Proposed 2020 ICD-10-CM codes include new codes for deep tissue damage, facial bone fractures, blood clots

Source: Home Health Line
Coders will have new ICD-10-CM codes to report pressure-induced deep tissue damage, acute versus chronic embolism and thrombosis and fractures of the facial bones around the eye, among other changes.
All told, 273 codes are proposed to be added, 30 codes revised and 21 invalidated in the ICD-10-CM code set for fiscal year 2020. The code changes, once finalized, would take effect Oct. 1, 2019.
CMS issued the proposed lists of new, revised and …

Palmetto GBA provides updates on TPE

Source: Home Health Line
by: Josh Poltilove
Medicare Administrative Contractor Palmetto GBA has posted Q&As from its recent teleconference on targeted probe-and-educate (TPE) reviews.
Among other things, Palmetto leaders addressed when it will reach out to providers with questions.
Palmetto encouraged agencies to include the name of their designated contact person when responding to additional documentation requests (ADRs).
“Not all providers will receive a call during the review process,” Palmetto officials note. “The medical reviewer will only reach out during …

CMS releases April quarterly OASIS Q&As, new GG items again dominate guidance

Source: Home Health Line
by: Kirsten Dize
In the second set of quarterly OASIS Q&As that CMS issued since the revised assessment took effect Jan. 1, items new to OASIS-D again took center stage.
CMS posted the Q&As on April 15.
The release includes 15 questions and answers, 14 of which deal with items new to OASIS-D. The guidance applies to GG0110 (Prior device use), GG0130 (Self-care), GG0170 (Mobility), J1800 (Any falls since start of care (SOC)/resumption of care …

Educate clinicians about M1820, an item affecting functional points under PDGM

Source: Home Health Line
Ensure clinicians have proper training about how to respond to the OASIS-D item involving patients’ ability to dress their lower body safely.
M1820 (Ability to dress lower body) is one of six OASIS items that affect functional case-mix adjustment under the PPS, and it will be one of eight items that affect functional case-mix adjustment when the Patient-Driven Groupings Model (PDGM) launches on or after Jan. 1, 2020.
The eight OASIS items affecting …