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AMA Bookstore News, Dec. 13, 2011

Product Showcase

Advanced Anatomy and Physiology for ICD-10-CM/PCS:
Developed with the medical coder in mind, this brand-new title introduces the ICD-10-CM and PCS systems, identifies their differences and provides an advanced understanding of anatomy, body systems and disease processes. The ICD-10 code set will require more accuracy and understanding of human anatomy and physiology to code appropriately, Advanced Anatomy will help you prepare.

Principles of ICD-10-CM Coding:
The transition to ICD-10-CM will impact all physician practices. With an increased number of codes, along with enhanced code specificity, the transition will require a significant amount of planning and training. Designed for use by both the self-learner and in-class student, this educational ICD-10 coding resource instructs on how to make the correct decision when selecting diagnosis code(s) using the new coding system. Written for all skill levels, from basic to advanced, Principles of ICD-10-CM Coding provides examples of "real-life" chart notes to enhance understanding, and provides the tools needed to confidently move from ICD-9-CM to ICD-10-CM.

Principles of ICD-10-CM Coding Workbook:
Principles of ICD-10-CM Coding Workbook is the perfect companion for learners in either school, or independent study programs. Each chapter begins with a brief introduction, followed by the exercises and case studies corresponding to chapters in the ICD-10-CM codebook. Other highlights include:

  • Chart notes—code directly from complete chart notes from medical records that use the ICD-10-CM coding system
  • Case studies—more than 150 real-life case studies with full chart notes help build skill and proficiency
  • Chapter exercises—hands-on exercises for each case using fill-in-the-blank questions including answers with rationales
  • Organized by ICD-10-CM specialty—allows the user to follow along with the ICD-10-CM codebook

The product showcase featured in AMA Bookstore News changes with each edition. This offer is only valid until Jan. 10, 2012.

Now available! Principles of ICD-10-CM Coding and Principles of ICD-10-CM Coding Workbook

The timely availability of Principles of ICD-10-CM Coding and Principles of ICD-10-CM Coding Workbook coincides with the recent Department of Health and Human Services (HHS) proposed implementation of the ICD-10-CM code set for reporting healthcare diagnoses and inpatient procedures currently used in other nations. It is important to understand the basic coding principles of this classification system. Principles of ICD-10-CM Coding outlines the code set content format including the use of the various tables, placeholder characters, punctuation, etiology and manifestation conventions, abbreviations, coding rules, specific instructional notes (including coding tips) and the index of diseases and injuries. This ICD-10-CM codebook and companion workbooks  is divided into the following seven sections:

  1. ICD-10-CM Conventions
  2. ICD-10-CM Official Guidelines for Coding and Reporting
  3. Index to Diseases (Alphabetic Index)
  4. Neoplasm Table
  5. Table of Drugs and Chemicals
  6. ICD-10-CM Index to External Causes
  7. Tabular List by Chapter and Disease Classification

Each chapter follows the alphanumeric structure and function of all ICD-10-CM disease categories as well as expanded external causes of injuries and poisonings.  To build ICD-10-CM diagnosis coding skill, a companion workbook is also available. The workbook is a review of chapter-specific coding rules with corresponding case studies, and rationales for reporting outpatient services.  Shop now.

The road to EHR starts here

Learn about EHR implementation from the experts with AMA's latest edition of EHR Implementation: A Step-by-Step Guide for the Medical Practice, Second Edition. Carolyn Hartley and Ed Jones guide readers through the evaluation of, selection of and transition to an electronic environment.  Read more.

HCPCS 2012 Level II codebook shipping soon. More than 430 changes.

The Centers for Medicare & Medicaid Services (CMS) released, Oct. 31, the HCPCS Level II codes that go into effect Jan. 1, 2012. Changes include 285 code additions (including one new modifier), 48 revisions and 75 deletions. Another 18 codes were added and eight deleted throughout 2011.

Level II modifier PD Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days has been added to help hospitals identify those services that fall within the Medicare “3-Day Payment Window.” The policy requires a hospital to combine the charges and appropriate codes for any outpatient diagnostic and “related” non-diagnostic services (other than ambulance and maintenance renal dialysis) provided within the three-day period immediately preceding an inpatient admission.

As in years past, many C and Q codes have been deleted and replaced by new J codes. A handful of C codes have been added for 2012, including C9287 for the lymphoma drug brentuximab vedotin and C9366 for the membrane/skin allograft EpiFix®. There are fewer than a dozen new drug/supply Q codes for 2012. Among them are Q0162 for the anti-nausea drug ondansetron, Q2043 for sipuleucel-T, a therapeutic vaccine for prostate cancer, and nine new codes (Q4122-Q4130) for skin substitutes such as Dermacell®, Alloskin™ RT, and Talymed™.

