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ICD-10 News: ICD-10-CM/PCS are now in effect in the USA. Claims for services performed on or after October 1st, 2015 should be coded using the ICD-10-CM or ICD-10-PCS coding systems.

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Coding Tip of the Day:

When coding be sure to clearly link the procedure code to relevant diagnosis codes.  Payers usually apply rules of "medical necessity" to reimbursement for treatment and procedures.  The rules for medical necessity are found in NCDs (National Coverage Determinations) and LCDs (Local Coverage Determinations) or in payer policies and procedures.

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