Archive for 'ICD-10'

Research How to Report Radiation Oncology Procedures in ICD-10-PCS

Posted on 25. Apr, 2013 by .

0

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:

rel=”nofollow”>ICD-10 Coding AlertICD-10 is closing in. Subscribe to ICD-10 coding newsletter and get ICD-10 coding information, practical ICD-10 coding examples, training strategies, reader questions and more! ICD-10 Coding Alert is now available at price of just $199.95 per year rel=”nofollow”>Click here to buy.

(more…)

Continue Reading

ICD-10: I82.4 — Names Vessels for Lower Extremity Embolism/Thrombosis

Posted on 10. Apr, 2013 by .

0

ICD-10:

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:

rel=”nofollow”>ICD-10 BridgesNow easily convert ICD-9 codes to ICD-10 with the help of SuperCoder ICD-10 bridges which is available for just $99.95 per year! rel=”nofollow”>Click here to buy.

(more…)

Continue Reading

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

Posted on 28. Mar, 2013 by .

0

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.

(more…)

Continue Reading

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

Posted on 11. Mar, 2013 by .

0

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.)

rel=”nofollow”>ICD-10 Coding AlertAfter October 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. Know which ICD-10 codes to use and how to document your services when the new system is in place with expert step by step guidance in the monthly ICD-10 Coding Alert. rel=”nofollow”>Click here to buy.

(more…)

Continue Reading

Expand Your Undescended, Retractile Testicle Diagnoses in 2014

Posted on 26. Feb, 2013 by .

0

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.
rel=”nofollow”>ICD-10 Coding Alert Want to know how to code for retractile testis when ICD-10 goes into effect? Get step-by-step, accurate and authoritative guidance to ensure you get proper payments when the 2014 system is in place. rel=”nofollow”>Click here to buy ICD-10 Coding Alert.

(more…)

Continue Reading

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

Posted on 13. Feb, 2013 by .

0

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
rel=”nofollow”>ICD-10 SPECIALTY TOP DIAGNOSES Be the first to Know the ICD-10 code changes that impact your specialty the most and learn how to condense ICD-10 Specifics into a 1-Page Superbill – for just $29.95. rel=”nofollow”>Click here to buy.

(more…)

Continue Reading

Your 640.0x Codes Condense Into a Single Option in 2014

Posted on 23. Jan, 2013 by .

0

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.

rel=”nofollow”>ICD-10 Coder’s Total Prep Pack ICD-10 coding challenges in sight? Save more and be more prepared for ICD-10 by combining all of SuperCoder’s ICD-10 E-Learning courses in one pack. rel=”nofollow”> Click here to buy.

(more…)

Continue Reading

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

Posted on 10. Jan, 2013 by .

0

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:

(more…)

Continue Reading

S21.1_ Adds Detail Beyond 876.0 for Back Wounds

Posted on 24. Dec, 2012 by .

0

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.

rel=”nofollow”>ICD-10 SPECIALTY TOP DIAGNOSES Be the first to Know the ICD-10 code changes that impact your specialty the most and learn how to condense ICD-10 Specifics into a 1-Page Superbill – for just $29.95. rel=”nofollow”>Click here to buy.

(more…)

Continue Reading

Prepare For 4 New Otalgia Options in 2014

Posted on 11. Dec, 2012 by .

0

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.

rel=”nofollow”>ICD-10 Specialty Top Diagnoses Not sure how you’ll report Otalgia under ICD-10? Be the first to know the ICD-10 code changes that impact your specialty the most with ICD-10 Specialty Top Diagnoses. rel=”nofollow”>Click here to buy.

(more…)

Continue Reading