May Is Mental Health Awareness Month

May Is Mental Health Awareness Month

Each year, May is observed as National Mental Health Awareness Month, since 1949. This month aims at raising mental health awareness for everyone throughout the nation. For the 2022 Mental Health Awareness Month, NAMI (National Alliance on Mental Illness) promotes the message of “Together for Mental Health.” This month was commemorated by the Mental Health America organization, which was then known as the National Mental Health Association. This month is represented by a green ribbon. This observance is especially significant for psychiatrists who treat diverse mental conditions, all of which require accurate documentation in the medical records. An experienced hand in providing psychiatry medical coding services, OSI (Outsource Strategies International) supports psychiatry practices, individual psychiatrists, clinics, community mental health centers, and hospitals.

Mental health disorders refer to a wide range of mental health conditions that can affect one’s mood, thinking and behavior such as anxiety, depression, seasonal affective disorder, bipolar disorder, major depression, schizophrenia, and post-traumatic stress disorder (PTSD), among others. Mental illness affects millions of people and their families nationwide According to a report from NAMI, 21% of U.S. adults experienced mental illness in 2020 (52.9 million people). This represents 1 in 5 adults. Along with providing quality treatments, it is also important for psychiatrists to submit clean medical claims to health insurers to get their reimbursement on time.

The DSM-5 is the authoritative guide for diagnosing mental health disorders in the U.S. Let us look at the most commonly used ICD-10 codes for mental, behavioral, and neurodevelopmental disorders.

ICD-10 Code Chapters

  • F01-F09 Mental disorders due to known physiological conditions
  • F10-F19 Mental and behavioral disorders due to psychoactive substance use
  • F20-F29 Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
  • F30-F39 Mood [affective] disorders
  • F40-F48 Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
  • F50-F59 Behavioral syndromes associated with physiological disturbances and physical factors
  • F60-F69 Disorders of adult personality and behavior
  • F70-F79 Intellectual disabilities
  • F80-F89 Pervasive and specific developmental disorders
  • F90-F98 Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
  • F99-F99 Unspecified mental disorder

Some of the ICD-10-CM codes found in the DSM-5 list are – 

  • Z60.3 Acculturation difficulty
  • Z72.811 Adult antisocial behavior
  • T74.11XA Adult physical abuse by non-spouse or non-partner, Confirmed, Initial encounter
  • T74.11XD Adult physical abuse by non-spouse or non-partner, Confirmed, Subsequent encounter
  • G25.79 Other drug induced movement disorders
  • G31.9 Major neurocognitive disorder due to Parkinson’s disease, Possible
  • G47.00 Insomnia, unspecified
  • G47.37 Central sleep apnea in conditions classified elsewhere
  • R06.3 Periodic breathing
  • Z62.898 Other specified problems related to upbringing
  • Z72.810 Child and adolescent antisocial behavior
  • Z63.8 High expressed emotion level within the family
  • Z69.11 Encounter for mental health services for victim of spousal or partner abuse
  • Z69.12 Encounter for mental health services for the perpetrator of spousal or partner abuse
  • Z69.011 Encounter for mental health services for the perpetrator of parental child abuse
  • Z69.82 Encounter for mental health services for the perpetrator of other abuse
  • Z71.9 Counseling, unspecified
  • Z91.49 Other personal histories of psychological trauma, not elsewhere classified

CPT code chapters

  • 90804-90809: Insight-oriented, behavior modifying and/or supportive psychotherapy
  • 90810-90815: Interactive psychotherapy

Psychiatric Diagnostic Interview

  • Code 90801: Psychiatric diagnostic interview examination
  • Code 90802: Interactive psychiatric diagnostic interview examination

Psychotherapy CPT codes

  • 90832 Psychotherapy, 30 minutes with the patient
  • 90834 Psychotherapy, 45 minutes with the patient
  • 90837 Psychotherapy, 60 minutes with the patient
  • 90845 Psychoanalysis
  • 90846 Family psychotherapy (without the patient present), 50 minutes
  • 90847 Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes
  • 90849 Multiple-family group psychotherapy
  • 90853 Group psychotherapy (other than of a multiple-family group)

Other codes

  • 90791 — Psychiatric diagnostic evaluation without medical services
  • 90875 – Under other psychiatric services or procedures
  • 99404 — Under preventive medicine, individual counseling services

With a growing number of Americans facing mental health issues each year, it is important for psychiatrists and other mental health specialists to file accurate claims with the right diagnosis and procedure codes. It is key to ensure that the codes on the insurance claim forms accurately reflect the services they provided to their patients.

