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ICD-10 Coding Alert

Fractures:
Underlying Condition Will Be Key to Choosing Pathological Fracture Diagnosis
This common diagnosis supporting vertebroplasty will become more inclusive. When your ... Read more
Diagnosis Spotlight:
Drill Down for Functional Dyspepsia Specifics With K30
Hint: You cannot report K30 for psychogenic dyspepsia. When reporting a diagnosis of f... Read more
Mental Disorders:
Don't Have A Seizure Over Choosing Dx for Mental Disorder Presentations In The ED
Watch for specificity in documentation to select the most granular code listed for subst... Read more
Specialty Corners:
Ob-gyn: Effortlessly Transition to Mild Pre-Eclampsia Diagnoses in 2014
Your ob-gyn needs to start documenting the pre-eclampsia severity. Pre-eclampsia is a ... Read more
Cardiology:
R07.89 Lets You Report Chest Pressure and More as of Oct. 1
Following inclusion notes will keep your coding on track. Once ICD-10-CM is implemente... Read more
General Surgery:
Consolidate Esophageal Cancer Codes
Look for ‘in situ’ direct crosswalk. Here’s a rarity for you —... Read more
Reader Question:
Check Out How DCIS Will Change in 2014
Question: Will DCIS still be one code in ICD-10? What about for the history code V13.8? ... Read more
Reader Question:
What Diagnosis Is Best for Second Prostate Biopsy?
Question: A patient was diagnosed with prostate cancer in 2012 with a positive prostate ... Read more
Diagnosis Spotlight:
Get Specific With Pressure Ulcer Coding in ICD-10
Reporting multiple ulcers? Next year, reduce confusion with separate codes for bilateral... Read more
Documentation:
Look to F50 Series for Eating Disorder Diagnoses
Hint: Distinguish from binge eating or purging type to nail the ICD-10 diagnosis. When... Read more
Guidelines:
Watch ICD-10 Dominant Side Guidelines With CVA Sequelae
Welcome a robust selection of combination codes. Under ICD-10, coding for the sequelae... Read more
Anesthesia:
Get Specifics About Pacemaker Adjustments for ICD-10 Success
Hint: Z45 family will draw lines between battery and other parts. When your anesthesia... Read more
Otolaryngology:
Know the Rhinitis Cause to Report This Dx Under ICD-10
You’ll be checking the ‘J30.x’ section to find the right rhinitis code... Read more
Pathology:
T86.1 Expands Kidney Transplant Rejection Code Options
996.81 won’t find a direct equivalent in ICD-10. If your lab monitors immunosupp... Read more
Reader Question:
Consider ICD-10 Options for CHF Patient
Question: Our patient has a principal diagnosis of congestive heart failure (CHF). She a... Read more
Reader Question:
Use This "Z" Code for Gastrostomy Encounter
Question: How should I report a gastrostomy encounter in ICD-10? Texas Subscriber ... Read more
Reader Question:
Q24.5 Doesn't Apply to RI
Question:  Should I code the presence of a ramus intermedius as an anomaly? Supe... Read more
Reader Question:
Code Thoroughly for Infected Vein Graft Site
Question: Our patient has a diagnosis of internal dehiscence of an infected vein graft s... Read more
ICD-10-PCS:
Expand Your Documentation To Report Transfusion of Packed Cells (RBC) Next October
Get “autologous” and “non-autologous” straight in your mind. Y... Read more
Documentation:
T82.- Codes for Cardiac Device Complications Demand A Lot of Details
Check for the specific problem before using these 996.71-996.72 replacements. If you h... Read more
Diagnosis Spotlight:
Enjoy Clear Distinction for Rett's Syndrome With F84.2
Use additional code for any associated intellectual disabilities. If your psychiatrist... Read more
Radiology:
Upgrade Your Patellar Open Fracture Reporting
First confirm type and then look to morphology and laterality. When reporting ICD-10 c... Read more
Start Memorizing This Pregnancy Code In Place of V22.2
