Gear Up For Cardiology Coding Guidelines 2019

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Gear Up For Cardiology Coding Guidelines 2019
Youd be facing e a whole slew of cardiology
coding and reimbursement changes in 2019 and if
the preview of the ICD-10-CM updates has given
you the clue of the awaiting changes, you should
know that there are a lot of new, deleted, and
revised codes to know. CMS is proposing huge
changes for EM codes that impact your
reimbursement and documentation get the tools
to be well-informed for the coming year. With
new ICD-10-CM codes for 2019 coming your way, MBC
has tried its best dive into the details. In the
past, we have seen a great deal of ICD-10 code
updates specifically speaking about 450 code
changes along with 320 new additions, 172 coding
revisions, and 48 codes converted to their
respective parent code. The notable add-ons
include new codes to define misuse of children
and adults and to address the increase in human
trafficking cases, as well as new codes that
expand the T81.4- sub-category for infected
surgical wounds which will be accommodating in
reporting the depth of infection.
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Gear Up For Cardiology Coding Guidelines 2019

• The New Cardiology Code Updates For 2019
• However there were minimal changes affecting
  cardiology, its always advisable to review
  changes relevant to your cardiology specialty.
• Cerebral Infarction Additions
• Category I63- Cerebral infarction will be the one
  added to the below-mentioned codes
• I63.81 Other cerebral infarction due to
  occlusion or stenosis of the small artery. This
  code will also include lacunar infarction.
• I63.89 Other c000erebral infarction
• The New Subcategory Under Category I67-
• Category I67- Other cerebrovascular diseases will
  add the new subcategory I67.85- which is
  Hereditary cerebrovascular diseases to your
  coding arsenal.

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Gear Up For Cardiology Coding Guidelines 2019

• Under this subcategory, below mentioned are the
  new codes
• I67.850 Cerebral autosomal dominant
  arteriopathy with subcortical infarcts and
  leukoencephalopathy. This diagnosis will also
  include CADASIL.
• I67.858 Other hereditary cerebrovascular
  disease
• Under I67.850 i.e. other cerebrovascular diseases
  theres a new code which instructs you to report
  any associated diagnoses. This includes epilepsy
  and recurrent seizures G40 - cerebral
  infarction I63.- and vascular dementia F01.-.
• Some of the New Miscellaneous Cardiology Code
  Revisions
• I22.8
• Subsequent posterior true transmural Q wave
  myocardial infarction

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Gear Up For Cardiology Coding Guidelines 2019

• T46.4X
• Angiotensin-converting-enzyme inhibitors
• T81.11
• Post-procedural cardiogenic shock
• T81.11XA
• Post-procedural cardiogenic shock, initial
  encounter
• T81.11XD
• Post-procedural cardiogenic shock, subsequent
  encounter
• T81.11XS Post-procedural cardiogenic shock, the
  sequel