One of the significant coding changes with ICD-10-CM was including laterality within the code itself. This concept should help reduce billing errors and claim denials. Interestingly, CMS issued a statement regarding the reporting of laterality in their provider newsletter (emphasis added).

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The use of the 7th character used in certain chapters (e.g., Obstetrics, Injury, Musculoskeletal, and External Cause chapters).  However,  it is not used in every chapter and may have a different meaning depending on the section where it is being used.  One thing that is consistent, is that it must be used in the 7th character position (using the x place holder if necessary) when a 7th character applies and it is not used the code is considered invalid.

Use of 7th Characters by Chapter

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Body mass index (BMI) is used as a screening tool to a measure of a persons weight in kilograms by the square of height in meters.  With an individual’s body mass index (BMI) of 30 or higher Obesity is diagnosed.


Below 18.5

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Welcome ICD-10!

It is finally here, Now what? For all of our customers we want to offer some Mapping Instructions, and show you how to locate the correct code ICD-10 Codes with Find-A-Code and InstaCode Institute’s resources. Be sure you understand the structure of ICD-10 and what a complete code looks like. Instacode Institute has books available such as an ICD-10 Shortcut Guide and Specialty Code books to help you with your transition. Visit for more information on the resources offered for ICD-10-CM.

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A change in rules now allows every state to send all prescriptions electrically, including hydrocodone and morphine! Vermont was the last state to enact the updated administrative rules on Aug 28, 2015.

Read more here on the new rules that authorize e-RX of controlled substances. Check out the article by Fierce HealthIT

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