Outpatient Surgery Magazine - Subscribers

Focused Factories - November 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/596718

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4 4 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | N O V E M B E R 2 0 1 5 Top ICD-10 Challenges for Eye Cases Be on the lookout for these common coding errors. I t's been about a month since the switch to ICD-10 and you're (hopefully) starting to get reimbursements for your eye proce- dures. But if you're getting denials instead, check to see if one of these common challenges is bungling up your ophthalmic claims. • Diabetic patients. One of the most notable changes in ICD-10 is the coding for persons with diabetes. ICD-9 documentation for non- insulin-dependent diabetes mellitus (or NIDDM) does not easily trans- late to ICD-10. While your docs can document NIDDM in their op notes for ICD-10, language such as "controlled" or "uncontrolled," and "juvenile-onset" or "adult-onset" is obsolete. What used to be potentially 3 separate ICD-9 codes is now a single, specific ICD-10 code (E10-E14). This code lists (1) the type of dia- C O D I N G & B I L L I N G Sue Vicchrilli, COT, OCS z CODING COMPLAINTS There are several major changes in ICD-10 that impact your eye procedure claims.

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