Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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tci ED Coding & Reimbursement Alert - 2021 Issue Q4
Reader Questions: Differentiate Food Allergy From Intolerance
Question: We often see patients at the ED who have allergies or intolerance regarding things like gluten and lactose. Should we code intolerance the same as allergies?
Tennessee Subscriber
Answer: No, food allergies are not the same as food intolerances. Basically stated, “food allergies, such as allergies to nuts or shellfish, are caused by a problem with your immune system. Food sensitivities or intolerances, such as reactions to wheat or milk, are caused by a problem with your digestive system,” according to the U.S. Department of Health and Human Services (HHS) (www.womenshealth.gov/healthy-eating/food-allergies-and-sensitivities).
The difference...
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