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Watch out for coding updates to a dozen national coverage determinations (NCDs), including big-ticket items such as mammography, to ensure your claims continue to get paid as ICD-10 turns one in October.

CMS said in an April 13 provider call that to bill advance care planning (ACP) without a preventive service, you need to show the service is “relevant to the patient’s disease state,” which would seem to mean it requires a diagnosis code.

Coders got their first look March 22 at the 2,670 proposed ICD-10-CM code changes that take effect Oct. 1, 2016, which were issued by the Centers for Disease Control and Prevention (CDC) in a text file on its website. The final code changes will be posted on the CDC’s website later this year.

National Government Services has made it a bit easier to report trigger points injections. A February update to its pain management LCD adds 17 codes to the list of diagnosis codes that support medical necessity.
Remember your ABKs (and Fs) when you submit electronic claims for services performed on or after Oct. 1.

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