Don’t overlook this Excludes1 notation. When a patient reports to your practice ... Read more
Reader Question:
Device Key Simplifies Choosing PCS Character 6
Question: My physician inserted a “sirolimus-eluting coronary stent.” H... Read more
Reader Question:
Here's What You Can Do to Get Ready for ICD-10
Question: What should we be doing now to prepare for the ICD-10 transition? Answe... Read more
News You Can Use:
Conversion to ICD-10 Won't Be A Huge Financial Burden, CMS Reps Say
Plus: ICD-10 claims will allow you to submit the letters as either upper or lowercase, C... Read more
Tools:
Pinpoint Your Rib ICD-10-CM Fracture Code Using This Chart
Don’t overlook your “bilateral” option for a multiple rib fracture sit... Read more
Training:
Debunk These 4 ICD-10 Myths and Mysteries
Aftercare codes won’t be a thing of the past in ICD-10. With the healthcare indu... Read more
Oncology:
Navigate Your Way To The Right Neurofibromatosis Codes
Look for skin changes, hearing loss to ascertain the type of disease. When reporting n... Read more
Anesthesia:
Continue to Focus on Gangrene and Obstruction to Untangle Umbilical Hernia Diagnoses
ICD-10 keeps 3 code choices for you. When your anesthesiologist is involved with a cas... Read more
Internal Medicine:
Broader Reporting Options For Anorectal Abscess
Hint: Use separate code when you clinician diagnoses anal and rectal abscesses. When y... Read more
Reader Question:
Take a Peek at ICD-10 External Cause Coding
Question: I’m wondering what external cause coding will look like in ICD-10. Could... Read more
Reader Question:
Decide Between Z51.11 and Z51.12
Question: How do I choose between V58.11 and V58.12? Illinois Subscriber Answer: ... Read more
Diagnosis Spotlight:
Segregate Your Diabetes Mellitus Codes Based on Type
Hint: Use fourth and fifth digit expansion to specify complications. When your physici... Read more
Training:
Let 4 FAQs Help Guide Your ICD-10 Focus
Don’t limit your training to code selection alone. The ICD-10 implementation dea... Read more
Worker's Comp:
Some Worker's Compensation Insurers May Opt out of ICD-10, CMS Says
But Medicare and Medicaid plans will not give you an extension past Oct. 1, 2014, the ag... Read more
Cardiology:
Z45.0- Will Help You Report Cardiac Device Encounters Next Year
Prepare to distinguish between pacemaker battery and other parts. ICD-10 will require ... Read more
General Surgery:
870-897 Open Wound Options Explode to S00-S99 ICD-10 Categories
Expect more detail for wound type, location. If you thought ICD-9 provided a lot of gr... Read more
Orthopedics:
Crack This Chronic Neck Pain Code Equivalent in ICD-10
ICD-9 and ICD-10 codes share a common descriptor. Chronic pain the neck is a common di... Read more
Reader Question:
Expand Your Jaw Pain Diagnosis in 2014
Question: What diagnosis should I use for jaw pain due to temporomandibular joint (TMJ) ... Read more
Reader Question:
Master Your MTHFR Codes
Question: What is MTHFR, and what codes should I report for it? Kentucky Subscriber ... Read more
Documentation:
Untangle Umbilical Hernia Diagnosis Knots With Simple Transition to K42
Hint: Presence or absence of gangrene is still the deciding factor to arrive at the righ... Read more
Coding Quiz:
Transform How You Report V Codes Into Z Codes in 2014
5 fill-in-the-blanks challenge your "encounter" diagnosis know-how. The V co... Read more
Specificity:
Rely On Separate Distinction for Asperger's Syndrome With F84.5
Single code removes the confusion of identifying active/residual states. When you begi... Read more
Multi-specialty:
I49.3 Gives Ventricular Premature Beats Their Own Code in 2014
Term swap: ICD-10 uses ‘depolarization’ instead of ‘beats.’ Ma... Read more
Ob-gyn:
Break Your 626.9 Unspecified Code Into 2 More Specific Options
