Archive for 'ICD-10'

Your ICD-10 Deadline Just Got Pushed to 2015 Experts say you shouldn’t fall into this “stop preparing” pitfall.

Posted on 08. Apr, 2014 by .

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The entire healthcare community has been abuzz this month about the Protecting Access to Medicare Act of 2014. In a move designed to avert the 24 percent pay cut your practice was due to face on April 1, Congress introduced this bill — but the resulting temporary fix also included an ICD-10 delay buried in the text.

Take a look at what you need to know to keep your practice up to date.

Check Out the ICD-10 Changes

Mentioned about one-third of the way into the 121-page bill is a short paragraph that states, “The Secretary of Health and Human Services may not, prior to October 1, 2015, adopt ICD–10 code sets as the standard for code sets.” This means that since the bill has been signed into law, ICD-10 will be delayed for at least another year beyond the scheduled Oct. 1, 2014 implementation date. (more…)

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ICD-10 Brings 3 Times More Recurrent Shoulder Dislocation Diagnoses Don’t miss these Excludes2 notes.

Posted on 25. Mar, 2014 by .

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Patients suffering from recurrent dislocation of the shoulder have repeated partial or total separation of the head of humerus from the glenoid cavity.

Currently, you should report 718.31 (Recurrent dislocation of joint of shoulder region).

However, your options expand after October 1. You will have instead: (more…)

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Brace Yourself For More Than One Option For Reporting Acute Laryngitis in ICD-10 Don’t forget to take into account the number of conditions the code will represent.

Posted on 12. Mar, 2014 by .

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Although the descriptor to acute laryngitis code doesn’t mention obstruction as in ICD-9, you still have to delve into patient documentation to check for this as you have two codes in ICD-10 for acute laryngitis based on the presence or absence of obstruction.

ICD-9: Diagnosis coding is simple in ICD-9 when your family physician diagnoses acute laryngitis. If no obstruction is present, you assign 464.00 (Acute laryngitis; without mention of obstruction). If an obstruction is present, you assign 464.01 (Acute laryngitis; with obstruction). Both codes apply to patients with several types of laryngitis:

  • Edematous laryngitis
  • Hemophilusinfluenzae laryngitis
  • Pneumococcal laryngitis
  • Septic laryngitis
  • Suppurative laryngitis
  • Ulcerative laryngitis  (more…)

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Preterm Labor Codes 644.00 And 644.03 Transition to New O60.0- Options Don’t overlook these Includes notes.

Posted on 27. Feb, 2014 by .

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Preterm labor is labor that begins more than three weeks before the patient expects to deliver her baby but after the 20th week of pregnancy. Contractions may cause the cervix to open earlier than normal. Notice that there is no ICD-9-CM code for preterm labor with delivery. You would code that situation with 644.2x.

 Currently, you should report preterm labor with:

  • 644.00, Threatened premature labor unspecified as to episode of care
  • 644.03, Threatened premature labor antepartum

ICD-10-CM Codes: When your diagnosis system changes after October 1, 2014, you have three new options:

(more…)

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Shift V45.01 and V45.02 To New Z Codes on Oct. 1, 2014

Posted on 12. Feb, 2014 by .

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Don’t expect to see pacemaker and AICD codes grouped the same in ICD-9 and ICD-10.

When you need to indicate the presence of a pacemaker or automatic implantable cardiac defibrillator (AICD), without need for care, you’ll have to get used to turning to Z codes when ICD-10 is implemented. Here are the options you’ll use.

ICD-9-CM Codes (more…)

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ICD-10: Consolidate Esophageal Cancer Codes Look for ‘in situ’ direct crosswalk.

Posted on 22. Jan, 2014 by .

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Here’s a rarity for you — you’ll have fewer specific codes to choose from in ICD-10 than ICD-9 — for esophageal cancer, that is.

Although many conditions will have a direct crosswalk or an expansion to numerous, more-specific codes when ICD-10 goes into effect on Oct. 1, 2014, the opposite will happen for malignant esophageal cancer.

Curb Redundancies

In fact, you’ll go from eight ICD-9 codes to five ICD-10 codes for malignant esophageal cancer, as follows:

Need Help for ICD-10 Transition? ICD-10 Coding Alert! Your monthly guide to ICD-10 coding, training, and reimbursementClick here to buy the monthly ICD-10 Coding Alert.

(more…)

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36 Options Replace 996.01 in October 2014

Posted on 08. Jan, 2014 by .

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Know the part and know the problem to choose the proper code.

When a pacemaker battery wears down unexpectedly or a lead becomes damaged, the patient may experience shortness of breath, fatigue, and other symptoms of arrhythmia or decreased heart function. ICD-9-CM categorizes these problems as “Mechanical complication of cardiac device.” ICD-10-CM says one big category just won’t do. Here’s how the new codeset splits your choices.

ICD-9-CM Code:

996.01, Mechanical complication of cardiac device, implant, and graft; due to cardiac pacemaker (electrode)

ICD-10-CM Codes:  (more…)

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Trichomoniasis Boasts Direct Crosswalk Organism and infection site focus codes.

Posted on 19. Dec, 2013 by .

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Coding urogenital Trichomonas infections won’t change much when your lab converts from ICD-9 to ICD-10. In fact, the code definitions will remain virtually identical — only the code numbers will change to accommodate the new code set beginning Oct. 1, 2014.

Identify the codes

Need Help for ICD-10 Transition? ICD-10 Coding Alert! Your monthly guide to ICD-10 coding, training, and reimbursementClick here to buy the monthly ICD-10 Coding Alert.

(more…)

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R07.89 Lets You Report Chest Pressure and More as of Oct. 1 Following inclusion notes will keep your coding on track.

Posted on 12. Dec, 2013 by .

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Once ICD-10-CM is implemented on Oct. 1, 2014, you’ll need to know the meaning of “intercostal” if you want to choose the appropriate chest pain code. Here’s how the new codeset options break down.

ICD-9-CM Code

786.59, Other chest pain 

ICD-10-CM Codes

R07.82, Intercostal pain

R07.89, Other chest pain

Chest pain can refer to a number of descriptions related to discomfort in the patient’s chest. Note that this is not the same as breast pain, which is coded elsewhere.

 ICD-9 coding rules:

(more…)

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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 .

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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

ICD-10 Change:

(more…)

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