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ICD-10-CM
CODE

E08.01 - Diabetes due to underlying condition w hyprosm w coma

... e08.01 e0801 diabetes due to underlying ...

Diabetes mellitus due to underlying condition with hyperosmolarity with coma

HCC Values

CMS-HCC v22:  17 - Diabetes with Acute Complications

CMS-HCC v24:  17 - Diabetes with Acute Complications

ESRD-HCC v21:  17 - Diabetes with Acute Complications

ESRD-HCC v24:  17 - Diabetes with Acute Complications

Rx-HCC v05:  30 - Diabetes with Complications

Rx-HCC v08:  30 - Diabetes with Complications

HHS-HCC v07:  19 - Diabetes with Acute Complications

Stats

Coding Tips:  5

Medicare Policies (LCD/NCD):  22

Newsletter Articles:  3

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ICD-10-PCS
CODE

00BA0ZZ - Excision of Hypothalamus, Open Approach

Excision of Hypothalamus, Open Approach

PCS Codes in Same Section

Section:	0	Medical and Surgical
Body System:	0	Central Nervous System and Cranial Nerves
Operation:	B	Excision

Body Part	Approach	Device	Qualifier
0  Brain 1  Cerebral Meninges 2  Dura Mater 6  Cerebral Ventricle 7  Cerebral Hemisphere 8  Basal Ganglia 9  Thalamus A  Hypothalamus B  Pons C  Cerebellum D  Medulla Oblongata F  Olfactory Nerve G  Optic Nerve H  Oculomotor Nerve J  Trochlear Nerve K  Trigeminal Nerve L  Abducens Nerve M  Facial Nerve N  Acoustic Nerve P  Glossopharyngeal Nerve Q  Vagus Nerve R  Accessory Nerve S  Hypoglossal Nerve T  Spinal Meninges W  Cervical Spinal Cord X  Thoracic Spinal Cord Y  Lumbar Spinal Cord	0  Open 3  Percutaneous 4  Percutaneous Endoscopic	Z  No Device	X  Diagnostic Z  No Qualifier

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CPT
CODE

99202 - OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES

Changed Code for 2021  This code was changed for 2021.

Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making.

When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.

Stats

Non-Facility CCI Edits:  Yes

Facility CCI Edits:  Yes

Global Days:  XXX - Global Concept Does Not Apply

Non-Facility RVU/Fee:  2.15 / $72.86

Facility RVU/Fee:  1.42 / $48.12

Coding Tips:  26

Medicare Policies (LCD/NCD):  4

Newsletter Articles:  872

Common Language Description (CLD)

Evaluation and Management (E/M) codes are used to report face-to-face encounters between a patient and a physician or other qualified healthcare providers (QHPs). Selection of the code category depends on the service location (eg, office, hospital, critical care, home) or type of service (consultation, prolonged services, admission, discharge) and patient status (new/initial or established/subsequent).

Within the code category, the level of service is determined by the provider's documentation of:

• Three key components (history, exam, medical decision making)
• Medical necessity (the level of severity or complexity associated with the presenting problem rated as straightforward, low, moderate, or high severity)
• Time (spent counseling and/or coordinating care with and for the patient, face-to-face, at the bedside, or on the patient's unit/floor)

Office or Other Outpatient Services New Patient category includes five codes (99201-99205) which represent five levels of complexity:  99202 requires documentation identifying

• Expanded problem focused history
• Expanded problem focused examination
• Straightforward decision making
• Presenting problem(s) low to moderate in severity
• Typical provider-to-patient, face-to-face time around 20 minutes 

More infoClose

HCPCS
CODE

E0424 - Stationary compressed gas 02

Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing

Stats

Non-Facility CCI Edits:  None

Facility CCI Edits:  None

Coding Tips:  16

Medicare Policies (LCD/NCD):  2

Newsletter Articles:  13

Common Language Description (CLD)

Oxygen systems come with the components necessary to provide oxygen from the oxygen container to the patient: regulator, flowmeter, humidifier, tubing, cannula and/or mask. There are a few options available:

• Gaseous; liquid; or concentrated
• Portable or stationary
• For rent or purchase

The following components may be included in the system rented/purchased: refill adapter, container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing. A few systems may include other components, so be sure to check for a complete list of components for the system prescribed.

