Additionally, in March the ICD-10 Coordination and Maintenance Committee made it clear that the code freeze is over and the normal cycle of annual updates is set to go. The Oct. 1, 2016, update will have 1,974 additions, 311 deletions and 425 revisions for the tabular and index files for ICD-10. Fortunately, rheumatology practices will see only three new codes for the 2017 coding cycle:
- M25.541: Pain in right hand;
- M25.542: Pain in left hand; and
- M25.549: Pain in joints of unspecified hand.
Where Do We Go from Here?
With the looming end of the coding safe harbor period, rheumatology practices are encouraged to take the last couple of weeks this month to perform a systematic review and evaluation of records and other data to determine the quality of the services provided to patients. Due to time constraints, it is best to perform a random audit initially; if the audit reveals a pattern or repeated errors, then a focused audit should be done to verify the extent of the problem, and there should be steps put in place to initiate correcting any errors.
The complexity of ICD-10 coding and the varying coding guidelines can be tedious, time consuming and challenging. Strong communication and training are key components to effectively minimize coding errors and prevent unnecessary audits or rejected claims.
ACR coding and auditing staff can assist with understanding the guidelines that affect code assignment, and are available to audit a sample of your patient charts. To have an external audit performed to determine coding accuracy, up to five charts can be faxed to Melesia Tillman, CPC, CPC-I, CRHC, CHA, at 404-633-1870. To maintain HIPAA compliance, please make sure to redact all patient information from every page of the chart.
For specific coding and billing information or questions, visit rheumatology.org/Practice-Quality or contact the ACR practice staff directly at [email protected].
