Archive for 'ICD-10'
Effortlessly Transition to Mild Pre-Eclampsia Diagnoses in 2014 Your ob-gyn needs to start documenting the pre-eclampsia severity.
Posted on 27. Nov, 2013 by rpandit.
Pre-eclampsia is a condition where hypertension occurs during a patient’s pregnancy along with significant amounts of protein in the urine. This is the most common dangerous pregnancy complication, and it may affect both the mother and the unborn child.
Currently, you should report this condition with these ICD-9-CM codes:
- 642.40, Mild or unspecified pre-eclampsia as to episode of care
- 642.41, Mild or unspecified pre-eclampsia with delivery
- 642.42, Mild or unspecified pre-eclampsia with delivery with postpartum complication
- 642.43, Mild or unspecified pre-eclampsia antepartum
- 642.44, Mild or unspecified pre-eclampsia postpartum
T86.1_Expands Kidney Transplant Rejection Code Options 996.81 won’t find a direct equivalent in ICD-10.
Posted on 12. Nov, 2013 by rpandit.
If your lab monitors immunosuppressant drug levels for patients undergoing a procedure, such as kidney transplant, that results in rejection you’ll have many more specific code options when ICD-10 goes active on Oct. 1, 2014.
Currently, you would report a kidney transplant rejection as 996.81 (Complications of transplanted kidney).
But under ICD-10, you’ll have five codes to choose from when reporting complications of a kidney transplant, as follows:
- T86.10 — Unspecified complication of kidney transplant
- T86.11 — Kidney transplant rejection
- T86.12 — Kidney transplant failure
- T86.13 — Kidney transplant infection
- T86.19 — Other complication of kidney transplant.
Posted on 23. Oct, 2013 by rpandit.
Question: What should we be doing now to prepare for the ICD-10 transition?
Answer: Your ICD-10 preparations should be focusing on both coding training and process changes at this point.
Don’t wait until the last minute to get started with training. If you’re unsure of where to start, get an ICD-10 book and begin browsing the codes to get a feel for them and their format. You may be surprised at the similarities to ICD-9. Many coders are happy to find that the new code system isn’t as scary as they feared.
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Posted on 09. Oct, 2013 by rpandit.
Question: Our patient has a principal diagnosis of congestive heart failure (CHF). She also has coronary artery disease (CAD), hypertension (HTN) and emphysema. She is using oxygen intermittently. How should we code for her?
Answer: List the following diagnoses for this patient:
- 428.0 (Congestive heart failure, unspecified);
- 492.8 (Other emphysema);
- 401.9 (Unspecified Essential hypertension);
- 414.00 (Coronary atherosclerosis; of unspecified type of vessel, native or graft); and
- V46.2 (Dependence on supplemental oxygen).
Your patient’s principal diagnosis is CHF, you don’t have additional details about this diagnosis, so 428.0 for CHF unspecified is your first-listed code.
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Posted on 25. Sep, 2013 by rpandit.
Hint: Use separate code when you clinician diagnoses anal and rectal abscesses.
When your family physician diagnoses an abscess in the anorectal area, you’ll need to delve deeper into documentation to check the location of the abscess to report it accurately using ICD-10 codes.
When your family physician arrives at a diagnosis of an abscess in the anal and/or rectal area, you will have to report it with 566 (Abscess of anal and rectal regions) when using ICD-9 codes. Remember that the same code is used, regardless of the location.
Select From 5 Codes Depending on Abscess Type
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Posted on 10. Sep, 2013 by rpandit.
ICD-10 keeps 3 code choices for you.
When your anesthesiologist is involved with a case to correct an umbilical hernia, you start your diagnosis selection by verifying the presence or absence of obstruction or gangrene.
ICD-9: You currently have three code choices for umbilical hernia:
- 551.1 (Umbilical hernia with gangrene)
- 552.1 (Umbilical hernia with obstruction)
- 553.1 (Umbilical hernia without obstruction or gangrene).
ICD-10: When you begin using ICD-10 codes on Oct.1, 2014, the base code for a diagnosis of umbilical hernia will change to K42 (Umbilical hernia).
Posted on 22. Aug, 2013 by rpandit.
Prepare to distinguish between pacemaker battery and other parts.
ICD-10 will require you to be a little more specific about coding pacemaker adjustment encounters, but you should have an easier transition to coding automatic implantable cardiac defibrillator (AICD) encounters.
V53.31, Fitting and adjustment of cardiac pacemaker
V53.32, Fitting and adjustment of automatic implantable cardiac defibrillator
V53.39, Fitting and adjustment of other cardiac device
Posted on 12. Aug, 2013 by rpandit.
Expect more detail for wound type, location.
If you thought ICD-9 provided a lot of granularity for reporting open wounds, think again. You won’t believe the detail you’ll need to document when ICD-10 goes into effect on Oct. 1, 2014.
Describe Cut’s Nature
Although the ICD-9 codes primarily use the terms “open wound” or “laceration,” you’ll need to have more information to describe the wound under ICD-10. For instance, the ICD-10 codes often distinguish laceration, puncture wound, and open bite using different codes.
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Posted on 30. Jul, 2013 by rpandit.
Term swap: ICD-10 uses ‘depolarization’ instead of ‘beats.’
Many Part B practices see patients with premature heartbeat disorders, so you may have those diagnosis codes at the top of your mind. But in your preparations for ICD-10, pay attention to two key premature beat coding changes to ensure clear sailing for your claims.
- 427.60, Premature beats unspecified
- 427.61, Supraventricular premature beats
- 427.69, Other premature beats
- I49.1, Atrial premature depolarization
- I49.3, Ventricular premature depolarization
- I49.40, Unspecified premature depolarization
- I49.49, Other premature depolarization
Posted on 16. Jul, 2013 by rpandit.
ICD-9 and ICD-10 codes share a common descriptor.
Chronic pain the neck is a common diagnosis you may be reporting. The good news is that ICD-10 transition will offer no additional challenges for reporting neck pain. You’ll have a simple one-to-one match in ICD-10.
When your surgeon makes a diagnosis of chronic neck pain, you report 723.1 (Cervicalgia) in ICD-10. Your choice will remain simple in ICD-10, when you’ll make an easy switch to M54.2 (Cervicalgia). Diagnosis M54.2 falls under the category “Other Dorsopathies; Dorsalgia.”
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