Wound Care Billing Guidelines 2019

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Wound Care Billing Guidelines 2019
Not only is wound coding and documentation is a
daunting task, but also attracts intense
inspection from auditors, with severe financial
penalties for mistakes. And its only gotten more
challenging with the new ICD-10 changes. What is
included in the wound care billing guidelines
2019? An infected surgical wound, T81.4xxA, is
among those 51 codes that are set to be
deleted. Now the coders will have only 15
additional codes added to an expanded T81.4-
subcategory. This will give accurate reporting of
the depth of the infection. For instance, the
coders will have the knack to specify whether the
surgical wound infection is affecting the
superficial incision surgical site i.e. T81.41-,
the deep incisional surgical site i.e. T81.42-,
or the organ and space surgical site i.e.
T81.43-. In wound care billing guidelines 2019
other surgical site and unspecified options are
also available i.e.T81.49- as well as
T81.40-. The new wound care billing guidelines
codes T81.41-, T81.42- and T81.43- will receive
additional inclusion terms to help guide coders
to the appropriate code choice. Subcutaneous
abscess following a procedure and Stitch abscess
following a procedure will be sited at T81.41-.
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Wound Care Billing Guidelines 2019
Three new codes have been included in 2019
ICD-10-CM to uniquely capture post procedural
sepsis, T81.44- i.e. Sepsis following a
procedure, with seventh character options A, D,
or S.  Furthermore, the tabular instruction to
use additional code to identify the sepsis is
added to the new post procedural sepsis code
T81.44. Moreover, many of the new codes added to
the 2019 ICD-10 code set are external cause codes
to be used to describe exploitation of children
and adults in the form of psychological abuse,
forced sexual exploitation, bullying, or labor
exploitation. This includes T76.51xD i.e. adult
forced sexual exploitation, suspected, subsequent
encounter and Z91.42 i.e. Personal history of
forced labor or sexual exploitation. It is
important that all coding professionals review
the changes to 2019 ICD-10-CM to ensure they do
not experience rejected claims and a potential
loss to cash flow. MBC will be providing valuable
information about 2019 ICD-10-CM to help you
ensure coding accuracy and safeguard your
agency. Click here for more information and to
register. Are you all set for the new wound care
billing guidelines changes? MBC certified medical
billing and coding experts will. MBC offers
thorough home health and hospice coding services
performed by experienced coders at an affordable
price. MBC serves as an extension of your team
and work hard to optimize cash flow for your
agency.