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ICD-10 coding is challenging in and of itself, but with combination codes specifically, there are several guidelines and standards regarding which codes can be used—and which cannot—as well as quarterly updates from the American Hospital Association’s Coding Clinic that provide detailed instructions on how to properly apply the codes. When it comes to providers, some …
FAQ icd-10 combination codes blog
What is an ICD-10 combination code?
ICD-10 combination codes allow payers to report a single code which includes multiple characteristics of the diagnosis. According to the ICD-10-CM Official Guidelines for Coding and Reporting FY 2019, a combination code is a single code used to classify:
Can a combination code be used for multiple diagnosis?
ICD-10 guidelines state that multiple diagnosis codes should not be reported when a single combination code clearly identifies all aspects of the patient’s diagnosis. If the combination code lacks necessary specificity in describing the manifestation or complication, an additional code should be used as a secondary code.
What are combination codes and how do they work?
One of the changes is the addition of combination codes. A combination code is a single code used to classify two diagnoses, a diagnosis with an associated secondary process (manifestation) or a diagnosis with an associated complication.
How many new ICD-10 codes were made this year?
With 363 new codes, 142 deletions, and 226 code revisions made to the ICD-10 code set this FY, diagnostic coding has become even more challenging. As medical coding service providers know, knowing how to use combination codes is a key aspect in reducing the complexity of ICD-10 coding.
ICD 10 Combination Codes
When to use COMBINATION CODES in ICD 10 coding
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