Providers must make sure to rely on AAPC-certified coders who are up-to-date with psychiatric therapeutic and diagnostic codes, health behavior assessment and intervention codes, as well as HCPCS Level II codes. At OSI, we understand that psychiatry medical coding is quite challenging. Our billing and coding team is up-to-date with the reimbursement policies of major private and government payers so as to assign the correct payer-specific codes.

Check out
Tips To Code And Bill Mental Health Services [Infographic]

Listen to our podcast
Benefits of Insurance Verification for Behavioral and Mental Health Billing

May Is National Arthritis Awareness Month

May Is National Arthritis Awareness Month

Not all joint pains are related to arthritis, but arthritis is one of the most widespread health conditions in the United States. According to the CDC, the condition affects about one in four adults overall. That’s over 58 million men and women. Each year, the month of May is observed as National Arthritis Awareness Month. Organized by the Arthritis Foundation, Arthritis Awareness Month aims at creating awareness about arthritis and the issues involved. Rheumatologists diagnose and treat all types of arthritis, mainly those requiring complex treatment. Being a medical billing and coding company with years of experience in providing services for many specialities, we understand that rheumatology medical billing and coding poses many challenges.

Some major forms of arthritis are – Osteoarthritis, Rheumatoid arthritis, Psoriatic arthritis, Gout, Fibromyalgia, and Juvenile idiopathic arthritis. To get due reimbursement for all services provided, it is important to submit cleans medical claims with accurate codes. Coding arthritis in ICD 10 requires good knowledge of the codes, terminologies and related vocabulary. Like other medical specialties, rheumatology has its own set of coding and billing challenges.

Check out some of the applicable ICD-10 codes for the arthritis types –

Osteoarthritis (M15-M19)

  • M15 Polyosteoarthritis
    • 15.0 Primary generalized (osteo)arthritis
    • 15.1 Heberden’s nodes (with arthropathy)
    • 15.2 Bouchard’s nodes (with arthropathy)
  • M16 Osteoarthritis of hip
    • 0 Bilateral primary osteoarthritis of hip
    • 1 Unilateral primary osteoarthritis of hip
    • 2 Bilateral osteoarthritis resulting from hip d…
  • M17 Osteoarthritis of knee
    • M17.0 Bilateral primary osteoarthritis of knee
    • M17.1 Unilateral primary osteoarthritis of knee
    • M17.2 Bilateral post-traumatic osteoarthritis of kn…
  • M18 Osteoarthritis of first carpometacarpal joint…
    • M18.0 Bilateral primary osteoarthritis of first car…
    • M18.1 Unilateral primary osteoarthritis of first ca…
    • M18.2 Bilateral post-traumatic osteoarthritis of fi…
  • M19 Other and unspecified osteoarthritis
    • M19.0 Primary osteoarthritis of other joints
    • M19.1 Post-traumatic osteoarthritis of other joints…

Rheumatoid arthritis

  • M05 Rheumatoid arthritis with rheumatoid factor
    • M05.0 Felty’s syndrome
    • M05.02 Felty’s syndrome, elbow
    • M05.03 Felty’s syndrome, wrist
    • M05.04 Felty’s syndrome, hand
    • M05.05 Felty’s syndrome, hip
    • M05.06 Felty’s syndrome, knee
    • M05.07 Felty’s syndrome, ankle and foot
    • M05.09 …… multiple sites
  • M06 Other rheumatoid arthritis
    • M06.0 Rheumatoid arthritis without rheumatoid facto…
    • M06.02 Rheumatoid arthritis without rheumatoid facto…
    • M06.03 Rheumatoid arthritis without rheumatoid facto…
    • M06.04 Rheumatoid arthritis without rheumatoid facto…
    • M06.05 Rheumatoid arthritis without rheumatoid facto…
    • M06.06 Rheumatoid arthritis without rheumatoid facto…
    • M06.07 Rheumatoid arthritis without rheumatoid facto…
    • M06.08 Rheumatoid arthritis without rheumatoid facto…
    • M06.09 Rheumatoid arthritis without rheumatoid facto…
    • M06.0A Rheumatoid arthritis without rheumatoid facto…

