Author Archives: Jessica DeLeon

Clinical Drug data, which includes Min Max Dosing, Diagnosis Codes, and Age and Gender data, tends to be overlooked on medical drug claims. Health Plans will primarily analyze and review coding and pricing errors because they are directly connected to pricing and their bottom line. However, clinical errors on claim forms can be just as costly. […]

It has been 4 years since the last major update to the ICD-10-CM code set due to a partial code freeze. For the 2017 fiscal year (effective October 1, 2016 – September 30, 2017), there are now 71,486 ICD-10-CM codes and that includes 1,974 new codes, 425 revised codes and 311 deleted codes. ICD-10-CM codes […]

In the last Coding 101 blog that focused on HCPCS codes we discussed that there are 2 divisions of the code set into level I and level II. That focused on level II codes, in this blog we’ll discuss HCPCS Level I codes, also known as CPT® codes, short for Common Procedural Terminology. CPT® codes […]