Archive for 'ICD-10'

Know the Rhinitis Cause to Report This Dx Under ICD-10

Posted on 28. Mar, 2013 by .

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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.

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New ‘J’ Code Will Replace 034.0 for Strep Throat Dx

Posted on 11. Mar, 2013 by .

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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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Expand Your Undescended, Retractile Testicle Diagnoses in 2014

Posted on 26. Feb, 2013 by .

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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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Z15 and V84 Trade Places in 2014 for Coding Neoplasm Genetic Susceptibility

Posted on 13. Feb, 2013 by .

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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.

ICD-9-CM Codes:

  • 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

ICD-10-CM Codes:

  • 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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Your 640.0x Codes Condense Into a Single Option in 2014

Posted on 23. Jan, 2013 by .

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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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V84 to Z15: Don’t Expect Big Changes for Genetic Test Results

Posted on 10. Jan, 2013 by .

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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:

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S21.1_ Adds Detail Beyond 876.0 for Back Wounds

Posted on 24. Dec, 2012 by .

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Laceration, puncture, and more expand codes.

Coding wound closure requires identifying wound characteristics, and that will become a lot more specific when you change from ICD-9 to ICD-10.

Remember: CMS has finalized the ICD-10 implementation date for Oct. 1, 2014, delaying the action one year from the original deadline.

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Prepare For 4 New Otalgia Options in 2014

Posted on 11. Dec, 2012 by .

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The fifth digit makes all the difference.

 Simply put, otalgia refers to an earache. In infants, this is often indicated by children tugging on their ears, and older patients present complaining of ear pain to the physician. ENTs often report otalgia diagnoses when patients complain of ear pain but no more definitive diagnosis is found.

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Expert Breaks Down Your ICD-10 Transition Plan into 5 Phases

Posted on 29. Nov, 2012 by .

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Don’t forget to include productivity loss in your budget.

You need to make a plan for an ICD-10 transition – but do you know how to create one? Before you start panicking, check out this expert advice.

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Fill in 2 Blanks to Report This Carotid Bypass Procedure Code

Posted on 12. Nov, 2012 by .

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Without key information, you will have too many potential codes.

Drastic changes are coming for inpatient coders, and the way providers currently document procedures will become incomplete in 2014. Check out this carotid bypass scenario and find out what you need to know for accurate ICD-10-PCS claims.

Scenario: The physician’s operative notes indicate right common carotid to internal carotid bypass. This was to treat a critical right internal carotid artery stenosis. Currently, you can code this procedure with 39.29 (Other [peripheral] vascular shunt or bypass).

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