Gout

  • M10 Gout
    • M10.0 Idiopathic gout
    • M10.1 Lead-induced gout
    • M10.2 Drug-induced gout
    • M10.3 Gout due to renal impairment
    • M10.4 Other secondary gout
    • M10.9 Gout, unspecified

Juvenile arthritis

  • M08 Juvenile arthritis
    • M08.0 Unspecified juvenile rheumatoid arthritis
    • M08.1 Juvenile ankylosing spondylitis
    • M08.2 Juvenile rheumatoid arthritis with systemic o…
    • M08.3 Juvenile rheumatoid polyarthritis (seronegati…
    • M08.4 Pauciarticular juvenile rheumatoid arthritis
    • M08.8 Other juvenile arthritis
    • M08.9 Juvenile arthritis, unspecified

Psoriatic arthritis

  • L40 Psoriasis
    • L40.0 Psoriasis vulgaris
    • L40.1 Generalized pustular psoriasis
    • L40.2 Acrodermatitis continua
    • L40.3 Pustulosis palmaris et plantaris
    • L40.4 Guttate psoriasis
    • L40.5 Arthropathic psoriasis
      • L40.50 …… unspecified
      • L40.51 Distal interphalangeal psoriatic arthropathy
      • L40.52 Psoriatic arthritis mutilans
      • L40.53 Psoriatic spondylitis
      • L40.54 Psoriatic juvenile arthropathy
      • L40.59 Other psoriatic arthropathy
    • L40.8 Other psoriasis
    • L40.9 Psoriasis, unspecified

Medicare coverage for arthritis

In an article, Medical News Today has discussed the Medicare coverage criteria for arthritis. Medicare helps cover multiple aspects of arthritis treatments although copayments, deductibles, and coinsurances still apply.

Medicare is comprised of several parts and each part may cover different care options for arthritis.

Medicare Part A

Part A covers the costs involved with inpatient hospital stays and skilled nursing care. This may also apply to a person who requires surgical intervention to treat arthritis, such as a total joint replacement.

Medicare Part B

Part B covers outpatient medical costs such as doctors’ visits and durable medical equipment (DME). Medicare will usually cover doctor’s visits related to arthritis, physical therapy, and some DME, such as splints, braces, walkers, or canes.

A person is often required to obtain prior authorization from Medicare before purchasing equipment or pursuing therapy services.

Medicare Advantage (Part C)

Part C or Medicare Advantage plans are provided mainly by private insurance companies.

Medicare Part D (Prescription Drug Plan)

Part D or prescription drug plans (PDPs) provide coverage for prescribed medications. A person with original Medicare must enroll in a PDP separately, as private insurance companies administer the plans.

Often, Medicare Advantage plans will include coverage for prescribed drugs, so a person will not need to purchase a separate PDP.

Medigap

Medigap plans cover some out-of-pocket costs, including copayments, deductibles, coinsurance, and excess charges.

Being a reliable rheumatology medical coding company, our team is also up to date with the coverage guidelines for arthritis with diverse insurers. Many arthritis medications and surgical approaches require prior authorization from Medicare to ensure their costs will be covered. At OSI, our team can also support in obtaining pre-authorization for various drugs, radiologic examinations and other services as specified by the insurers.