Don’t overlook these Excludes notes. Vaginal bleeding other than a normal menstr... Read more
Pediatrics:
Look to 'A' Codes to Report Rotavirus Under ICD-10
Your coding options next October will fortunately be transitioned on a one-to-one basis.... Read more
Pathology:
Make This Thyroid Cancer Diagnosis Transition
Use additional codes for functional activity. Unlike many conditions that have greater... Read more
Reader Question:
I20.8 and I20.9 Applies to Angina After Infarction, Too
Question: Should I report 411.0 for postinfarction angina? New Jersey Subscriber An... Read more
Reader Question:
Try Coding Embolization for Epistaxis
Question: Following transfemoral diagnostic cerebral angiography, how should I report On... Read more
Reader Question:
Focus on 6 Big-Picture Differences Between ICD-9 and ICD-10
Question: I’ve seen so much information about transitioning to ICD-10 that I&rsquo... Read more
ICD-10-PCS:
Select The Appropriate Cesarean Procedure and Diagnosis Codes With This Advice
For a cesarean, ICD-10-CM guidelines say to use this code as your primary dx. Although... Read more
Documentation Spotlight:
Enjoy Straightforward Transition For Paralytic Ileus With K56.0
Hint: Distinguish from gallstone ileus or duodenal ileus to correctly nail the diagnosis... Read more
Training:
Focus Your Practice's ICD-10 Prep With CMS Resources
Don’t miss partial code freeze breather. The countdown to ICD-10 stands at just ... Read more
Multispecialty:
Don't Let Your 2014 "Anxiety" Diagnosis Make You Anxious
You have a one-to-one correlation, but you do have a descriptor change. “Anxiety... Read more
Cardiology:
I49.3 Gives Ventricular Premature Beats Their Own Code in 2014
Term swap: ICD-10 uses ‘depolarization’ instead of ‘beats.’ A ... Read more
Anesthesia:
Watch for Straight Crossover for Intracranial and Intraspinal Abscesses
Diagnosis code choice will remain simple in 2014. When your anesthesia provider is inv... Read more
Oncology:
C56.- Range Offers Distinct Left and Right Ovary Neoplasm Options
Check the index before reporting carcinoma in situ. You can expect to have a few more ... Read more
Reader Question:
Pinpoint the Correct Code for C-Section Wound Seroma
Question: What diagnosis code should I report for “c-section wound seroma?” ... Read more
Reader Question:
Document Either "Allergic" or "Irritant" for Poison Ivy ICD-10 Diagnosis
Question: I’m having trouble finding a diagnosis code for 96372 when the physician... Read more
Reader Question:
R93.8 Solves Endometrial Fluid Question
Question: I’m coding an ultrasound note. What diagnosis code should I report for f... Read more
Reader Question:
Apply the Same Rules to Z85.810
Question: A patient completed radiation treatment for tongue cancer. Less than five year... Read more
Specificity:
Apply These Laterality, Episode of CareTips For Pediatric Presentations
It’s not just your P’s and Q’s that need minding under ICD-10, keep an... Read more
Documentation:
S82.84- Demands Multiple Details for Bimalleolar Ankle Fractures
Follow the guidelines if documentation doesn’t indicate displaced or nondisplaced.... Read more
Coding Quiz:
Take This Migraine Signs and Symptoms ICD-10 Challenge
Try your hand at looking up these signs and symptom equivalents. With ICD-10 looming i... Read more
Diagnosis Spotlight:
F34.0 Allows Straightforward Crossover For Cyclothymia in ICD-10
Hint: The inclusions and exclusions lists are also similar to corresponding ICD-9 code. ... Read more
Oncology:
C71.5 Says 'Cerebral Ventricle,' But Watch the Fourth Ventricle Neoplasm Exception
At first glance, brain cancer codes appear to have a direct crossover from ICD-9-CM to I... Read more
Pediatrics:
Prep Now for Next Year's Croup Coding Transition
Be ready to signify the cause of the croup under ICD-10. Coding for children with crou... Read more
