ICD-10-CM PCS Inpatient Coding

  Understanding E/M Codes: New vs Established Patients and How to Use Our Calculator Evaluation and Management (E/M) codes are essential for medical billing in outpatient and office settings, ensuring healthcare providers are accurately reimbursed for patient encounters. Understanding the difference between new and established patients and how to assign the correct E/M codes can streamline your practice’s billing process. Our free E/M Calculator , designed for Blogger, simplifies this task by calculating E/M codes based on the 2021 AMA CPT guidelines. In this article, we’ll explain what new and established patients are, what E/M codes represent in outpatient settings, and provide a step-by-step guide to using our E/M Calculator for accurate medical coding. What Are New and Established Patients? In medical coding, patient status determines which E/M code range to use. Here’s the difference: New Patients A new patient  is someone who has not received professional services...

E/M Calculator E/M Calculator Encounter Data Date of Service Patient Type Established New Medical Decision Making Number and Complexity of Problems 1 self-limited or minor problem 2 or more self-limited or minor problems 1 stable, chronic illness 1 acute, uncomplicated illness or injury 2 or more stable, chronic illnesses 1 chronic illness with exacerbation 1 acute illness with systemic symptoms 1 undiagnosed new problem with uncertain prognosis 1 chronic illness with severe exacerbation 1 acute or chronic illness that poses a threat to life Data Reviewed and Analyzed External Notes Reviewed Unique Tests Reviewed U...

  A Friendly Guide to 2025 CPT Codes for Arterial Catheterization and Angiography Hello, everyone. Let’s dive into the world of catheters, angiograms, and vascular families with a guide that’s as human as it gets—no robotic jargon here, just a chatty rundown to make your coding life easier. What’s Arterial Catheterization All About? In interventional radiology, arterial catheterization is like sending a tiny explorer into the body’s blood vessels to diagnose or treat issues. Think angiography (taking X-ray pictures of vessels), angioplasty (opening blocked arteries), or stent placement (propping vessels open). The arterial system is one of four vascular systems—alongside venous, pulmonary, and portal—and it’s where we’re focusing today. Procedures are split into two types: non-selective and selective catheter placements. Let’s break them down. Non-Selective Catheter Placement: The Basics Non-selective placement is when the catheter stays in the vessel it entered or only moves ...

  Guide to the Latest CPT Codes for AV Shuntograms: What You Need to Know If you’re diving into the world of AV shuntograms for dialysis patients, you’re in the right place. Let me tell you, keeping up with the latest CPT codes can feel like chasing a moving target. But don’t worry—I’ve got you covered with a fresh, easy-to-read guide on the current CPT codes for AV shuntogram procedures, straight from the heart of my notes and a recent PowerPoint I came across. Let’s break it down in a way that feels like a chat over coffee, not a lecture hall snooze-fest. Why AV Shuntograms Matter Picture this: you’re a patient with chronic kidney failure, and dialysis is your lifeline, happening every two or three days to clean your blood. To make that work long-term, doctors create an arteriovenous (AV) fistula or graft—a kind of superhighway for blood flow. But here’s the catch: the high-speed traffic of blood can cause clogs, like a busy road during rush hour. These blockages, called shunt...

Interventional Radiology in 2025:  Venography and CPT Codes for Success Interventional radiology (IR) is revolutionizing healthcare by offering minimally invasive alternatives to traditional surgery. Using advanced imaging techniques like X-rays, CT scans, ultrasounds, and MRIs, IR specialists perform precise procedures with smaller incisions, less pain, and faster recovery times. One critical IR procedure is venography , which visualizes veins to diagnose conditions like blood clots or vascular abnormalities. As we move into 2025, staying updated with the latest Current Procedural Terminology (CPT) codes is essential for medical coders, radiologists, and practice managers. This article dives into IR, focusing on venography, and provides the 2025 CPT codes to ensure accurate billing and compliance. Whether you’re a healthcare professional or curious about IR, this guide will help you navigate the evolving landscape of medical coding. What’s Venography, and Why Should You Care? Pi...