Also Read

Rheumatic Diseases in Pregnancy and their ICD-10 Codes

ICD-10 Coding for Pediatric Rheumatic Diseases

Rheumatoid Arthritis Diagnosis and Coding – Importance

April Is Parkinson’s Awareness Month – Early Diagnosis and Treatment Is Important

April Is Parkinson’s Awareness Month – Early Diagnosis and Treatment Is Important

April is observed as “Parkinson’s Awareness Month”. The observance is an opportunity to increase awareness about Parkinson’s disease – a progressive neurodegenerative disorder – and its symptoms, as well as to support victims. This long-term disorder where the central nervous system degenerates and affects the motor system leads to progressive deterioration of motor function due to loss of dopamine-producing brain cells. Although this neurological condition can’t be fully cured, medications can dramatically reduce or improve the severity of symptoms. In most cases, early symptoms may be mild and unnoticed, which might lead to advanced stages. In advanced cases, surgery may be recommended to regulate certain regions of the brain and improve the symptoms. Billing and coding for Parkinson’s disease (PD) can be a challenging process. Relying on the services of a reputable medical billing and coding company can help neurologists with precise documentation of this neurodegenerative disorder.

The birth month and date of James Parkinson, a London physician who published “An Essay on the Shaking Palsy” in 1817 is now marked as Parkinson’s disease Awareness Month. World Parkinson’s Day is on April 11. James Parkinson was the man who first identified Parkinson’s disease nearly 200 years ago and the first physician to describe the disease. The red tulip is considered as the symbol of Parkinson’s disease awareness and a purple ribbon is the chosen color to wear in support of people with the disease.

Sponsored by the Parkinson’s Foundation, this year, the campaign wants everyone to take actions to impact the future of Parkinson’s disease (PD) – by learning how to navigate our own future with Parkinson’s or helping to create a world without PD. Every year in the U.S., 60,000 people are diagnosed with this disease.

The month-long campaign is a great time to highlight the symptoms and risk factors associated with this condition and diagnose it during the early stages or even prevent it if possible. It promotes a better understanding about this neurological disorder and how it can affect a person. 

Symptoms of PD

Generally, symptoms of PD begin on one side of the body and usually remain worse on that side, even after symptoms begin to affect both sides. This condition develops gradually and can also cause stiffness or slowing of movement. Other common signs and symptoms include – slowed movement (bradykinesia), rigid muscles, speech changes, impaired posture and balance, loss of automatic movements and writing changes.

Diagnosis and Treatment of PD

There are no specific tests that exist to diagnose PD. Initial diagnosis of the condition may begin with a detailed evaluation of the medical history, review of signs and symptoms and a neurological and physical examination. Neurologists may request a specific single-photon emission computerized tomography (SPECT) scan called a dopamine transporter scan (DaTscan). Imaging tests like – MRI, ultrasound of the brain, and PET scans may also be used to help rule out other disorders. In addition, physicians may also order lab tests, such as blood tests, to rule out other conditions that may be causing the symptoms. 

Though there is no cure for PD, incorporating certain treatment methods such as medications and making several positive lifestyle changes can reduce the severity of the disease. Medications will help people manage problems with walking, movement and tremor, as these medications increase or substitute for dopamine, a specific signaling chemical (neurotransmitter) in the brain.

Documenting PD

Neurologists who diagnose and administer Parkinson treatment procedures must correctly document the same using the right medical codes. Professional coders from experienced medical coding companies ensure that the correct medical codes are reported on the medical claims. ICD-10 diagnosis codes for PD include: 

  • G20: Parkinson’s disease
  • G21: Secondary parkinsonism
    • G21.0: Malignant neuroleptic syndrome
    • G21.1: Other drug-induced secondary parkinsonism
      • G21.11: Neuroleptic induced parkinsonism
      • G21.19: Other drug induced secondary parkinsonism
    • G21.2: Secondary parkinsonism due to other external agents
    • G21.3: Postencephalitic parkinsonism
    • G21.4: Vascular parkinsonism
    • G21.8: Other secondary parkinsonism
    • G21.9: Secondary parkinsonism, unspecified

PD has several associated complications, such as Dementia and Dysphagia that could have a significant impact on short- and long-term care. 

