24-895m How You Code Vascular Conditions Impacts Risk Adjustment
Date: 10/18/24
Improve clinical documentation to support accuratecoding with tips for tests and treatments
Risk adjustment relies on complete documentation and coding to the highest level of specificity. Risk adjustment is used to predict changes in future medical costs to help meet the needs of patients.
A resource training guide is available to Medicare and Medicare D-SNP providers to assist in documenting and coding vascular conditions.
Inside the guide:
| Section title | What it includes... |
| Vascular diseases | Overview of vascular diseases, what it includes, how it affects the body, causation,and risks. |
| Impact on risk adjustment | Covers what is risk adjustment, why is it is important, Hierarchical Condition Category(HCC) mapping changes, and version 24 vs. version 28 category changes. |
| ICD-10-CM guidance | Explains ‘Excludes Notes,’ highlights of sections I and IV of the ICD-10-CM1 guide andshows examples of causal relationships. |
| Coding trends | Provides examples of coding to the highest specificity based on documentation, missedcoding opportunities and diagnosis not supporting the code(s). |
| Role of the provider | Discusses best practices for strategies to document a clear, concise and completedescription of a patient’s condition and what occurred during the visit – history versusactive conditions. |
1International Classification of Diseases, Tenth Revision, Clinical Modification
How to access the guide:
The Coding For Vascular Conditions Resource Training Guide (PDF) is available under Operational, Administrative and Value-Added Provider Trainings on our provider training page.
Questions?
Contact by email for more information. The CDI team offers complimentary services.
This information applies to Participating Physician Groups (PPGs).