Mechanical Ventilation Hours Calculator Mechanical Ventilation Hours Calculator Enter start and end date/time of mechanical ventilation to calculate duration and get the ICD-10-PCS code. Start Date and Time: Please enter a valid start date and time. End Date and Time: Please enter a valid end date and time after the start. Calculate Hours Reset Results:

  Navigating the Latest HCPCS Level II Code Updates for 2025: What You Need to Know As we step into 2025, staying updated with the latest HCPCS Level II code changes is critical for healthcare providers, coders, and billing professionals. These updates, issued annually by the Centers for Medicare & Medicaid Services (CMS), play a pivotal role in ensuring accurate medical billing and compliance with federal guidelines. Understanding these changes can prevent claim denials, ensure proper reimbursement, and maintain regulatory compliance. What Are HCPCS Level II Codes? The Healthcare Common Procedure Coding System (HCPCS) Level II codes are alphanumeric codes used to describe non-physician services, equipment, supplies, and other healthcare items not covered by CPT (Current Procedural Terminology) codes. These include: Durable Medical Equipment (DME) Prosthetics and orthotics Ambulance services Certain drugs and biologicals Each year, CMS revises these codes to reflect...

Medical Coding Tetris Toggle Panel Pause A B C D Score: 0 Incorrect: 0/10 Streak: 0 Left Right Down Rotate Place Medical Coding Tetris Rules - Answer 20 ICD-10-CM questions to place tetrominoes. - Correct answer letter (A, B, C, D) appears on tetromino. - Correct answers let you position tetromino freely. - Incorrect answers place tetromino randomly. - 3 correct answers in a row grants a Hammer Brick ('I' shape, marked 'X'). - Hammer Brick clears all bricks on the board when placed, scoring 10 points per block. - Use arrow keys (PC) or touch buttons (mobile) to move and rotate. - Press Enter (PC) or Place button (mobile) to lock tetromino. - Tetrominoes fall every second after 5 seconds, speeding up e...

Medical Coding Tetris: Learn ICD-10-CM Codes Through a Fun Game Play it here Introduction Medical coding is an essential healthcare skill that requires accuracy and practice. Our Medical Coding Tetris game makes learning ICD-10-CM codes engaging by combining quiz questions with classic Tetris gameplay. Below, we break down all 20 medical coding questions featured in the game, including the correct answers and the multiple-choice options provided. This guide serves as both a learning tool and a reference for medical coders, students, and healthcare professionals. ICD-10-CM Coding Questions & Answers 1. Type 2 Diabetes Mellitus Question: "ICD-10-CM code for Type 2 Diabetes Mellitus?" - Options: - A. E11 - B. E10 - C. E08 - D. E13 - Correct Answer: A. E11 - Explanation: - E11 is for Type 2 Diabetes Mellitus. - E10 = Type 1 Diabetes, E08 = Diabetes due to underlying condition, E13 = Other specified diabetes. 2. Essential Hypertension Question: "ICD-10-CM code for Essenti...

Coding Mastery: Aspiration Pneumonia and Pleural Effusion Case Study Accurate ICD-10-CM coding is essential for Diagnosis-Related Group (DRG) assignment, compliant reimbursement, and high-quality healthcare reporting. Complex inpatient cases, such as those involving aspiration pneumonia and pleural effusion, challenge coders to navigate conflicting documentation, apply ICD-10-CM Official Guidelines, and ensure clinical accuracy. This case study explores a realistic scenario, complete with treatment details, two DRG sets for comparison, and actionable insights to help medical coders and Clinical Documentation Improvement (CDI) professionals master such cases. By the end of this article, you’ll learn: How to select the principal diagnosis (Pdx) in pneumonia cases with conflicting documentation. Why pleural effusion may or may not be coded based on clinical significance. The role of treatment in validating diagnoses without overriding sequencing rules. How to use clinical queries to resol...