ICD-10 codes for a diagnosis of Dementia and Dysphagia include: 

Dementia

  • F02:Dementia in other diseases classified elsewhere
    • F02.8:Dementia in other diseases classified elsewhere
      • F02.80 …… without behavioral disturbance
      • F02.81 …… with behavioral disturbance
  • F03: Unspecified dementia
    • F03.90 …… without behavioral disturbance
    • F03.91 …… with behavioral disturbance
    • F03.9: Unspecified dementia

Dysphagia 

  • R13.1 Dysphagia
    • R13.10…… unspecified
    • R13.11…… oral phase
    • R13.12…… oropharyngeal phase
    • R13.13…… pharyngeal phase
    • R13.14…… pharyngoesophageal phase
    • R13.19 Other dysphagia

According to ICD-10 monitor, “it makes it all the more essential that both coding and clinical documentation integrity professionals continue to nurture and build knowledge of the disease processes as a core competency area. Capturing all these associated complications in the documentation and coding is critical to share the patient’s story and paint the picture of this systemic disease severity”.

Make sure you or your loved one has an expert care team to help live better with Parkinson’s, because getting the right care at the right time can make a huge difference. 

Overall, we can’t change the Future of PD alone, but by putting our efforts together, we all can make a difference!

Coding the Most Common Health Issues This World Health Day 2022

Coding the Most Common Health Issues This World Health Day 2022

Organized by the World Health Organization (WHO), World Health Day promotes and celebrates physical, mental, and emotional well-being all over the world. World Health Day is celebrated every year on the 7th of April to remember the anniversary of the founding of the WHO in 1948. The theme for World Health Day 2022 is “Our planet, our health”. On this day, WHO will focus on necessary actions to keep humans and the planet healthy and promote a movement to create societies focused on well-being.

Being an experienced physician billing company in the U.S., providing services for healthcare providers in diverse specialities, we understand that proper medical coding is crucial for practices to improve patient safety. Inaccurate medical coding leads not only to claim denials but also to some legal and financial consequences.

Check out the ICD-10 codes for some of the common health conditions that have the greatest impact on Americans’ quality of life.

Hypertension

  • I10 Essential (primary) hypertension
  • I11 Hypertensive heart disease
    • I11.0 Hypertensive heart disease with heart failure
    • I11.9 Hypertensive heart disease without heart failure

Major depression

  • F32 Depressive episode
    • F32.0 Major depressive disorder, single episode, mild
    • F32.1 Major depressive disorder, single episode, moderate
    • F32.2 Major depressive disorder, single episode, severe without psychotic features
    • F32.3 Major depressive disorder, single episode, severe with psychotic features
    • F32.4 Major depressive disorder, single episode, in partial remission
    • F32.5 Major depressive disorder, single episode, in full remission
    • F32.8 Other depressive episodes
  • F32.81 Premenstrual dysphoric disorder
  • F32.89 Other specified depressive episodes
  • F32.9 Major depressive disorder, single episode, unspecified

 High Cholesterol

  • E78 Disorders of lipoprotein metabolism and other lipidemias
    • E78.0 Pure hypercholesterolemia
      • E78.00 …… unspecified
      • E78.01 Familial hypercholesterolemia
    • E78.1 Pure hyperglyceridemia
    • E78.2 Mixed hyperlipidemia
    • E78.3 Hyperchylomicronemia
    • E78.4 Other hyperlipidemia
      • E78.41 Elevated Lipoprotein(a)
      • E78.49 Other hyperlipidemia
    • E78.5 Hyperlipidemia, unspecified

Coronary Artery Disease

  • I25 Chronic ischemic heart disease
    • I25.1 Atherosclerotic heart disease of native coronary artery
    • I25.10 …… without angina pectoris
    • I25.11 Atherosclerotic heart disease of a native coronary artery with angina pectoris
      • I25.110 Atherosclerotic heart disease of a native coronary artery with unstable angina pectoris
      • I25.111 …… with documented spasm
      • I25.118 Atherosclerotic heart disease of a native coronary artery with other forms of angina pectoris
      • I25.119 Atherosclerotic heart disease of a native coronary artery with unspecified angina pectoris
    • I25.2 Old myocardial infarction

