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murmur, functional

Loretta Posted Mon 03rd of February, 2014 11:12:02 AM

I have seen several of the above diagnosis show up on cardiology reports and sometimes this is the only diagnosis. If the ICD-9 says to omit this code, what would the diagnosis be?

SuperCoder Answered Tue 04th of February, 2014 10:31:33 AM

As you note, ICD-9 instructs to omit the code for a functional murmur. Because that code isn't an option, you'll have to look at other reasons for the visit. If there wasn't a definitive diagnosis related to the encounter, see if there are signs and symptoms that brought the patient in. Or if the murmur was found during a physical or screening, there may be an encounter code that's appropriate.

FYI, ICD-10 will offer a code for functional murmurs when it becomes effective in October: R01.0, Benign and innocent cardiac murmurs.

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