Neurology & Pain Management:
Neck Pain Will Have an Easy Code Switch in ICD-10
Descriptor won’t even change from 723.1 to M54.2. Chronic neck pain is one of th... Read more
Reader Question:
Review These ICD-9, ICD-10 Differences
Question: What are the main differences between ICD-9 and ICD-10? South Carolina Sub... Read more
Reader Question:
Wait Until Oct. 1, 2014, to Use ICD-10
Question: Our practice is considering submitting claims with ICD-10 codes before the imp... Read more
PSC:
Research How to Report Radiation Oncology Procedures in ICD-10-PCS
Highlight this character for the radioactive isotope. When you prepare to report a rad... Read more
Documentation:
K86.0 Will Offer a Specific Code for Alcohol-Induced Chronic Pancreatitis in 2014
Acute and chronic forms will still have separate options under the new code set. Discu... Read more
News You Can Use:
Get Ready for NCD Changes to Parallel ICD-10 Implementation
Your ‘covered diagnoses’ lists will accommodate new code set. You know tha... Read more
Diagnosis Spotlight:
Get Set For Broader Reporting Options For Acute Respiratory Failure
Hint: Post-procedural respiratory failure should still be reported differently as in ICD... Read more
General Surgery:
I82.4-- Names Vessels for Lower Extremity Embolism/Thrombosis
That’s a change from 453.4x ICD-9 terminology. Right now, knowing whether a lowe... Read more
Ob-gyn:
Adopt This Anemia Diagnosis Code Transformation
Hint: Look elsewhere for anemia due to iron-deficiency. Anemia is a condition that occ... Read more
Cardiology:
443.9 Will Translate to I73.9 for Next Year's PVD Cases
Check the I73.- range notes to keep up with all excluded diagnoses. When documentation... Read more
Neurosurgery:
ICD-10 Switch Is Simple For Intracranial And Intraspinal Abscesses
You have a one-to-one match with ICD-9 codes. For intracranial and intraspinal abscess... Read more
Otolaryngology:
Treat "Unspecified" Viral Infection Dx Carefully -- You May Have a Better Choice
Good news: Code 079.99 has a one-to-one relationship. A viral infection is caused by a... Read more
Reader Question:
Check Your ICD-10 Progress Against These CMS Timelines
Question: I’m not sure if we’re in line for implementing ICD-10 by the Octob... Read more
Reader Question:
Start With Z87.2 for Atypical Nevus Diagnosis
Question: I can’t seem to find a clear diagnosis code for personal history of atyp... Read more
Reader Question:
Use Z71.9 or Z71.89 for Visit to Discuss Lab Tests
Question: A patient would like to schedule an appointment with her physician to review l... Read more
Reader Question:
Report Reason for Admission Before Underlying Condition
Question: The admitting physician documented alcoholic gastritis due to chronic alcoholi... Read more
Reader Question:
Few Details for Venous Insufficiency Lead to I87.2 or I87.9
Question: A CRNA performed an IV insertion on a patient who was in the GI lab. The reaso... Read more
Coding Conventions:
Good News: You Can Apply This Old ICD-9 Rule to ICD-10
If you understand these familiar phrases, then you know more than you think you do. As... Read more
Diagnosis Spotlight:
Expand Your PTSD Coding Options With F43.1-
Hint: Don’t code diagnosis of adjustment disorder under F43.1. When you begin us... Read more
Documentation:
Reflect "With or Without Ascites" When Reporting Alcoholic Cirrhosis of Liver
Look at detailed exclusions list to differentiate other causes of cirrhosis. If your g... Read more
7th Character:
Follow These Simple Tips for Submitting An Infected Surgical Wounds Diagnosis
Hint: Identify the infection and document an infected device, if any. When selecting t... Read more
Urology:
Expand Your Undescended, Retractile Testicle Diagnoses in 2014
Make sure your urologist gets specific in his documentation. When your urologist perfo... Read more
