Tag Archives | ICD-9

Why Physician Practices Need To Build An ICD-10 Bridge

The ICD-10 mandate may be delayed another year, but providers and EHR vendors shouldn’t view the reprieve as an opportunity to relax.

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Medical Coding Exam System

ICD-10 Is NOT Required For The 2014 Certification Exam For New Coders

If you are a new coder looking to get your certification in 2014 take a deep breath! AAPC is not requiring you to be tested on ICD-10. ICD-9 is what is currently being tested for certification and the exam is still 150 questions and you still have 5 hours and forty minutes to complete it. […]

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Trouble Signs Again For New Medical Coding System

Remember the new, uber-complicated system of medical codes coming soon? You know, the ones that will tell your insurance company whether this was the first, second or third time your pet parrot bit you? This is referring to the dramatic change in how doctors and hospitals code procedures to get proper insurance reimbursements. The American […]

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How the changes in ICD-10 have more to offer than ICD-9

While the changes in ICD-10 has more to offer but the challenges that exists are worth the effort. The providers and the coders too will need to comprehend the new set of codes in ICD-10, and this demands education about their practices’ coding systems. But ultimately the benefit outweighs the damage the shift will cause, […]

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How to manage cash needs ahead of ICD-10 transition

Healthcare providers may face disruptions in their payments even if they are on target to operate using ICD-10 codes on Oct. 1, 2014. Since providers will, and indeed need, to be able to pay rent and staff salaries if the transition does not flow as smoothly as testing has indicated, experts advise having up to […]

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Medicare’s 140,000 New Diagnosis Codes Doctors Hate

The health care industry is “not progressing at a suitable pace” to be ready for tens of thousands of new government-mandated “ICD-10” codes used to describe diseases and hospital procedures in the insurance billing process, a new analysis shows. Though the conversion to 140,000 new codes that medical-care providers will use in order to bill […]

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The Differences Between ICD-9 Codes and ICD-10 Codes

Are you a professional medical coder? Then you have an important job, because your careful coding is vital for proper diagnoses, to monitor the health of the general population, accurate reimbursement, the smooth operation of facilities that provide medical care and more. That’s why a firm understanding and comprehensive training for the ICD-10 transition will […]

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ICD-10: Prostate Cancer Coding Mirrors ICD-9 Neoplasm Table Structure

If you don’t have any trouble using the ICD-9 neoplasm table, you shouldn’t have a hard time transitioning to ICD-10 neoplasm codes.

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ICD-10: I42.- Requires More Cardiomyopathy Details Than 425.4 Does

Tip: A diagnosis that falls under an ICD-9 ‘other’ code may have its own ICD-10 code.

Under ICD-9, when the manual doesn’t offer a code specific to your diagnosis, you usually choose one of the catch-all “other specified” codes available, such as 425.4 (Other primary cardiomyopathies). When you start applying ICD-10 codes in October 2013, you may find that your catch-all code has been divided into more specific options. Here’s how the ICD-10 counterparts for 425.4 will look.

ICD-9 coding rules: Cardiomyopathy literally means disease of the heart muscle and can refer to many types of heart disease. ICD-9 offers one code for “other” primary cardiomyopathies: 425.4. It’s appropriate for cardiomyopathy NOS, congestive, constrictive, familial, hypertrophic, idiopathic, nonobstructive, obstructive (but see 425.1 for hypertrophic obstructive), and restrictive. Code 425.4 is also appropriate for cardiovascular collagenosis.

ICD-10 changes: ICD-10 divides your options for “other” cardiomyopathy among three codes:

  • I42.2, Other hypertrophic cardiomyopathy
  • I42.5, Other restrictive cardiomyopathy
  • I42.8, Other cardiomyopathies.

Code I42.2 will be appropriate for other cardiomyopathy: hypertrophic, nonobstructive. Code I42.5 will be appropriate for other cardiomyopathy: restrictive, constrictive NOS. Code I42.8 is appropriate for any other cardiomyopathies not listed elsewhere, including newborn and obscure of Africa, as well as cardiovascular collagenosis.

Caution: Check the index and full I42.- range in the tabular list before choosing an “other” code. For example, several of the diagnoses that fall under 425.4 in ICD-9 do not fall under the “other” cardiomyopathy codes in ICD- 10. Specifically, obstructive cardiomyopathy is coded to I42.1 under ICD-10, congestive falls under I42.0, and familial and idiopathic fall under I42.9.

Remember: When ICD-10 goes into effect on Oct. 1, 2013, you should apply the code set and official guidelines in effect for the date of service reported. Learn more at www.cms.gov/ICD10/ and www.cdc.gov/nchs/icd/icd10cm.htm#10update.

Be ready…

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Pick Up on PIN III’s Trail in Index

Question:
I have a path report that says “PIN III.” My problem is that the report also says “carcinoma was not identified,” so I’m confused about what to report. Which ICD-9 code is best?
 Answer:
With a diagnosis of PIN III, you should repo…

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