Tag Archives: Cheat Sheet
Use this cheat sheet to aid your non-congenital valve disorder coding
|Code||Descriptor||Role of ‘Rheumatic’
|MITRAL VALVE ONLY
|394.0||Mitral stenosis||Use if specified as rheumatic or unspecified. If specified as non-rheumatic, use 424.0.|
|394.1||Rheumatic mitral insufficiency||Specific to rheumatic cases. For others, use 424.0.|
|394.2||Mitral stenosis with insufficiency||Use if specified as rheumatic or unspecified. If specified as non-rheumatic, use 424.0.|
|394.9||Other and unspecified mitral valve disease||Use if specified as rheumatic or unspecified. If specified as non-rheumatic, use 424.0.|
|424.0||Mitral valve disorders||Use if specified as non-rheumatic. Also use for mitral insufficiency of unspecified cause.|
|AORTIC VALVE ONLY|
|395.0||Rheumatic aortic stenosis||Specific to rheumatic cases. For others, use 424.1.|
|395.1||Rheumatic aortic insufficiency||Specific to rheumatic cases. For others, use 424.1.|
|395.2||Rheumatic aortic stenosis with insufficiency||Specific to rheumatic cases. For others, use 424.1.|
|395.9||Other and unspecified rheumatic aortic diseases||Specific to rheumatic cases. For others, use 424.1.|
|424.1||Aortic valve disorders||Use if specified as non-rheumatic or unspecified. If specified as rheumatic, see 395.x.|
|BOTH MITRAL AND AORTIC VALVES
Don’t let rumors of few ICD-9 changes in prep for ICD-10 blindside you to top diagnosis changes for 2011. Without the scoop on expansion to the 488, 784, and 787 categories, denials for invalid codes will derail your claims delaying your payments.
In ICD-9 2011, “Codes continue to become more and more specific necessitating a provider to document clearly and thoroughly to allow for selection of the most specific and accurate code,” says Jennifer Swindle, RHIT, CCS-P, CEMC, CFPC, CCP-P, PCS, Director Coding & Compliance Division, PivotHealth, LLC.
Good news: Updating your ICD-9 coding by the Oct. 1, 2010, effective date doesn’t have to be a chore. Start using your new choices in no time flat following these guidelines.
Look at Manifestation When Assigning “Swine Flu” Dx
This fall, when a patient has H1N1 (“swine flu”) pay attention to two details. The medical record will have to identify the correct influenza and you will have to capture the appropriate manifestation to select the codes to the degree of specificity now required, Swindle points out.
With the change “category 488 (Influenza due to certain identified influenza viruses) would mirror the structure of category 487 (Influenza),” according to the Summary of March 2010 ICD-9-CM Coordination and Maintenance Committee Meeting. The current 488.x sub-category didn’t provide the level of detail that category 487 (Influenza) does.
Change: There will be “tremendous expansion of the H1N1 category,” Swindle explains. ICD-9 2011 deletes 488.0 and 488.1 and adds six new five-digit codes. New codes 488.0x (Influenza due to identified avian influenza virus) and 488.1x (Influenza due to identified novel H1N1 influenza virus) allow you “to uniquely capture pneumonia, other respiratory manifestations, and other manifestations occurring with these types of influenza,” states the summary.
Knowing the differences between the tests is your key to proper code choice.
When your urologist says he performed urodynamics tests, you need to dig deeper into his documentation for clues about which code to report. Tack this overview up by your computer to help you quickly choose the right code every time.
• In a simple [...]
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