ICD-9 2011: You'll Code Influenza, BMI and Jaw Pain

As an otolaryngology coder, are you up and running with the last ICD-9 changes that went into effect on October 1? Are you thinking where you should focus your time and energy? The following tips on the new codes that affect otolaryngology will help you figure out whether you are on the right track or if you should work on your 2011 diagnosis coding know-how.

New flu codes make appearance

ENT practices that treat the flu are in luck – the codes in the 488.0x and 488.1x subcategories provide greater specificity now.

Previously, these sub-categories did not provide the level of detail that category 487 (Influenza) does; as such the ICD-9 Coordination and Maintenance Committee expanded the codes at 488.0 and 488.1. This means six new influenza with pneumonia codes for the 2011 ICD-9 update.

Some patients may go straight to their ENT at the first sign of sinus trouble and might think they have allergeies or sinus issues when in reality they may be dealing with the flu. As such, these flu diagnoses could be applicable to otolaryngology practices.

New BMI Codes are if effect

Effective October last year, you can no longer report V85.4 (Body Mass Index 40 and over, adult). In its place, you should be using one of the following V codes:

V85.41 -- BMI 40.0-44.9, adult

V85.42 -- BMI 45.0-49.9, adult

V85.43 -- BMI 50.0-59.9, adult

V85.44 -- BMI 60.0-69.9, adult

V85.45 -- BMI 70 and over, adult.

Otolaryngologists may use the new BMI codes for various reasons. First, you might list the patient's BMI as a secondary or tertiary code when treating a patient with snoring issues. In addition, the BMI V codes might be used as secondary diagnoses to justify the use of modifier 22 on a complicated surgery.

Remember: When a V code is your only option, you can report it as the primary diagnosis. Although when you use a BMI diagnosis as a primary ICD-9 code, it may be tough to get reimbursement from some insurance companies.

Look for jaw pain codes

You will find the new code code 784.92 (Jaw pain) in effect throughout 2011.

Source URL :- http://www.supercoder.com/coding-newsletters/my-otolaryngology-coding-alert/icd-9-2011-youll-code-influenza-bmi-jaw-pain-article