Posts tagged ‘m1307’

March 28, 2012

Don’t reverse those pressure ulcers!

I don’t know why I’ve had people ask me lately if you can reverse pressure ulcer stages for Stage I and II ulcers, but you can’t, and CMS has clarified M1324  in a recent Q&A.

CMS also clarified an M1307 question dealing with a pressure ulcer that progressed from Stage I to Stage II during the episode:

Question: If the patient had a Stage I pressure ulcer at SOC that progressed to a Stage II, how do we answer M1307 at discharge?
CMS Answer: If a patient had a Stage I pressure ulcer at SOC/ROC and it advanced to a Stage II by discharge, Response “1-Was present at the most recent SOC/ROC assessment” would be appropriate due to the fact that the ulcer, caused by pressure, was present at the most recent SOC/ROC assessment, even though it was a Stage I at that time.

Looking for more CMS answers?

January 4, 2011

V58.73 is the code for cardiac catheterization with a stent

How do you code a cardiac catheterization with a stent? Aftercare? V55?

A cardiac catheterization is not considered an ostomy, so do not use V55 codes. V55 codes are not used for temporary ostomies. i.e., openings, because V55 deals with permanent placements. Use V58.73 for aftercare of the circulatory surgery. A cardiac catheterization by cut down is considered a surgical wound so mark the surgical wound questions (M1340 and M1342) appropriately for status of healing on the OASIS. A cardiac catheterization by needle puncture is not a surgical wound so make sure to mark M1350 as yes. M1350 deals with a skin lesion or open wound that excludes ostomy or other wounds addressed in the M1300s of OASIS.

The instructions at M1350 state: Ostomies, other than bowel ostomies, (e.g., tracheostomy, thoracostomy, urostomy) ARE considered to be skin lesions or open wounds if clinical interventions (e.g., cleansing, dressing changes) are being provided by the home health agency during the home health care episode.

The other items that would be excluded from M1350: Pressure Ulcers or risk of pressure ulcers (M1300, M1302, M1306, M1307. M1308, M1310, M1312, M1314, M1320, M1322, M1324), stasis ulcers (M1330, M1332, M1334), surgical wounds (M1340, M1342).

December 7, 2010

Coding education in Vegas does not stay in Vegas!

Go back to your agency as a coder or administrator and share the information you learned at the Coding and Regulatory Symposium! Come to my two-day class focusing on recent coding changes, especially those impacting wounds and therapy, with a focus on regulations and how these changes impact the bottom-line of agencies.

January 27-28, 2011, Monte Carlo Resort and Casino in Las Vegas, Nevada
9:00AM -4:15PM each day

This class is appropriate for all levels of coders, plus administrators who want to learn more about how coding impacts revenues and operations.

Agenda Day 1

Morning focus: Regulatory Issues
9:00‐10:00  How Coding and OASIS Add to Your Case Mix Score
10:00‐10:45  Myths and Truths that Impact Therapy Coding
10:45‐11:00 Break
11:00‐11:30 Common Errors Impacting Your Payment and Outcomes
11:30‐12:00 ICD‐10 and the 2011 Change to the 5010 Format
12:00‐1:00 Lunch
Afternoon focus: Applying regulatory education to coding
1:00‐2:00  Sequencing and Coding Guidelines
2:00‐2:45  Interactive Coding Session
2:45‐3:00 Break
3:00‐4:15 Interactive Coding Session (continued)
4:15  Adjournment
Agenda Day 2
9:00‐10:30 Wound Care Coding: All Wrapped Up
10:30‐10:45 Break
10:45‐12:00 Interactive Coding Session
12:00‐1:00 Lunch
1:00‐2:30 How Jan. 1 PPS Changes Impact your Operations
2:30‐2:45 Break
2:45‐3:30 How to Support Your Coding and Appeal Downcoding
3:30‐4:15 Facts and Forward Thinking about ICD‐10‐CM and ICD‐10‐PCS
4:15 Adjournment

Coming to Vegas?

$49 a night! That’s the price we have arranged (plus $12.95 for a resort fee) for each night at the Monte Carlo!!

Looking for a registration form?

December 1, 2010

Come to the Home Care Coding and Regulatory Symposium

On Jan. 27-28, I will hold a two-day seminar on coding and its interactions with regulatory, OASIS and therapy issues. This is just a teaser … more to come soon!

It’s $385 for the first attendee; $350 for more than one attendee from your organization. And a quick note that it’s in Vegas at the Monte Carlo, and we’ve gotten rooms for less than $50 a night! Cheap hotel and great education!

Home Care Coding and Regulatory Symposium

Something for Everyone! Because coding affects or is affected by OASIS and regulatory changes, we focus on how the pieces work together, especially with recently enacted, and upcoming changes. The most current issues:

  • How 2011 PPS Changes Impact your Operations
  • Additional Changes Impacting Home Care in April 2011
  • How Coding and OASIS Add to Your Case Mix Score
  • How Coding Errors Impact your Payment and Outcomes
  • 2011 Change to the 5010 Format and ICD-10-CM Forward Thinking
  • Interactive Coding Sessions on both days—Send your most complex scenarios!
  • Wound Care Coding–All Wrapped Up
  • Myths and Truths that Impact Therapy Coding
  • How to Support Your Coding and Appeal Downcoding

More to come here and at www.selmanholman.com!

June 18, 2010

Pressure Ulcer Tool Updated!

Here is a pressure ulcer tool I created a while ago, and have now updated with OASIS and coding guidance.

My tool shows you OASIS and coding information broken down by stage (or if it is unstageable) of the pressure ulcer, whether it is closed, if there is a suspected DTI, or if the ulcer is with a skin graft or muscle flap.

The tools gives you OASIS guidance across M1306, M1307, M1308, M1310, M1312, M1314, M1320, M1322, M1324.

It also gives gives you the coding guidance for each situation.

Check out the pressure ulcer tool: pressure ulcersOASIS0610