There are many orthopedic conditions that can be classified as acute or chronic. In some cases the CPT coding is also affected by this. With the expansion of diagnoses codes in ICD-10-CM, due to specificity, it is even more important that the appropriate code is chosen.
This session by Lynn Anderanin, CPC, CPC-I, COSC, will review many of the common orthopedic conditions that can be acute or chronic and assist in sorting out not only what makes something acute or chronic but creates an understanding of what documentation is needed to justify the diagnosis code.
Diagnosis coding for acute and chronic conditions is nothing new to coders; however, in ICD-10 it is taken to a whole other level to accommodate the specificity used in ICD-10. Acute conditions will be found in a different chapter in ICD-10 than chronic, and it is important to report the appropriate ICD-10 codes in order to have a smooth process for a medical claim. On a CMS-1500 claim form, the form submitted to the insurance company for payment, there is a section that is required to be completed for acute conditions. If that information is not filled out, the claim will not be paid but denied. We also do not want to assign acute conditions to patients if they do not have one. In orthopaedics, many chronic conditions are of a degenerative nature and happen over time, which would be the responsibility of the medical insurance insurer.
Who should attend: Orthopaedic surgeons, non physician providers, coders, collections staff, surgery schedulers, practice managers/administrators.
Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics. Lynn is currently a workshop and audio presenter. She is a former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served...
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