Documenting Atherosclerosis Cardiovascular Disease with ICD-10 Code

Documenting Atherosclerosis Cardiovascular Disease with ICD-10 Code

Atherosclerosis is a serious cardiovascular condition wherein the arteries are clogged with fatty substances called plaques, or atheroma. Health practices are required to give immediate patient care as atherosclerosis leads to life-threatening problems like heart attacks or strokes. If the patient is not promptly treated, the condition can worsen. Against this backdrop, it is essential that health practices rely upon thoracic and cardiovascular surgery medical billing services to appropriately assign ICD-10 codes based on accurately prepared clinical documentation. This aids practices in the efficient management of the revenue cycle as well.

ICD-10 Codes

✥  I70: Atherosclerosis

  • I70.0: Atherosclerosis of aorta
  • I70.1: Atherosclerosis of renal artery

➣ I70.2: Atherosclerosis of native arteries of the extremities

  • I70.20: Unspecified atherosclerosis of native arteries of extremities
  • I70.21: Atherosclerosis of native arteries of extremities with intermittent claudication
  • I70.22: Atherosclerosis of native arteries of extremities with rest pain
  • I70.23: Atherosclerosis of native arteries of right leg with ulceration
  • I70.24: Atherosclerosis of native arteries of left leg with ulceration
  • I70.25: Atherosclerosis of native arteries of other extremities with ulceration
  • I70.26: Atherosclerosis of native arteries of extremities with gangrene
  • I70.29: Other atherosclerosis of native arteries of extremities

➣ I70.3: Atherosclerosis of unspecified type of bypass graft (s) of the extremities

  • I70.30: Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities
  • I70.31: Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication.
  • I70.32: Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain
  • I70.33: Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration
  • I70.34: Atherosclerosis of unspecified type of bypass graft (s) of the left leg with ulceration
  • I70.35: Atherosclerosis of unspecified type of bypass graft(s) of other extremity with ulceration
  • I70.36: Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene
  • I70.39: Other atherosclerosis of unspecified type of bypass graft(s) of the extremities

➣ I70.4: Atherosclerosis of autologous vein bypass graft (s) of the extremities

  • I70.40: Unspecified atherosclerosis of autologous vein bypass graft (s) of the extremities
  • I70.41: Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication
  • I70.42: Atherosclerosis of autologous vein bypass graft (s) of the extremities with rest pain
  • I70.43: Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration
  • I70.44: Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration
  • I70.45: Atherosclerosis of autologous vein bypass graft(s) of other extremity with ulceration
  • I70.46: Atherosclerosis of autologous vein bypass graft (s) of the extremities with gangrene
  • I70.49: Other atherosclerosis of autologous vein bypass graft(s) of the extremities

➣ I70.5: Atherosclerosis of nonautologous biological bypass graft(s) of the extremities

  • I70.50: Unspecified atherosclerosis of nonautologous biological bypass graft(s) of the extremities
  • I70.51: Atherosclerosis of nonautologous biological bypass graft(s) of the extremities intermittent claudication
  • I70.52: Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain
  • I70.53: Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration
  • I70.54: Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration
  • I70.55: Atherosclerosis of nonautologous biological bypass graft(s) of other extremity with ulceration
  • I70.56: Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene
  • I70.59: Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities

➣ I70.6: Atherosclerosis of nonbiological bypass graft(s) of the extremities

  • I70.60: Unspecified atherosclerosis of nonbiological bypass graft(s) of the extremities
  • I70.61: Atherosclerosis of nonbiological bypass graft (s) of the extremities with intermittent
  • I70.62: Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain
  • I70.63: Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration
  • I70.64: Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration
  • I70.65: Atherosclerosis of nonbiological bypass graft(s) of other extremity with ulceration
  • I70.66: Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene
  • I70.69: Other atherosclerosis of nonbiological bypass graft(s) of the extremities

➣ I70.7: Atherosclerosis of other type of bypass graft(s) of the extremities

  • I70.70: Unspecified atherosclerosis of other type of bypass graft(s) of the extremities
  • I70.71: Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication
  • I70.72: Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain
  • I70.73: Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration
  • I70.74: Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration
  • I70.75: Atherosclerosis of other type of bypass graft(s) of other extremity with ulceration
  • I70.76: Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene
  • I70.79: Other atherosclerosis of other type of bypass graft(s) of the extremities

➣ I70.8: Atherosclerosis of other arteries

➣ I70.9: Other and unspecified atherosclerosis

Cardiology billing and coding experiences regular amendments of key procedure rules. Medical billing and coding services focus on ensuring accurate codes by staying up to date with new, deleted, and revised cardiology codes. This completely eliminates the chances of claim denial. In addition, the highest degree of specificity is ensured in a cost-effective manner.

Announcing the Launch of Our Newly Redesigned Website

Announcing the Launch of Our Newly Redesigned Website

At Outsource Strategies International (OSI), we are excited to announce the launch of our newly redesigned website https://www.outsourcestrategies.com/. As a dedicated medical billing and coding company in the U.S, our primary objective with this new design is to ensure that our clients are comfortable and stress-free when interacting with us. We hope that you enjoy a user-friendly browsing experience and easy navigation.

Visually Appealing, Balanced Website Design by MedResponsive

MedResponsive, an experienced website design company and digital marketing agency in the U.S, has done the redesign process.  The company is experienced in providing web design services for all types and sizes of businesses. Their services are focused on developing a strategy that will improve our online positioning and ensure a robust presence. The design team has used the Divi WordPress theme, the most popular WordPress Theme in the world and the ultimate WordPress Page Builder to redesign our website. They also made key changes in text font, size, letter spacing and line height.

