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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Question: A two-year-old child was admitted with pneumonia due to respiratory syncytial virus (RSV). The child’s history includes prematurity and being HIV positive. He was treated with Ribavarin and bronchodilators. All blood work was normal, and the HIV test was negative. What is the best way to code everything, especially with the different HIV test result?
Kinder, gentler process forestalls ‘revocation.’
Don’t lose your ability to provide Medicare services by missing the boat on re-enrollment. Read on to see what you should do for your general surgery practice when that revalidation notice comes in the mail.
Good news: CMS has made improvements to the re-enrollment process, according to an Oct. 10 CMS National Provider Call with the agency’s Provider Enrollment Operations Group.
Plus: Pay close attention to modifier indicators in CCI 19.0.
The first round of Correct Coding Initiative (CCI) edits for each year is usually the most extensive, and CCI 19.0 effective January 1, 2013, is no exception. We’re here to highlight a few things from the more than 2,050 edits that involve anesthesia codes so you can continue submitting accurate claims for your provider’s services.
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Here’s how to sequence this diagnosis code.
When a patient develops a breast abscess three months after her delivery due to an inverted nipple that was problematic during her pregnancy, you’ll have to assign a late effect code.
Currently, you would report 677 (Late effect of complication of pregnancy, childbirth, and the puerperium).
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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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Question: What’s the diagnosis code for “atypical” chest pain?
Answer: The ICD-9 index points to 786.59 (Other chest pain) for atypical chest pain. This code applies for any sort of discomfort, pressure, or tightness in the chest if there’s no more specific code for the condition.
Confirm side of foot and displacement of fracture.
ICD-9 offers only a single code for closed fracture of metatarsal bone(s) – 825.25 (Fracture of metatarsal bone[s] closed). Note that is the only code for the closed fracture of one or more metatarsal bones and is not specific for a particular metatarsal bone. You can report the same code for fracture in any metatarsal bone, first to fifth.
Question: While billing this morning, it was telling me that the procedure code 95015 is invalid. Has this code changed?
Answer:Yes, a SuperCoder.com search for this code indicates the code is deleted for 2013 and replaced by codes 95017 and 95018. On any code search window enter, 95015. A subscription to any SuperCoder product containing Code Search provides the result.
Click on 95017 and you see the new code’s descriptor and articles discussing the new code.
Use the arrow button to review the differences between the two new codes as discussed under code 95018’s 2013 Advice.