Tag Archives: 453.8
Posted on 03. Jul, 2009 by .
Does your orthopedist treat children’s arm problems with regularity? If so, then you may have three new ICD-9 codes to use as of Oct. 1. Take advantage of this sneak peak at the proposed orthopedic additions, and you’ll be ahead of your peers.
Most of the new codes will offer additional specificity to existing diseases, which can help you code more accurately. Orthopedic coders, however, had hoped for a wider range of codes, says Leslie A. Follebout, CPC, COSC, PCS, coding manager at Peninsula Orthopaedic Associates in Salisbury, Md.
For instance, you may not celebrate the addition of fifth digits to existing codes 274.0 (Gouty arthropathy) and 453.8 (Other venous embolism and thrombosis of other specified veins). You may, however, find some brand-new additions.
Here’s 3 New Codes to Use in Pediatric Cases
If your orthopedist treats pediatric patients for fractures, then you’re used to applying forearm fracture ICD-9 codes. These constitute nearly half of all childhood fractures. ICD-9 2010 may bring you two new torus fracture options: 813.46 (Torus fracture of ulna [alone]) and 813.47 (Torus fracture of radius and ulna).
Posted on 04. Jun, 2009 by .
A 453.x facelift will require you to hunt for more specific upper extremity codes.
Oct. 1 and implementation of the 2010 ICD-9 codes may still be a few months away, but CMS is offering a sneak peak at the added, deleted, and revised codes that cardiology coders will need to know. Keep your focus on the embolism and thrombosis codes so you’ll be ready to report them from day one.
Phlebitis Coding Frustrations? Join the Club
In 2009, your coding options are 451.0-451.9 (Phlebitis and thrombophlebitis) and 453.0-453.9 (Other venous embolism and thrombosis).
Problem: “‘Thrombophlebitis’ is a term that is now rarely used, due to the lack of clinical significance of ‘phlebitis,’” according to Patrick Romano, MD, MPH, professor of medicine and pediatrics at University of California at Davis, in his “Phlebitis and Thrombophlebitis” presentation to the ICD-9 Coordination and Maintenance Committee. He presented the proposal on behalf of the Agency for Healthcare Research and Quality.
Coding has paralleled this reduced use of “thrombophlebitis,” with 453.x (embolism and thrombosis) reported much more frequently than 451.x (phlebitis and thrombophlebitis), Romano said.