Diagnosis Codes No Longer Eligible for Co-Morbidity Payment Adjustment

Two ICD-9-CM diagnosis codes are no longer eligible for a co-morbidity payment adjustment under the End-State Renal Disease Prospective Payment System, according to a release by the American Association of Professional Coders.

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Diagnosis codes 484.6 Pneumonia in aspergillosis and 484.7 Pneumonia in other system mycoses have been removed from the bacterial pneumonia co-morbidity category, effective Jan. 1. According to the release, they didn’t belong in the category in the first place.

ESRD facilities are expected to identify claims receiving payment adjustments for these codes and adjust claims accordingly within the filing period, according to the AAPC report.

Read the AAPC report on co-morbidity diagnosis codes.

Read more on coding:

CMS Clarifies KY Modifier Use

Some Carriers Rejecting Claims That Use PT Modifiers CMS Says

AAPC Editorials Disagree on Effectiveness, Necessity of ICD-10

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