Thursday, September 1, 2011

ICD-9 2012 Brings more Specific Choices for Your Ob-Gyn Coding

As the nation celebrates 'Labor Day' in a few days from now, SuperCoder brings you a never-before coding offer - a gift card worth $25 to take your coding to a denial-free and maximum-profit zone.

If you're an ob-gyn coder, this year you'll run into more specific ICD-9 codes; this means you need to get on top of these changes that go into effect on October 1. And the Labor Day offer from SuperCoder couldn't have come at a more opportune time as it provides you with the code look-up tools and specialty advice you need for denial-proof coding.

New ICD-9 codes reflect early spontaneous labor with a planned cesarean delivery

You will choose from among these codes - 649.81 and 649.82 – when a patient was thinking about having the cesarean but went into labor early and had to have the cesarean early. This time round, there is also a new diagnosis to demonstrate a chemical or 'false' pregnancy post October; take a look at 631.0. What's more, if a patient has a blighted ovum or mole, you will go for 631.8.

996.39 will make an exit

From October 1 this year, you'll bid code 996.39 goodbye if the patient has an erosion or exposure of mesh material used during pelvic reconstruction surgery. In place of this, you'll have two more specific choices: 629.31, 629.32.

You need to treat new Hemorrhagic Disorder Codes as Secondary Dx

If a patient who's pregnant has antiphospholipid antibodies, you will have two new codes to use as secondary diagnoses. Note that your primary diagnosis would be from the coagulation defects category (649.3x). And if the patient simply had the antibody as a finding, here the secondary code would be the present code 795.79. If the condition happens to be with a hypercoaguable state, the secondary code would be the current code 289.81. But again if the patient has the antibody and has a present hemorrhagic disorder, you can use a new code - 286.53 – to report it.

To add to it all, ICD 9 also adds an 'Other' code to the 286.5x category - 286.59.

More V code choices

When your ob-gyn documents a patient's personal history, you'll have more V code choices: V12.21, V12.29, V23.42 and V23.87.

And the codes these V codes will be replacing are 631 and V12.2.

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