The 2012 ICD-9 codes just went into effect on October 1 this year; if your lab bills transfusion medicine services, pathology exams for certain cysts or for that matter blood tests for hemorrhagic disorders, you have some ICD-9 changes to adapt to.
For one, ICD-9 coding creates two new codes for common hair-follicle cysts - 704.41 and 704.42. Despite having distinct characteristics, Pilar cysts are often confused with sebaceous cysts.
And if you bill transfusion medicine codes, you must not miss ICD-9 revisions that'll change how you code serum reactions. Codes 999.4 and 999.5 will become invalid and these codes will be replaced by 999.41, 999.42, 999.49, 999.51, 999.52, and 999.59.
Code 999.4 is not transfusion specific. The new codes - 999.41 and 999.42 - will help distinguish anaphylaxis due to transfusion or vaccination; say for instance ICD-9 2012 provides similar distinctions in new codes 999.5x.
The just-in codes will boost the precision of recording transfusion associated adverse reactions and boost the ability to conduct active surveillance of transfusion safety.
ICD-9 2012 also brings new Lupos code. ICD-9 2012 expands four-digit code 286.5 into a new range of five-digit codes: 286.52, 286.53, and 286.59. This'll allow for more specific identification and will help track trials on the cause, self-correction, and pharmaceutical treatment of these disease types of hemophilia.
You will quite often see 286.53 used to report the hemorrhagic disorder with an antibody known as lupus anticoagulant or systemic lupus erythematosus. Those labs that test for this antibody may report the test as 85598.
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