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DRG
CODE

338 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC

Changed Code for 2021  This code was changed for 2021. Clerical edit only (e.g., abbreviations expanded)

APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC

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CPT ASSIST.
ARTICLE

Coding Brief: PCM Codes for Preprocedural Optimization (November 2022)

AMA CPT® Assistant - 2022 Issue 11 (November)

November 2022 pages 16-17
Coding Brief: PCM Codes for Preprocedural Optimization
The topic of appropriate reporting for interdisciplinary preprocedural optimization management for elective procedures (eg, bariatric surgery, percutaneous coronary interventions, hip or knee replacement, and so on), raised at a recent Current Procedural Terminology (CPT®) Editorial Panel (the Panel) meeting, has garnered much interest. The goal of these preprocedural optimization services is to minimize foreseeable operative risks and to maximize the potential for a positive postoperative outcome. Preprocedural optimization management typically requires ongoing communication among an interdisciplinary care team, adjustment of medications, improving current medical conditions (diabetes, hypertension ...

Full Article

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LCD
MEDICARE

L33411 Surgical Management of Morbid Obesity

Document Information

LCD ID	L33411
Version Number	29
Title	Surgical Management of Morbid Obesity
Determination ID
Original Effective Date	For services performed on or after 10/01/2015
Revision Effective Date	For services performed on or after 10/01/2019
Revision Ending Date	n/a
Retirement Date	n/a

More infoClose

DORLANDS
DICTIONARY

excision

excision

[ex·ci·sion] (ek-sizh´ən)

• removal of a portion or all of an organ or other structure. Called also resection and ectomy.

Definition copyright © 2023 Elsevier, Inc.

More infoClose

JABLONSKIS
DICTIONARY

AAA

AAA

Acronym/abbreviation for

• abdominal aortic aneurysm/aneurysmectomy
• acne-associated arthritis
• acquired aplastic anemia
• acute anxiety attack
• alacrima-achalasia-addisonianism [syndrome]
• American Academy of Addictionology
• American Academy of Allergy
• American Association of Anatomists
• androgenic anabolic agent
• aneurysm of ascending aorta
• angiography of abdominal aorta
• Area Agency on Aging
• aromatic amino acid
• arrest after arrival

Acronym/abbreviation compilation copyright © 2023 Elsevier, Inc.

More infoClose

ICD-9
CODE

648.01 - Diabetes-delivered

Diabetes mellitus, complicating pregnancy/childbirth; delivered, w/ or w/o antepartum condition
Antepartum condition with delivery
Delivery NOS (with mention of antepartum complication during current episode of care)
Intrapartum obstetric condition (with mention of antepartum complication during current episode of care)
Pregnancy, delivered (with mention of antepartum complication during current episode of care)

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MCC or CC:  MCC - major complication or comorbidity

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Measure 466: Well-child Visits

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HCPCS
CODE

A9900 - Supply/accessory/service

... component of another hcpcs code miscellaneous dme ...

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HCPCS
CODE

A9901 - Delivery/set up/dispensing

... component of another hcpcs code dme delivery ...

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HCPCS
CODE

L9900 - O&p supply/accessory/service

... component of another hcpcs l code orthotic ...

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HCPCS
CODE

V2797 - Vis item/svc in other code

... component of another hcpcs vision code vision ...

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HCPCS
CODE

S0119 - Ondansetron 4 mg

... medicare statute use hcpcs q code ondansetron ...

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HCPCS
CODE

G9891 - Em session reporting

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HCPCS
CODE

U0005 - Infec agen detec ampli probe

... addition to either hcpcs code u0003 or ...

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HCPCS
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HCPCS
CODE

A4261 - Cervical cap contraceptive

A4261 Cervical cap contraceptive Cervical cap contraceptive ...

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HCPCS
CODE

A4266 - Diaphragm

A4266 Diaphragm Diaphragm Diaphragm for contraceptive use Di ...

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HCPCS
CODE

A4267 - Male condom

A4267 Male condom Male condom Contraceptive supply condom ma ...

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HCPCS
CODE

A4268 - Female condom

A4268 Female condom Female condom Contraceptive supply condo ...

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HCPCS
CODE

A4269 - Spermicide

A4269 Spermicide Spermicide Contraceptive supply spermicide ...

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HCPCS
CODE

A9280 - Alert device, noc

A9280 Alert device noc Alert device noc Alert or alarm devic ...

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