CODING & DOCUMENTATION

 

Fam Pract Manag. 2020 Mar-Apr;27(2):31.

Author disclosure: no relevant financial affiliations disclosed.

NEW CODE FOR VAPING-RELATED ILLNESS

Q

I've heard that there will soon be a code for reporting vaping-related illness. Is that true?

A

Yes. A new chapter is being added to ICD-10-CM (the U.S. version of ICD-10) effective April 1, 2020, to match the World Health Organization's addition of a new ICD-10 U-code for vaping-related disorder. The code, U07.0, should be reported for vaping-related disorder with additional codes reported for specific manifestations such as lipoid pneumonia, drug-induced interstitial lung disorder, or acute respiratory distress syndrome. Symptoms such as abdominal pain or diarrhea may also be reported with additional codes. The new code is found in a new chapter of the tabular list of ICD-10-CM: Chapter 22, Codes for Special Purposes. More information is available at https://www.cdc.gov/nchs/icd/icd10cm.htm (see ICD-10 FY2020 April addenda). Current medical record and billing systems may require updates to accommodate the reporting of U07.0.

ULTRASOUND SERVICES IN THE OFFICE

Q

When I provide point-of-care ultrasound services in the office, what codes should I report?

A

To report codes for ultrasound services, the following requirements must be met:

  • Conduct a thorough evaluation of the organ(s) or anatomic region specified in the code,

  • Retain permanent image documentation (film or digital) with measurements (when measurements are clinically indicated),

  • Report the indications for testing, description of findings for each organ and structure examined, and interpretation of the test in the medical record,

  • Meet the criteria specified in the code.

CPT includes ultrasound codes for many areas of the body. Here are two examples:

  • 76881, “Ultrasound, complete joint (i.e., joint space and peri-articular soft-tissue structures), real-time with image documentation.”

  • 76882, “Ultrasound, limited, joint or other nonvascular extremity

ABOUT THE AUTHOR

Cindy Hughes is an independent consulting editor based in El Dorado, Kan., and a contributing editor to FPM.

Author disclosure: no relevant financial affiliations disclosed.

WE WANT TO HEAR FROM YOU

Send questions and comments to fpmedit@aafp.org, or add your comments below. While this department attempts to provide accurate information, some payers may not accept the advice given. Refer to the current CPT and ICD-10 coding manuals and payer policies.

 
 

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