CODING & DOCUMENTATION
Fam Pract Manag. 2020 Mar-Apr;27(2):31.
Author disclosure: no relevant financial affiliations disclosed.
- NEW CODE FOR VAPING-RELATED ILLNESS
- ULTRASOUND SERVICES IN THE OFFICE
- AUTISM SCREENING
- DOES YOUR DOCUMENTATION NEED CODES OR MODIFIERS?
NEW CODE FOR VAPING-RELATED ILLNESS
I've heard that there will soon be a code for reporting vaping-related illness. Is that true?
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
When I provide point-of-care ultrasound services in the office, what codes should I report?
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
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