Monday, November 21, 2011

ICD-9-CM: Master the Changes in Respiratory Conditions

Don't reports 488.12 until physician approves H1N1 influenza.

If you're intimidated by the thought of arranging through all the diagnostic coding modifications that went into effect on Oct. 1, 2011, you shouldn't worry more. Get the insider's info with this rundown on some of the novel respiratory system diagnosis codes.

Quick reference: You should always check the diagnoses index along with the tabular list for selection of the suitable codes to include on your encounter form.

New Novel Influenza Code Amendments

With this condition frequently developing new forms, ICD-9-CM has made modifications to new influenza codes for three years in line.

A novel subcategory 488.8 (Influenza owing to novel influenza A) along with related codes have been created in order to report Novel influenza A. They are:




  • 488.81 -- Influenza because of identified novel influenza A virus including pneumonia






  • 488.82 -- Influenza because of identified novel influenza A virus with added respiratory manifestations






  • 488.89 -- Influenza because of identified novel influenza A virus with added manifestations.


  • Definition: Novel influenza comprises all human infections along with influenza A viruses which are novel or dissimilar from presently circulating human influenza viruses. These involve viruses which are subtyped as nonhuman in beginning, and those that cannot be subtyped with standard laboratory methods.
    Providers frequently denote the 2009 pandemic influenza as 2009 H1N1 influenza instead of novel H1N1 influenza, consequently ICD-9-CM has reviewed the following listed codes, with earlier references to "novel" in their descriptors to change to "2009." The codes involve:




  • 488.11 -- i.e. Influenza because of identified 2009 H1N1 influenza virus with pneumonia






  • 488.12 -- i.e. Influenza because of identified 2009 H1N1 influenza virus with other respiratory manifestations






  • 488.19 –- i.e. Influenza because of identified 2009 H1N1 influenza virus with other manifestations.

  • Change To 512.2 When You Report Postoperative Air Leaks

    ICD-9-CM has applied revisions along with novel codes through Category 512 to distinguish air leaks from pneumothorax. This classification is currently labeled pneumothorax along with air leaks.

    New code: You can at the present report postoperative air leaks with 512.2 (Postoperative air leak). You earlier reported this condition using code 512.1 (Iatrogenic pneumothorax), which was deceptive since a patient can go through a postoperative air leak devoid of significant air in the pleural space leading to pneumothorax. ICD-9-CM prevents reporting 512.1 or 512.2 without the physician documentation precisely specifies postoperative or owing to a procedure.

    ICD-9-CM states that, though, patients might also have an insistent air leak which is not postoperative, for instance when a chest tube has been positioned for a spontaneous pneumothorax along with the lung re-expands however the air leak continues. Spontaneous pneumothorax might be primary or secondary and associated with numerous other conditions for instance cystic fibrosis, spontaneous rupture of the esophagus, lung cancer, etc.

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