The new website better reflects our medical billing and coding services and navigation boxes provide faster access to information on our key services. The Home page provides better access to What we are, Our services, Instagram Feeds, Call to action, Latest Blogs, Divi contact form, and Client testimonials.

This transactional website was built with the intention of empowering our clients with up-to-date information regarding our medical billing and coding services. Medical practices, dental practices, dentists and physicians, hospitals, and other medical entities will find our solutions timely and efficient.

Featuring a modern look, our website was redesigned with users in mind – streamlining menu buttons, easing up navigation, building a fully responsive layout for all platforms, and providing more enhanced content on our services. We expect our website viewers to find the new design useful to find what they’re looking for quickly and efficiently.

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.

Coding Common Women’s Health Issues This Women’s Day

Coding Common Women’s Health Issues This Women’s Day

Happy Women’s Day 2022!

Each year, International Women’s day is celebrated on March 8. This year’s theme for the day is – “Gender equality today for a sustainable tomorrow”.  Unlike men, women experience unique health issues and conditions, including pregnancy and menopause to breast cancer and other gynecological conditions. Some health issues that affect both men and women can affect women differently. However, with on-time diagnosis and proper treatment, most conditions are preventable. Treatments provided by gynecologists or other providers need to be reported accurately on the medical claims, for which gynecologists can rely on professional medical coding companies.

Coding Common Women’s Health Issues This Women’s Day

Coding women’s complex health issues and conditions require expertise. Experienced medical billing outsourcing companies provide comprehensive medical billing and coding services for medical practices.

What Are the Common RCM Mistakes to Avoid?

What Are the Common RCM Mistakes to Avoid?

Healthcare policies and reforms are ever-changing, so it is important to keep up with this changing landscape with effective RCM (Revenue Cycle Management) strategies. Medical practices need to streamline their administrative operations so that financial outcomes can be maximized. Lack of an optimized revenue cycle can lead to common pitfalls that every healthcare provider has to deal with. A fiscally responsible medical practice has to ensure excellent delivery of patient care along with the monitoring of overall financial health. With the implementation of ICD-10 codes and value-based reimbursement, there is voluminous patient data that has to be accounted for billing purposes. The evolving pattern of patient payment systems has increased the hassle of accurate medical billing.

Functions that form the revenue cycle management of a hospital are:

  • Documentation
  • Entering demographic details of the patient
  • Checking the eligibility of insurance claims
  • Medical billing and coding
  • Filing of the claims

If there is no seamless coordination between different units like the department of billing and coding, data analytics department, collections department and payer enrollment department, the following problems can arise:

  • Non-clinical insurance claim denials that happen due to erroneous entering of patient data during registration.
  • Erroneous documentation of medical codes can lead to denial of insurance payment.
  • Inconsistencies in patient-provider communication due to lack of digitization impact interoperability.
  • Unintentional non-compliance of Healthcare Information Portability and Accountability Act 1996 (HIPAA).

With effective troubleshooting techniques in place, medical billing and coding companies can help overcome these challenges. But the problem lies in the fact that healthcare facilities are unaware of these anomalies and proceed with the conventional methodology of management.

Below given are the lapses healthcare facilities have to avoid. These mistakes can adversely affect the revenue management cycle.

1. Lack of proper training of employees

    Medical billing requires capturing information accurately. However, human error at this stage can be the reason for the increasing number of claim denials. Unskilled staff enters the wrong ICD-10 and CPT codes corresponding to the diagnoses and treatments provided. Even missing items in the patient data and entering of wrong dates during chart documentation can lead to claim denials. This means the healthcare provider has to rework the claims, and this would delay the reimbursement.

2. Relying on existing staff strength

    When healthcare facilities depend upon the existing staff levels, it may be difficult to handle the increasing number of patients and associated data. It is important to hire the right people with the right skills. But healthcare facilities try to stretch the potential of the available staff. This negatively affects the administrative and clinical functions of the revenue cycle.

3. Fragmented administrative team

    There will be no coordination between the business and clinical sides as they prioritize different functions. The administrative task of the front-end office is to expedite claims by ensuring that the patient’s name, insurance provider and other personal information are correctly documented. The clinical function gives emphasis to the treatment received by the patient and the compilation of health care data. However, they won’t be functioning in a synchronous manner, and if there is no seamless workflow there will be mounting claim denials.

4. Failure to monitor patient’s medical claim status

    Healthcare practices don’t give importance to tracking the entire claims processing. If the potential problems in the claims are not detected, it can result in lagging accounts receivable and excessive administrative costs.

5. Skipping patient eligibility verification

    Healthcare providers must take special care to verify the eligibility of the patient prior to providing treatment. If the insurance coverage of the patient is not cross-verified, the claim will be denied. Evaluating patient eligibility plays a key role in the effective management of the revenue cycle.

6. Not leveraging new technology and trends

    Many healthcare facilities are stuck with conventional methods of billing which may not be efficient enough to handle large volumes of patient data. The inability to streamline digital workflow complicates the revenue cycle. Hospitals may not be having the adequate infrastructure or might be dealing with budget constraints. Integrating advanced technology in healthcare organizations saves time, money and effort. This, in turn, enhances ROI.

7. Not having a proactive approach to patient payments

    Medical practices hesitate to reach out to patients for their statements as an outbound calling strategy. Patients might be in need of information regarding the payments. However, if they are contacted in an active and gentle manner, medical practices can drive more patient payments. Patients can be nudged into action by creating a customized plan.

For efficacious revenue cycle management, healthcare practices have to adapt to the changing healthcare landscape. Medical billing and coding services can keep you abreast with these changes by efficiently managing the revenue cycle to maximize profit. It is because proper execution of billing and coding is necessary to considerably reduce claim denials, and this sets the foundation for successful revenue cycle management.