Type 2 Diabetes

  • E11 Type 2 diabetes mellitus
    • E11.0 Type 2 diabetes mellitus with hyperosmolarity
    • E11.1 Type 2 diabetes mellitus with ketoacidosis
    • E11.2 Type 2 diabetes mellitus with kidney complications
    • E11.3 Type 2 diabetes mellitus with ophthalmic complications
    • E11.4 Type 2 diabetes mellitus with neurological complications
    • E11.5 Type 2 diabetes mellitus with circulatory complications
    • E11.6 Type 2 diabetes mellitus with other specified complications
    • E11.8 Type 2 diabetes mellitus with unspecified complications
    • E11.9 Type 2 diabetes mellitus without complications

Substance Use Disorder

  • F19 Other psychoactive substance related disorders
    • F19.1 Other psychoactive substance abuse
      • F19.12 Other psychoactive substance abuse with intoxication
      • F19.13 Other psychoactive substance abuse with withdrawal

Alcohol Use Disorder

  • F10.2 Alcohol dependence
    • F10.22 Alcohol dependence with intoxication
    • F10.23 Alcohol dependence with withdrawal
    • F10.24 …… with an alcohol-induced mood disorder

Chronic Obstructive Pulmonary Disease (COPD)

  • J44 Other chronic obstructive pulmonary disease
    • J44.0 Chronic obstructive pulmonary disease with (acute) lower respiratory infection
    • J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation
    • J44.9 Chronic obstructive pulmonary disease, unspecified

Psychotic Disorder

  • F06.2 Psychotic disorder with delusions due to known physiological condition
  • F06.3 Mood disorder due to known physiological condition

Crohn’s Disease

  • K50 Crohn’s disease [regional enteritis]
    • K50.0 Crohn’s disease of the small intestine
    • K50.1 Crohn’s disease of the large intestine
    • K50.8 Crohn’s disease of both small and large intestine
    • K50.9 Crohn’s disease, unspecified

Ulcerative Colitis

  • K51 Ulcerative colitis
    • K51.0 Ulcerative (chronic) pancolitis
    • K51.2 Ulcerative (chronic) proctitis
    • K51.3 Ulcerative (chronic) rectosigmoiditis
    • K51.4 Inflammatory polyps of colon
    • K51.5 Left sided colitis
    • K51.8 Other ulcerative colitis

While physicians focus on providing effective treatments, our medical billing and coding team uses their expertise and coding knowledge to assist practices with on-time claim submission. This helps them get proper reimbursement without any delay in payment.

Consider outsourcing your medical billing needs to an experienced medical billing and coding company in the U.S.!

March 20 is World Oral Health Day

March 20 is World Oral Health Day

World Oral Health Day (WOHD) is observed every year on March 20th to spread awareness on oral health and hygiene. Poor dental hygiene can lead to many oral diseases such as dental cavities and gum disease, and also medical conditions such as heart disease, cancer, and diabetes. The dental disease involves a wide range of conditions with different symptoms ranging from mild to severe, and reporting services correctly using the right codes can be challenging for dental professionals. Outsourced dental billing services are a practical solution to ensure timely claims filing and proper reimbursement.

An initiative of the FDI World Dental Federation, one of the oldest organizations in the field of dentistry, the WOHD campaign aims to spread the message about good oral hygiene practices for adults and children. Launched in 2007, WOHD was originally celebrated on  September 12th – the birth date of FDI founder Dr Charles Godon. However, the campaign was not fully activated until 2013. Later, the date of the WOHD observance was changed to March 20th to avoid conflict with the FDI World Dental Congress taking place in September. Over the years, the focus of this observance widened with clear targeting on individuals to take personal action, schools and youth groups to deliver learning activities about oral health, oral health professionals and the wider healthcare community to educate the populations they serve, and governments and policymakers to champion better oral health for all.

