2020 ICD-10-CM Changes effective 10/1/19

Lynn Anderanin

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Description of the topic: 

ICD-10-CM codes are used for providers of professional services like physicians, physicians assistants, nurse practitioners, psychiatrists, therapists, and other qualified healthcare professionals.  ICD-10-CM codes are required on all CMS-1500 claim forms to report the medical reason why a procedure or service was performed for a specific patient.  Should the diagnosis(es) reported not meet what the insurance company considers medical necessity for the procedure or service, the claim will likely be denied for payment, leaving the provider with no reimbursement for his/her services.  ICD-10-CM codes can be found in insurance company policies as part of the information in which a procedure or service will be paid for a procedure or service.  The ICD-10-CM manual has 3 parts.  There are official guidelines that instruct users how to choose and sequence ICD-10-CM codes, as well as an alphabetical listing to allow users to locate a specific code, and a tabular listing of the ICD-10-CM codes for the user to reference for instructions related to the code being considered.   While there once was a grace period in the implementation of the annual code changes to ICD-10-CM, that is no longer an option, and the 2020 codes are in effect for any claim with a date of service October 1, 2019 and beyond.

Background:

The ICD-10-CM coding changes for 2020   are needed for submitting professional medical service claims beginning with dates of service October 1, 2019.  Not implementing the newly added, revised, and deleted codes can cause revenue delays and denied medical claims.

Why should you attend?

These changes have a direct affect on medical claims and also attribute to payments for services rendered by medical providers.  It is important to assign the correct diagnosis codes to show medical necessity for the services rendered.  New codes have been added, that in some cases replace or expand current codes.  Other codes are being deleted because of lack of use, and more specific codes are now available.  New diseases and conditions also require that codes be assigned in order for medical providers to be able to code diagnoses to the highest level of specificity.

Areas Covered in the Session :

  • Official guideline changes for 2020
  • New codes for vertigo
  • Expansion of codes for atrial fibrillation
  • Other category changes in the cardiovascular system
  • Still more changes to the pressure ulcer codes
  • Code deletions and additions to deformities of the feet
  • New codes for orbital fractures
  • Addition of new category, legal intervention
  • More codes added for examinations
  • Drug table changes

 

Who will benefit:

providers, medical assistants, non physician providers, billers, coders, nurses, managers, surgery schedulers, collectors, administrators, IT software maintenance.

 

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Speaker: Lynn Anderanin, Sr. Coding Educator for Healthcare Information Services

Lynn Anderanin, CPC, CPPM, CPMA,  CPC-I, COSC, is the  Sr. Coding Educator for Healthcare Information Services, a physicians revenue cycle management company. She has over 38 years experience in all areas of the physician practice,  and has experience in oncology and rheumatology.  Lynn is currently a  Workshop and Audio Presenter. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served on several other boards for the AAPC. She is also the founder of her Local Chapter of the AAPC.


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