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ICD-10-CM/PCS Guideline Updates & Changes: 2025
In case you missed the Harmony Healthcare sponsored webinar on the FY2025 ICD-10-CM/PCS updates, this article will summarize some of the salient points for you. You can also view the webinar recording. ICD-10-CM Updates and Changes for 2025 Let’s start out with coverage of the guideline changes. For ICD-10-CM, the biggest change was the introduction of new guideline I.C.4.a.1.a which addresses presymptomatic type 1 diabetes mellitus. Coding professionals are directed to use a code from E10.A- for early-stage type 1 diabetes which is before the symptoms begin. This also introduces one of the code changes for ICD-10-CM effective October 1,…
OIG Report Uncovers Potential Fraudulent Payments for High-Risk Diagnoses
The October 2024 Report on Health Risk Assessments from the Office of Inspector General (OIG) uncovered potential fraudulent payments for high-risk diagnoses. Health Risk Assessments (HRAs) are utilized as part of the Annual Wellness Visit with a healthcare professional. HRAs are intended as a self-reported assessment included in the reconciliation during office, home, and telemedicine visits. Their purpose is to support providers in developing prevention plans to improve health status and delay the onset of chronic disease. Concerns Arise from New OIG Report In the OIG’s Office of Evaluation and Inspections report, concerns were raised about: The appropriateness of risk-adjusted…
WEBINAR: 2025 CM/PCS Changes for ICD-10
Calling all IP/OP coders! Please join us for a free Webinar surrounding the 2025 CM/PCS Changes for ICD-10. Attendees will learn about relevant guidelines changes, new codes, and pertinent note updates. Discover the new ICD-10-CM codes that cover obesity, hypoglycemic levels, pulmonary embolisms, and fistulas. The ICD-10-PCS component will cover lymphatic bypass procedures, new breast reconstruction procedure, two new filtration procedures, among other topics. Take 90 minutes to explore these code updates in advance of the October 1st effective date. Learning Objectives: Recognize new guideline changes Learn new codes Understand pertinent note updates Discover new ICD-10-CM codes covering: Obesity Hypoglycemic…
