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CE Articles
Clarify ICD-10-CM coding for common ocular conditions
Review ICD-10-CM codes for age-related macular degeneration and glaucoma and the 2021 updates to Chapter 7 of the ICD-10-CM manual, “Diseases of the Eye and Adnexa.”

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Coverage, billing, and payment for blood products and related services under Part B
Medicare’s rules for reporting blood products and applying the Part B blood deductible can be confusing. Judith L. Kares, JD, writes about unique HCPCS reporting and billing rules for blood products and related services reimbursed under the OPPS.
Code and fee preview: Take a first look at CPT code changes coming your way in 2021
Familiarize yourself with notable code updates in the 2021 Medicare Physician Fee Schedule (MPFS) proposed rule, including new E/M reporting guidelines and CPT® codes for lung biopsies, auditory testing, and chronic care management.
Healthcare News: 2021 QPP proposals delay transition to MVP model, add over 100 quality measures
The 2021 MPFS proposed rule, released August 3, introduces new policies under the Quality Payment Program (QPP) including plans to delay implementation of the Merit-based Incentive Payment System Value Payment (MVP) model and introduce 108 new quality measures.
Q&A: Using modifier -59 to bypass a procedure-to-procedure edit
Q: Can modifier -59 (distinct procedural service) be used to bypass the NCCI edit that bundles CPT codes 11055 for lesion removal and 11721 for nail debridement?
 

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SelectCoder Tip of the Week

Coders should only assign ICD-10-CM code M32.0 (drug-induced systemic lupus erythematosus) when the documentation clearly confirms that the systemic lupus diagnosis is secondary to the effects of a drug. An additional code from categories T36-T50 should be used to identify the drug.

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