Archive for 'ICD-10'
Posted on 23. May, 2013 by rpandit.
Be ready to signify the cause of the croup under ICD-10.
Coding for children with croup has always been fairly straightforward because ICD-9 offers just one diagnosis code for the condition, which is 464.4. Fortunately, when ICD-10 takes effect next year, you’ll get the benefit of a one-to-one conversion.
Croup results from inflammation around the patient’s larynx and windpipe, causing a bark-like cough in pediatric patients. Currently, you report 464.4 (Croup) for this diagnosis, but
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Posted on 09. May, 2013 by rpandit.
Descriptor won’t even change from 723.1 to M54.2.
Chronic neck pain is one of the most common complaints among patients who see a pain management specialist, and a simple one to code from a diagnosis standpoint. You report 723.1 (Cervicalgia).
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.” Note that M54.2 does not apply to cervicalgia due to intervertebral cervical disc disorder. For those situations, ICD-10 directs you to the M50 (Cervical disc disorders) code family.
Coding tip: (more…)
Posted on 25. Apr, 2013 by rpandit.
Highlight this character for the radioactive isotope.
When you prepare to report a radiology oncology procedure, you need to pay particular attention to characters 3-6, as these specify the radiation, treatment type, modality, and radioactive isotope.
Review Your Seven Digit PCS Structure
When reporting any ICD-10-PCS code, you have seven characters. You can break them down as follows:
Character 1 Section
Character 2 Body System
Character 3 Root Type
Character 4 Treatment Site
Character 5 Modality Qualifier
Character 6 Isotope
Character 7 Qualifier
For radiation oncology services, you can focus on the first character of “D,” because “D” stands for “radiation oncology.”
Specifically, the main focus of your character selection should be the following:
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Posted on 10. Apr, 2013 by rpandit.
I82.4 — Names Vessels for Lower Extremity Embolism/Thrombosis
That’s a change from 453.4x ICD-9 terminology.
Right now, knowing whether a lower extremity deep vein embolism or thrombosis is proximal or distal is all the information you need to fill out your claim forms. But that won’t be the case once you begin using ICD-10 in October 2014. To get ready for the change, you’ll need to train your surgeons to identify the specific vessel, if possible.
ICD-9 provides the following diagnosis codes for the condition:
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Posted on 28. Mar, 2013 by rpandit.
You’ll be checking the ‘J30.x’ section to find the right rhinitis code next year.
Although rhinitis cases are probably heating up now as spring approaches, your practice may see this diagnosis all year-round, so you’ll need to know how to report it when ICD-10 takes effect next year. Once again, careful and complete physician documentation will be necessary to support the ICD-10 code for this condition.
Rhinitis is inflammation of the nasal membranes characterized by a combination of the sneezing, nasal congestion, nasal itching, and rhinorrhea.
Posted on 11. Mar, 2013 by rpandit.
Fortunately, however, coding choices for this condition won’t expand dramatically.
Your otolaryngology practice probably sees patients with symptoms of strep throat every day, and this common illness is marked by pain and redness in the throat, potential fever, and sometimes a rash.
ICD-9 Coding Rules: When using the ICD-9-CM code set, you report 034.0 (Streptococcal sore throat) if the patient suffers from streptococcal sore throat. The ICD-9 manual also directs you to this code if the patient suffers from streptococcal tonsillitis.
ICD-10 Changes: Effective Oct. 1, 2014, you won’t have a simple catch-all code for streptococcal throat infections. Instead, ICD-10 will differentiate between streptococcal pharyngitis and streptocollal tonsillitis, as follows:
J02.0 (Streptococcal pharyngitis)
J03.00 (Acute streptococcal tonsillitis, unspecified)
J03.01 (Acute recurrent streptococcal tonsillitis)
Documentation: You should not report the strep throat diagnosis code unless your practice receives confirmation from a lab test (either rapid strep or throat culture) indicating that the patient tested positive for a streptococcal throat infection. If you don’t have a positive lab test confirming strep throat, you should simply report the diagnosis codes for the symptoms (such as sore throat, fever, etc.)
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Posted on 26. Feb, 2013 by rpandit.
Make sure your urologist gets specific in his documentation.
When your urologist performs an orchiopexy procedure, you’ll most likely use one of the following diagnosis codes along with the procedure code:
- 752.51 – Undescended testis (includes ectopic testicle)
- 752.52 – Retractile testis.
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Posted on 13. Feb, 2013 by rpandit.
Follow instructions to include code for current neoplasm and family history, too.
You can expect a direct crosswalk of a few ICD-9-CM codes to ICD-10-CM for reporting certain genetic susceptibility test results.
- V84.01, Genetic susceptibility to malignant neoplasm of breast
- V84.02, Genetic susceptibility to malignant neoplasm of ovary
- V84.03, Genetic susceptibility to malignant neoplasm of prostate
- V84.04, Genetic susceptibility to malignant neoplasm of endometrium
- V84.09, Genetic susceptibility to other malignant neoplasm
- Z15.01, Genetic susceptibility to malignant neoplasm of breast
- Z15.02, Genetic susceptibility to malignant neoplasm of ovary
- Z15.03, Genetic susceptibility to malignant neoplasm of prostate
- Z15.04, Genetic susceptibility to malignant neoplasm of endometrium
- Z15.09, Genetic susceptibility to other malignant neoplasm
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Posted on 23. Jan, 2013 by rpandit.
Avoid reporting this ICD-10 code with O00-O08.
A threatened abortion is a condition suggesting the patient may miscarry before her 20th week of pregnancy. This may be characterized by bleeding, cramping or pain, and/or cervical dilation. This condition should not be confused with spotting in pregnancy (ICD-9-CM code 649.5x), which is not classified as a threatened abortion.
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Posted on 10. Jan, 2013 by rpandit.
Follow one-to-one crosswalk.
Despite a major CPT® revamping of genetic test codes (see “81200-81479: Get Ready for Molecular Pathology Overhaul” in this issue), you won’t see a similar change for reporting those test results when you change to ICD-10 on Oct. 1, 2014.
In fact, you can expect a direct crosswalk of a few ICD-9 codes to ICD-10 for reporting a limited number of molecular pathology test results.
Don’t Identify Gene
ICD-9 provides the following limited codes to report some genetic test results: