Thursday, October 20, 2011

Lookout for Expanded Neoplasm, Personal History Codes That Govern 2012 ICD-9 Updates

Plus: Migraine revisions concentrate on punctuation addition, not descriptor change.

New and revised ICD-9 codes for 2012 went into effect October 1, which means it's time to brush up on the latest code options. You should pay special attention to expand your lip neoplasm as well as glaucoma choices, and more new ICD-9 codes for acute respiratory failure and further complications following surgery.

Expand Digits for Certain Neoplasm, Glaucoma Diagnoses

With ICD-9-CM 2012 going into effect, you are now able to determine some neoplasms and glaucoma stages more precisely:





  • Neoplasm codes i.e. 173.0-173.9 (Other malignant neoplasm of skin) are now deleted and replaced by new fifth-digit options 173.00-173.99.






  • Glaucoma codes now expand to the fifth-digit level so as to distinguish the different stages (unspecified, mild, moderate, severe, or indeterminate stage). The new codes are 365.70-365.74.


  • Reasoning: You'll have much more precise diagnosis options when ICD-10 goes into effect in October 2013. Adding fifthdigit expansions to ICD-9 codes like these now will help coders and physicians start considering in terms of more detailed diagnoses.

    Watch for Gastric Band and Other Surgical Additions

    As anesthesiologists can find themselves involved in cases encompassing all surgical areas, get acquainted with diagnosis changes for surgical procedures. New ICD-9-CM surgical procedure choices you'll want to check out include:





  • Infection or complications because of gastric band or bariatric procedures (539.01-538.89)






  • Erosion of implanted vaginal mesh as well as other prosthetic material near an organ or tissue (629.31)






  • Partial tear of rotator cuff (726.13)






  • Acute or chronic respiration failure, in normal conditions or following trauma and surgery (518.81, 518.83, 518.84, 518.51).


  • An anesthesiologist will report a wide range of diagnosis codes. Whatever someone can have done surgically and require anesthesia for, that's what anesthesiologists are required to know.

    Get Familiar With New Personal, Family History Options

    Five new V codes will aid your physician better specify conditions which could be a part of patient's personal or family medical history. Your new choices are:





  • V12.21 –- i.e. Personal history of gestational diabetes






  • V12.29 -- i.e. Personal history of further endocrine, metabolic, and immunity disorders






  • V12.55 -- i.e. Personal history of pulmonary embolism






  • V13.81 -- i.e. Personal history of anaphylaxis






  • V13.89 -- i.e. Personal history of other stated diseases.


  • Migraine Revisions Don't Mean Real Change

    When you read through the list of revised ICD-9 codes , you'll see many migraine diagnoses listed (for instance 346.01, Migraine with aura, with intractable migraine, so stated, excluding mention of status migrainosus, and 346.11, Migraine without aura, with intractable migraine, so stated, without mention of status migrainosus). The descriptors themselves don't change, but the punctuation changes to some extent. Updated descriptors further add a comma following the "so stated" phrase in the fifth-digit "1" subclassification descriptor for every single type of migraine which is noted.

    Source URL :- http://www.supercoder.com/coding-newsletters/my-anesthesia-coding-alert/2012-code-changes-watch-for-expanded-neoplasm-personal-history-codes-that-dominate-2012-icd-9-updates-107385-107385-107385-article



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