This year, ICD-9 2010 brought new hyperplasia, mammogram, and fertility preservation codes. In some cases, these codes simply expanded on existing options, and it’sup to you to spot when you should report the new versus old alternatives. Dig in to these three scenarios to see if you can choose the proper code for services performed on or after Oct. 1.
Scenario 1: Pick Apart New Puerperal Options Your ob-gyn documents “a puerperal infection,” a bacterial illness following childbirth. How would you report this?
A. 670.0 — Major puerperal infection
B. 670.1x [0,2,4] — Puerperal endometritis
C. 670.2x [0,2,4] — Puerperal sepsis
D. 670.3x [0,2,4] — Puerperal septic thrombophlebitis
E. 670.8x [0,2,4] — Other major puerperal infection
Scenario 2: Don’t Overlook 671 Category Notes You’re reporting a code from the 671 (Venous complications in pregnancy and the puerperium) category, but you need to provide what additional information? Select one of the following options:
A. If the patient has deep phlebothrombosis, either in the antepartum (671.3x) or postpartum (671.4x) period,you should also apply a secondary diagnosis from code category 453 (Other venous embolism and thrombosis).
B. If the patient has been using anticoagulants for a long time and is currently using them, report V58.61 toindicate this.
C. Both of the above, if applicable.
D. None of the above.
Scenario 3: Update Your Hyperplasia Codes Your ob-gyn diagnoses a patient with endometrial hyperplasia (either endometrial intraepithelial neoplasia [EIN] or benign hyperplasia). How would you report these conditions? Choose two.
A. For EIN, you would use either 233.2 (Carcinoma in situ of other and unspecified parts of uterus) or 621.33 (Endometrial hyperplasia with atypia)
B. For benign hyperplasia, use 621.30 (Endometrial hyperplasia, unspecified) or...
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