You need to use fifth digit to distinguish hemolysis, other transfusion reactions
Starting October 1, this year, stating ABO (or Rh) incompatibility reaction will not be enough for spot on diagnosis coding. You will need to add information about whether the reaction is an acute or delayed hemolytic reaction or owing to some other type of incompatibility.
This is because ICD-9 2011 will do away with some codes and require you to use new codes.
For proper code choice, note type and timing
Hemolysis, involving red blood rupture, is just one type of transfusion reaction that might take place owing to an incompatibility between the donor and recipient blood.
Tip: Remember that other means the documentation spells out some specific condition that is not described by a more detailed ICD-9 code where as unspecified means that the documentation does not explicitly define the condition.
The just-in codes also add specificity to reporting hemolytic reaction’s timing (acute or delayed).
For more on 2011 ICD-9 codes online(http://www.supercoder.com/icd9-codes/), sign up for a one-stop medical coding website. When you sign up for one, you will get tips on ways to tackle acute/delayed distinction for 999.6x-999.8x and get the latest on what’s in, what’s been revised and what’s been deleted as far as the latest ICD 9 codes are concerned.
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