others. ICD-10-CM Updates: 2025 POA Exempt Codes (ZIP) 2025 Code Descriptions in Tabular Order (ZIP) 2025 Addendum (ZIP) 2025 Code Tables, Tabular and Index (ZIP) FY 2025 ICD-10-CM Coding Guidelines (PDF) ICD-10-PCS Updates: 2025 ICD-10-PCS Order File (ZIP) 2025 Official ICD-10-PCS Coding Guidelines (PDF) 2025 Version Update Summary (ZIP) 2025 ICD-10-PCS Codes File (ZIP) 2025 ICD-10-PCS Conversion Table (ZIP) 2025 ICD-10-PCS Code Tables and Index (ZIP) 2025 ICD-10-PCS Addendum

Published By: OMG, LLC. - Corporate Entries | No Comments

Home Health and Hospice Billing: Key Considerations for Proper Reimbursement

Home health and hospice care are essential services that provide critical support to patients in the comfort of their own homes. As these services become increasingly vital due to an aging population and the preference for home-based care, understanding the intricacies of home health and hospice billing becomes imperative for healthcare providers. Proper billing is crucial for ensuring adequate reimbursement, which in turn sustains the operations of these services. This article will explore the key considerations for proper reimbursement in home health and hospice billing, focusing on regulatory compliance, documentation, coding accuracy, billing processes, and the challenges faced by providers. Regulatory Compliance Medicare and Medicaid Guidelines Medicare and Medicaid are

Published By: Melissa C. - OMG, LLC. CEO | No Comments

Ensuring Compliance in Healthcare Revenue Cycle Management

Healthcare revenue cycle management (RCM) is a critical component of the healthcare industry, encompassing all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. Ensuring compliance within the revenue cycle is paramount, given the complex regulatory environment and the potential for significant financial and legal repercussions for non-compliance. This article aims to provide healthcare administrators and doctors with a comprehensive understanding of compliance in RCM, highlighting the challenges, strategies, and best practices to maintain adherence to regulatory standards and optimize financial performance. Understanding Healthcare Revenue Cycle Management Healthcare revenue cycle management (RCM) is the financial process that healthcare facilities use to manage the

Published By: Kary C. - OMG, LLC. COO | No Comments

The Importance of A/R and Outstanding Medical Claims

Accounts receivable (A/R) management is an integral part of the medical billing process and it is crucial for the financial stability and success of healthcare facilities and medical practitioners. Accounts receivable is referred to as the sum of money owed to the medical practitioner or healthcare provider for the service provided, but not yet paid. The medical services that are rendered by physicians, nursing homes, therapists, laboratory technicians, and hospitals are continuously increasing. An efficient insurance model assists a medical practice in recovering overdue payments from insurance carriers easily and on time. This is when a diligent A/R employee, or department is important, they assist the healthcare provider in being

Published By: Melissa C. - OMG, LLC. CEO | No Comments

Telemedicine and Coding for Remote Blood Pressure Monitoring

Telemedicine has grown rapidly because it allows the remote delivery of healthcare services during the pandemic. Telemedicine tends to lower healthcare costs, expand the patient database, and offer flexible working conditions for physicians and health care providers. It reduces physical office hours and saves overhead costs, like payroll for hourly employees, utilities, and other various expenses associated with an office being open. Remote Patient Monitoring is a key component of Telemedicine. It allows the physician and the patient’s care team to get real-time data thereby enabling communication without an in-person appointment. The Center for Medicare and Medicaid Service (CMS) introduced new Current Procedural Terminology codes for Remote Patient Monitoring (RPM)

Published By: Melissa C. - OMG, LLC. CEO | No Comments

Medical Billing vs Medical Coding, What’s the Difference?

Medical coding and medical billing are two of the reimbursement systems within the healthcare organization. The professionals who perform these tasks are known as medical coders and medical billers, respectively. The work of medical coders and medical billers is to analyze medical treatments received by patients while at a healthcare facility to coordinate payments from insurance companies and patients. In this article, we will discuss the difference between medical coding and medical billing. However, it is important to have a brief understanding of what medical coding and medical billing entail. What is Medical Coding? Medical coding is a way of converting healthcare diagnosis, procedures, medical services, and equipment into universal

Published By: Kathryn E, CCS-P - Retired | No Comments

Flu Season is Nearly Upon Us… Medical Coding for Influenza Vaccine

Since Flu season is rapidly approaching, we decided to take a look at the medical codes that are utilized for billing of vaccine shots.   First of all, what exactly is the Flu? Flu is short for Influenza, which is a contagious respiratory disease caused by the Influenza virus. Influenza virus infects the nose, throat, and in a rare condition the lungs. The symptoms can be mild to severe. The most common influenza symptoms include high fever, sore throat, headache, coughing, runny nose, muscle and joint pain, and fatigue (body weakness). This virus generally occurs during the winter months. Influenza is a serious health condition that can lead to pneumonia.

Published By: Melissa C. - OMG, LLC. CEO | No Comments