As of Oct 1st Medicare requires more specificity for ICD9 codes for dementia, sometimes involving a “partner” code.
We are questioning whether the 485 needs to be redone back to the beginning of the cert period that Oct 1st resides in for all the dementia patients affected .
I have searched high and low for the answer to that question with no success. Logic tells me that the dementia code which was accepted and legal at the beginning of the cert or election need not necessitate a new 485 back to that date,
when the only change required is a mandated revision for the same essential diagnosis.
I know that logic and medicare are two separate entities.
Does anyone out there have an answer for this question?
Steve Hotvedt
Healthpartners Hospice and Palliative Care
steve.w.hotvedt@healthpartners.com
Phone: 651-415-4015
Fax: 651-415-4010