October 1 Deadline: No More Unlisted Codes

Be Ready with these ICD-10 Quick Tips

News | Published: Thursday, September 29, 2016 4:30 am

by MedAxiom


The CMS grace period for unlisted codes ends on 10/1/2016. This means that Medicare will no longer accept unspecified codes when the documentation supports a more specified diagnosis. Don’t panic—here are some quick tips for documentation:

  1. Acute Myocardial Infarction (AMI) - Documentation should state which wall and which vessel the AMI occurred.
  2. Congestive Heart Failure (CHF) – Documentation should state if CHF is diastolic or systolic or both and whether or not it is Acute, Chronic, or Acute on Chronic
  3. Coronary Artery Disease – Documentation should include whether or not the patient also is experiencing angina and what type of angina.  Whether the vessels are native or if they are bypass grafts.
  4. Also laterality should be specifically documented.
  5. Medicare will still accept unspecified if the physician truly does not have a more specific diagnosis; however as soon as specificity can be determined, future charges should reflect the specified code.


Need more help? Check out these ICD-10 Resources:

Re-cap BOCN ICD-10 Updates and Proposed Changes Webinar Recording: https://www.medaxiom.com/resource-center/financial-management/re-cap-bocn-icd-10-cm-updates-and-proposed-cardiovascular-coding-changes/?back=ResourceCenter#rc-top

The ICD-10 Home Stretch Webinar Recording: https://www.medaxiom.com/resource-center/financial-management/the-icd-10-home-stretch-where-you-should-be-and-how-to-get-there/?back=ResourceCenter#rc-top

2016 Clinical Documentation/E&M Remote Workshop: https://www.medaxiom.com/resource-center/financial-management/2016-clinical-documentation-e-m-remote-workshop/?back=ResourceCenter&membergroup=MedAxiom%20Staff&referrer=curbano%40medaxiom.com#rc-top


This site uses cookies to improve your experience.

By continuing to use our site, you agree to our Cookie Policy, Privacy Policy and Terms of Use.