Showing posts with label ICD 9 2011 codes. Show all posts
Showing posts with label ICD 9 2011 codes. Show all posts

Friday, September 23, 2011

Bariatric Surgery Complications? ICD-9 2012 Brings Different Choices

2012 ICD-9 code changes go into effect in a week's time. Like other practices, your general surgery practices will also have to gear up for the changes.

On October 1, 2011, you'll have to bid goodbye to ICD 9 2011 Codes and welcome new changes. Your general surgery practices will need to be well-versed with four new codes to report complications of gastric band or bariatric procedures from October 1. Of these, you'll find 539.xx and other just-in, invalid and revised codes that'll have a say on your practice.

Bariatric surgery or gastric band procedure complications are presently indexed to 997.4. This is a situation where we simply index the complication to a generic code; and there are no secondary codes to use.

In a week's time, this'll change – you will have to start reporting bariatric/gastric band complications with one of these codes: 539.01, 539.09, 539.81, 539.89.

Directing coders to new codes, ICD-9 adds an 'excludes' note to 997.4. This code does not distinguish digestive system complications from bariatric or gastric band surgeries from complications resulting from any other procedures or conditions.

Benefit: These just-in codes allow better data collection for complications of bariatric and gastric band procedures.

That apart, ICD-9 2012 will also expand 10 current codes to 40 new codes that you will have to use when your surgeon carries out a skin excision.

Skin site makes a distinction between the 10 prevalent codes (173.0-173.9) that'll become invalid. One can notice the same site distinctions in the new codes, however the latest ICD-9 codes 2012 adds a fifth digit to each four digit code to differentiate cancer type. Say for instance basal cell or squamous cell carcinoma.

Put an end to your pelvic circle fracture code search

Thursday, July 7, 2011

CMS releases proposed changes to ICD-9 2012

Ensure your systems are updated with the just-in codes.

Recently, the Centers for Medicare and Medicaid Services (CMS) released its proposed changes to ICD-9-CM diagnosis codes 2012, which are effective for dates of service on or post October 1 this year. This time, as in previous years, there are hundreds of additions, changes and deletions. These codes are compulsory for all health insurance claims filed from October 1 this year till September 30, 2012.

These changes have been approved by the ICD-9-CM Coordination and Maintenance Committee and were published in the Federal Register on May 5, 2011.

Key: Post the October 1 deadline goes into effect, the agency will only add new ICD-9 codes on an emergency basis as it gears up to switch over the diagnosis coding system to ICD-10.

Good news for dermatology coders: If you're a dermatology coder, there's good news for you as you will be more spot on with the reporting of the location of carcinomas and other neoplasms of the skin.

Obsolete: When ICD 9 2011 codes go into effect, 173.0 will become an invalid diagnosis code.

This time, there is an expansion of the 173.x (Other malignant neoplasm of skin) series. In this series, each code will get a list of fifth digits that'll specify whether the malignant neoplasm is basal cell, squamous cell or unspecified.

Dermatology coders will now report 173.0 for any non-malanoma malignant neoplasm of the lip. When these codes go into effect, coders can take a pick from 173.00, 173.01, 173.02, and 173.09.

What you should do now?

With just a few months before implementation, now is the time to act. Get your systems updated today!

Be prepared for: Will there be any expanded skin neoplasm codes when coders update their diagnosis codes in 2013 with ICD-10? Well, it's not sure.

For the latest on ICD 9 2012 changes and for other medical coding updates, sign up for a good coding resource like Supercoder.