It is estimated that nearly 3.5 billion people worldwide are affected by some kind of oral disease. Dental cavities and gum (periodontal) diseases are very common. Reports from FDI show that 2.3 billion people suffer from tooth decay (dental caries) which is the most common health condition globally. Oral disease is a major health concern for many countries and negatively impacts people throughout their lives. It leads to pain and discomfort, social isolation, and a loss of self-confidence. That’s why it’s very important to empower people with the knowledge, tools, and confidence to maintain good oral health. The WOHD campaign focuses on spreading the word to encourage as many people as possible to keep their mouths and teeth healthy. It also illustrates the importance of oral health in maintaining general health and well-being.

Dental disease occurs when the oral cavity collects all sorts of bacteria, viruses and fungi and encompasses a wide range of diseases like dental caries, periodontal (gum) disease, tooth loss, oral cancer, and gingivitis. Dental conditions are caused by poor brushing habits, smoking, diabetes, use of medications that reduce the amount of saliva in the mouth, hormonal changes and family history or genetics. A diet high in sugar can also create oral conditions in which acid-producing bacteria can flourish.

The good news is that most oral health conditions are largely preventable and can be successfully treated in the early stages.  To reduce the risk of oral disease, we can take action to maintain healthy teeth and gums by following proper oral hygiene habits (like flossing, brushing and limiting sugar intake).

Dental and oral conditions are detected through a detailed dental examination. The dentist will closely examine the teeth, mouth, throat, tongue, cheeks, jaws and neck areas of the patient. Dental specialists need to document treatment administered using the right medical codes. Partnering with a reliable dental billing company can ensure accurate claim submission. Here are the ICD-10 codes for common dental conditions:

  • K02 – Dental caries
    • K02.0 – Caries limited to enamel
    • K02.1 – Caries of dentine
    • K02.2 – Caries of cementum
    • K02.3 – Arrested dental caries
    • K02.4 – Odontoclasia
    • K02.8 – Other dental caries
    • K02.9 – Dental caries, unspecified
  • K05 – Gingivitis and periodontal diseases
    • K05.0 – Acute gingivitis
    • K05.1 – Chronic gingivitis
    • K05.2 – Aggressive periodontitis
    • K05.3 – Chronic periodontitis
    • K05.4 – Periodontosis
    • K05.5 – Other periodontal diseases
    • K05.6 – Periodontal disease, unspecified
  • K06 – Other disorders of the gingiva and edentulous alveolar ridges
    • K06.0 – Gingival recession
      • K06.01 – Gingival recession, localized
      • K06.02 – Gingival recession, generalized
    • K06.1 – Gingival enlargement
    • K06.2 – Gingiva and edentulous alveolar ridge lesions associated with trauma
    • K06.8 – Other specified disorders of the gingiva and edentulous alveolar ridge
    • K06.9 – Disorder of the gingiva and edentulous alveolar ridge, unspecified
  • K10 – Other diseases of jaws
    • K10.0 – Developmental disorders of jaws
    • K11.1 – Hypertrophy of salivary gland
  • 12.3 – Oral mucositis (ulcerative)
  • K13 – Other diseases of the lip and oral mucosa
    • K13.7 – Other and unspecified lesions of the oral mucosa

In 2021, a three-year campaign theme (2021-2023) was launched with the theme “Be Proud of Your Mouth”. In 2021, the theme was mainly focused on how oral health affects our overall health. This year, WOHD wants to inspire action by highlighting how a healthy mouth is important for happiness and well-being. The campaign will emphasize how an unhealthy mouth can severely impact every aspect of life such as emotional, social, mental, and overall physical well-being.

People can actively take part in the campaign by spreading awareness about good oral hygiene via social media platforms, and educating children to better understand oral health.

March 2022 is National Kidney Month – Brush up on Kidney Disease Coding

March 2022 is National Kidney Month – Brush up on Kidney Disease Coding

Proper functioning of the kidneys is critical for good health. Every year, March is observed as National Kidney Month to spread awareness about the importance of kidney health.  Nephrologists and other specialists treating kidney disease can benefit from outsourced billing services to report the condition correctly on medical claims.

