Read on for some common osteoarthrosis diagnoses that will help you find out what you will report post October 1, 2013.
Normally a patient with osteoarthritis might start with his primary care physician, who then refers him to a rheumatologist. The rheumatologist has been tending to the patient with conservative measures such as NSAIDS (nonsteroidal anti-inflammatory drugs). Owing to increasing symptoms, now poorly controlled by the use of NSAIDS, the rheumatologist requests an orthopedic consultation. He diagnoses osteoarthrosis(715.xx-716. xx) and these codes specify location, primary, or secondary.
ICD-10 difference: For these codes, you should look at the following:
M19 (Other and unspecified osteoarthritis).
Just like ICD-9 codes, these codes are broken down into location, primary and secondary. However they also sometimes specify unilateral, bilateral and post-traumatic indications.
Documentation: In order to submit the most detailed diagnosis, the orthopedic physician will need to maintain osteoarthrosis documentation but expand it to unilateral, bilateral, and/or post-traumatic specification. Some important terms are "oestoarthritis," "arthritis," "athrosis," "DJD," "arhtorpathy," "post traumatic arthritis," and "traumatic arthritis."
Tips for coders: See how codes M19.01--M19.93 entail unspecified locations. Now ICD-10 code(http://www.supercoder.com/coding-newsletters/icd-10-coding-alert)
does not group unspecified locations alongside the specific locations for each type (as in, the familiar .9 code in most ICD-9 codes categories). You'll find them at the end of the code grouping (M19.90--"M19.93) for each specific type but in an unspecified location.
That apart, traumatic osteoarthritis is now more appropriately indexed and described as post-traumatic osteoarthritis, the true condition.
Just like ICD-9 codes, these codes are broken down into location, primary and secondary. However they also sometimes specify unilateral, bilateral and post-traumatic indications.
Documentation: In order to submit the most detailed diagnosis, the orthopedic physician will need to maintain osteoarthrosis documentation but expand it to unilateral, bilateral, and/or post-traumatic specification. Some important terms are "oestoarthritis," "arthritis," "athrosis," "DJD," "arhtorpathy," "post traumatic arthritis," and "traumatic arthritis."
Tips for coders: See how codes M19.01--M19.93 entail unspecified locations. Now ICD-10 code(http://www.supercoder.com/coding-newsletters/icd-10-coding-alert)
does not group unspecified locations alongside the specific locations for each type (as in, the familiar .9 code in most ICD-9 codes categories). You'll find them at the end of the code grouping (M19.90--"M19.93) for each specific type but in an unspecified location.
That apart, traumatic osteoarthritis is now more appropriately indexed and described as post-traumatic osteoarthritis, the true condition.
No comments:
Post a Comment