Pediatrics:
Know the Rhinitis Cause to Report This Dx Under ICD-10
You’ll be checking the ‘J30.x’ section to find the right rhinitis code... Read more
Neurosurgery:
ICD-10 Switch Is Simple For Intracranial And Intraspinal Abscesses
You have a one-to-one match with ICD-9 codes. For intracranial and intraspinal abscess... Read more
Reader Question:
Match Mesothelioma Case to Codes
Question: What are the proper codes for this encounter? The diagnosis is malignant pleur... Read more
Reader Question:
Tackle Upper and Lower Extremity X-Rays
Question: In a single session, we performed standing AP, lateral, and tangential views o... Read more
Reader Question:
Decide Whether the Delivery Is Complicated or Normal
Question: I am looking for some ICD-9 codes for a patient who delivers in a car, home,&n... Read more
PCS:
Clarify How PCS Works By Observing the Obstetrics Section 1
Here’s why you should start memorizing 10E0XZZ. If you’re looking for a su... Read more
Diagnosis Spotlight:
F40 Takes the Anxiety Out of Your Agoraphobia Reporting
Tip: Occurrence or absence of panic attack is still the key to accurate reporting. Whe... Read more
Fifth and Sixth Characters:
Look for Close Malignant Skin Neoplasm Crosswalk
Melanoma and more report to different codes. Not a lot will change once you start repo... Read more
Orthopedics:
Report Non-traumatic Rotator Cuff Tears With Confidence
Laterality guides your choice for partial and complete tears. When you report non-trau... Read more
Cardiology:
416.8 Unfolds Into 2 New Pulmonary Heart Disease Options
Keep a close eye out for ‘secondary’ to ensure you choose the appropriate co... Read more
Oncology:
Z15 and V84 Trade Places in 2014 for Coding Neoplasm
Follow instructions to include code for current neoplasm and family history, too. You ... Read more
Reader Question:
A Suspected Problem Means You Should Report Z36
Question: We have an ob patient that is 21 weeks pregnant that had a transvaginal u... Read more
Reader Question:
S92.32-- Is for Initial Fracture Diagnosis
Question: A patient was treated for a fracture of the second metatarsal. Four weeks late... Read more
Reader Question:
Look for Greater Specifics with ICD-10 Cancer Codes
Question: How should we code malignant breast cancer with metastasis to liver and bone? ... Read more
Orthopedics In-Depth:
Justify Your Choice of Jones Fracture Code in ICD-10
Confirm side of foot and displacement of fracture. ICD-9 offers only a single code for... Read more
Diagnostic Spotlight:
Gastric Ulcers Morph to K25 in ICD-10
Observe minor changes to list of inclusions and exclusions. When you report gastric ul... Read more
Fifth and Sixth Digits:
S21.1_ Adds Detail Beyond 876.0 for Back Wounds
Laceration, puncture, and more expand codes. Coding wound closure requires identifying... Read more
Documentation:
Streamline Your Unspecified Pulmonary Edema With J81
Hint: Choose from different codes for edema due to a cardiac cause. Frequently, your p... Read more
Otolaryngology:
Change to R04.0 for Epistaxis Under ICD-10
Plus: Remember right/left modifiers according to payer policy. Under ICD-9 rules, you ... Read more
Pathology:
V84 to Z15: Don't Expect Big Changes for Genetic Test Results
Follow one-to-one crosswalk. Despite a major CPT® revamping of genetic test codes ... Read more
Radiology:
441.4 Crosses to I71.4 for Unruptured AAA
Aortic anatomy lesson helps keep your coding on the straight and narrow. An important ... Read more
Reader Question:
Join the Search for Jones Fracture Code
Question: A physician in my practice listed Jones fracture as the patient’s diagno... Read more
Reader Question:
Match Mesothelioma Case to Codes
Question: What are the proper codes for this encounter? The diagnosis is malignant pleur... Read more