A series of E codes (E0988, E2358-E2359, and E2626-E2633) newly describe various accessories (e.g., batteries, arm supports) for manual and power wheelchairs. Four new K codes (K0743-K0746) have been added for home suction pumps and supplies for wound healing (i.e., negative wound pressure therapy).

G codes for telehealth consultations (G0425-G0427) have been revised to apply both to initial and emergency department services.

The largest number of changes (209 additions, 27 revisions, and 28 deletions) affects those G codes used to report quality indicators for the Physician Quality Reporting System (PQRS).

Comply with coding regulations, ensure proper reimbursement and confidently locate information on specific codes, manage supply reimbursement, report patient data, code Medicare cases, and more. AMA HCPCS 2012 Level II Professional Edition is shipping this month! Pre-order your copy today.

Preparing for ICD-10-CM: GEMs files

GEMs stand for General Equivalence Mappings. GEMs are formatted as a flat text file in which each file contains a list of code pairs that identify the correspondence between a source system code and a target system code. Practices can obtain GEMs files from the Centers for Medicare and Medicaid Services. Learn more about GEMs files and other ICD-10-CM related information with Preparing for ICD-10-CM: Make the Transition Manageable.

Coding Q&A—Category III codes

Question: The patient had a transforaminal epidural injection in the sacrum using ultrasound guidance. What is the appropriate code to report?

Answer: For CPT 2011, a new Category III code was established, code 0230T, Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with ultrasound guidance, lumbar or sacral; single level, for reporting injections at the lumbar and sacral level using ultrasound guidance.

Get the CPT Assistant Newsletter for more coding Q&A, tips and interpretations!

What is the CPT errata and why do I need it?

The definition of errata is a list of corrected errors appended to a book or published in a subsequent issue of a journal. At the close of every production cycle for the CPT® code set, AMA publishes an errata—also known as a corrections document—and makes it readily available to all via the AMA CPT website and amabookstore.com. Creation of this document occurs every year, and the errata is updated continually throughout the year as needed.

The information contained in the errata is the result of the continued review of the CPT code set by AMA staff as well as other users and reviewers.

Typically, the corrections detailed in the errata regard such issues as typographical errors, misspellings, transposed numbers, and missing punctuation. Occasionally, the CPT Editorial Panel may issue a revision to clarify proper implementation of a code or guideline.

All corrections in the errata are ultimately included and published in the CPT code set for the following year.

Quarterly updates to CodeManager and monthly updates to CodeManager Online include the corrections featured in the errata, ensuring that the most up-to-date information is available to subscribers.

Author Spotlight

Meet Carolyn Hartley,  co-author with Ed Jones of EHR Implementation: A Step by Step Guide for the Medical Practice, Second Edition. 

“EHR implementation today is not as much the wild ride it once was, but without a great project manager, the practice can still take a productivity hit,” states Carolyn Hartley, MLA. “Our second edition of EHR Implementation—designed for practices, clinics, and hospitals managing practices—updates hundreds of lessons we learned during the last five years and presents them as spreadsheets, check lists, and tested tips for managing the myriad of details. With the emergence of ARRA, meaningful use, certification, the 5010, and EHR mobility, I think perhaps everything but three paragraphs are new to this second edition.”

EHR Implementation, Second Edition, marks Hartley’s 11th published title with AMA.

In 2001, Hartley founded Physicians EHR, Inc, a company that manages training, selection, implementation, workflow evaluation, and process redesign for front to back office operations and all clinical aspects of data migration. As president and CEO, she was selected by Westat and Booz Allen Hamilton to be a subcontractor for the Office of the National Coordinator (ONC), providing advice and expertise to ONC’s 62 Regional Extension Center leaders, many of whom are featured in the book. She also serves as a course designer and instructor for ONC’s EHR Implementation Boot Camp.

Physicians EHR can be followed on Twitter (@PhysiciansEHR) and Facebook or join its LinkedIn group page EHR Implementation Network (EHRIN).

Free webinar! CodeManager® Online: Elite

The CodeManager® Online: Elite webinar is a free, one-hour product demonstration designed to show coding professionals the most accurate and efficient way to research and code medical claims. Register yourself—or your entire office—today and find out why CodeManager Online: Elite is the AMA's premier, web-based coding and payment reference tool.

Attendees also have the opportunity to submit questions during a Q&A session at the end of the webinar.

Register or access an archived CodeManager® Online webinar

Catastrophe strikes. Safety first.

Mass fatality events such as motor vehicle incidents, natural disasters, pandemics or deliberate attacks present many challenges for individuals and communities.  Planning and preparing for potential catastrophic events will result in better response outcomes. Recognize the importance of training and coordination to protect yourself and your community. Death in Large Numbers can provide you with the needed resources and much more.