According to kidney.org, 1 in 3 American adults is at high risk for developing kidney disease today.  It is estimated that 37 million people in the US have chronic kidney disease (CKD). Up to 9 in 10 people are not aware that they have CKD (www.niddk.nih.gov). High blood pressure, diabetes, a family history of kidney failure and being over 60 are major risk factors for developing kidney disease.

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) aims to raise awareness and focus on “building paths to better kidney care” during  National Kidney Month 2022.

To prevent kidney disease, the National Kidney Foundation recommends taking proactive steps such as managing high blood pressure, consuming healthy food and drinks, and reducing stress.

Treatment for kidney disease usually focuses on controlling the underlying cause of the disease such as managing blood pressure, blood sugar, and cholesterol levels. Diagnosis tests that are recommended to check whether kidneys are functioning properly are – Ultrasound and CT scans, Glomerular filtration rate (GFR), Kidney biopsy, Blood creatinine test, and Urine test.

With expertise in nephrology medical billing, our team is up to date with the ICD and CPT codes related to kidney disease. To prevent claim denials and delays, practices need to assign the appropriate codes when billing their services.

ICD-10 codes to report kidney disease

Chronic kidney disease

  • N18 Chronic kidney disease (CKD)
    • 1 Chronic kidney disease, stage 1
    • 2 Chronic kidney disease, stage 2 (mild)
    • 3 Chronic kidney disease, stage 3 (moderate)
    • 4 Chronic kidney disease, stage 4 (severe)
    • 5 Chronic kidney disease, stage 5
    • 6 End stage renal disease
    • 9 Chronic kidney disease, unspecified

Kidney stones

  • N20 Calculus of kidney and ureter
    • 0 Calculus of kidney
    • 1 Calculus of ureter
    • 2 Calculus of kidney with calculus of ureter
    • 9 Urinary calculus, unspecified

Glomerulonephritis

  • N04.0  Nephrotic syndrome with minor glomerular abnormality
  • N04.1  Nephrotic syndrome with focal and segmental glomerular lesions
  • N04.2  Nephrotic syndrome with diffuse membranous glomerulonephritis
  • N04.3  Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis
  • N04.4  Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis
  • N04.5  Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis
  • N04.7  Nephrotic syndrome with diffuse crescentic glomerulonephritis
  • N04.A  Nephrotic syndrome with C3 glomerulonephritis

Polycystic kidney disease

  • Q61.1 Polycystic kidney, infantile type
    • Q61.11 Cystic dilatation of collecting ducts
    • Q61.19 Other polycystic kidneys, infantile type
  • Q61.2 Polycystic kidney, adult type
  • Q61.3 Polycystic kidney, unspecified

Urinary tract infection

  • N39.0 Urinary tract infection, site not specified

IgA Nephropathy

  • N02.8 Recurrent and persistent hematuria with other morphologic changes

Lupus Nephritis

  • M32.14 Glomerular disease in systemic lupus erythematosus

Cystinosis

  • E72.04 Cystinosis

Nephrology coding requires proper documentation of diverse treatment information such as – anatomic site specificity, laterality, the severity of the disease, the onset of care, aetiology and manifestation, etc.

Factors that affect practice reimbursement include: too many days in accounts receivable, assigning wrong codes in claims, failing to document a history of present illness, increasing number of claims denial rates, not following up claims, and not appealing for once denied claims. Outsourcing billing, coding and claim submission tasks to a HIPAA compliant medical billing company is a practical way to ensure a smooth billing and revenue cycle.

Discuss your requirements with OSI’s coding team! Call us at 1-800-670-2809!

We provide comprehensive medical billing and coding services for all specialities, ranging from front office administrative management to insurance verifications and authorizations, back office coding, billing and collection.

As the nation observes National Kidney Month, physicians can educate patients on the three ways the NIDDK recommends to build their personalized path to better kidney care:

  • Be an active participant in your care.
  • Follow your care plan.
  • Build a kidney healthy lifestyle.

As they focus on patient care and education, providers can rely on our professional nephrology medical coding support to ensure accurate claim submission.