Posts tagged ‘icd-9 coding’

September 24, 2012

Train on ICD-9 to prepare for ICD-10

Prior to the news about the postponement of ICD-10 the most common question was, “Why should we continue with ICD-9 training when “10” is on the horizon?” The answer is simple. At the very least we still need to understand & correctly assign ICD-9 codes until 10/1/13.

I am holding ICD-9 education that also prepares you for the ICD-10 transition in Tampa, Florida; Houston, Grapevine, and Corpus Christie, Texas.

We still need training because we are mandated by regulations to only enter accurate information in our patients’ records. Erroneous coding can have horrible unintended consequences for the patient whose medical record becomes contaminated by diagnoses that they don’t have.

If you think there’s nothing new in coding, then you’re wrong! There is more scrutiny in the form of medical reviews.

Lisa will provide ICD-9 answers and food for thought for the future, as well as an extra bonus of what’s new with ICD-10-CM and how to best ready your agency for this huge change.
Learn more about my training!

April 16, 2012

Watch for old codes!

Just a reminder of a few codes that became invalid Oct. 1. Don’t code!

A few we’ve seen:

  • 286.5, Hemorrhagic disorder due to intrinsic circulating anticoagulants
  • 518.5, Pulmonary insufficiency following trauma and surgery
  • 999.4, Anaphylactic shock due to serum
  • 999.5, Other serum reaction
  • V12.2, Personal history of endocrine, metabolic, and immunity disorders
  • V13.8, Personal history of other specified diseases
August 16, 2011

I’m touring Texas!

Intermediate coders, get all the latest information on changes and the best coding education around. I’m

Highlights include:

  • Explain CMS guidance on sequencing.
  • Explain the relevance of OASIS C data items for diagnoses to payment.
  • Explain coding of diagnoses of infections, neoplasms, endocrine disorders such as diabetes, anemias, mental disorders, and the nervous system & sense organs.
  • Identify the differences between different kinds of ulcers.
  • Describe the purpose and appropriate use of V and E codes.
  • And tons more … including identifying new codes that will take effect October 1, 2011.

I will be in Dallas Aug. 24-25;  McAllen Aug. 31-Sept. 1; Houston, Sept. 7-8

IntermediateTourAugSep2011-1: Register and learn more!

November 16, 2010

Keep diabetes rules in mind during diabetes month

November is American Diabetes Month, so I wanted to highlight some information and resources about this too-common (and often miscoded) disease.

See the American Diabetes Association’s web page with updated information related to the disease

The CDC recently updated its diabetes website with information on end-stage renal disease and diabetes.

As for coding, remember these points to ensure more accurate coding:

  • Insulin use does not indicate a diabetes type. While Type I diabetics are dependent on insulin, many Type II diabetics also use insulin. Query the doctor.
  • For Type II diabetes, use of insulin requires a V58.67 code. It is not needed for Type I diabetes because all Type I diabetics use insulin.
  • While gangrene is an assumed manifestation of diabetes, it does NOT follow that having gangrene means that you have diabetes. It can be a stand-alone problem, so make sure the patient has diabetic gangrene.
  • The diabetes code (249.xx or 250.xx) must always precede the manifestation, even if the manifestation is the focus of care.
  • A 4th digit of 1, 2, or 3 would rarely be used in home health settings.
  • 5th digit indicates type and control with Category 250. Again … 5th digit indicates type and control. Watch the wording and the documentation because the key is whether “uncontrolled” is mentioned in documentation.

0: Type II or unspecified type, not stated as uncontrolled

1: Type I, not stated as uncontrolled

2: Type II or unspecified type, uncontrolled

3: Type I, uncontrolled

  • For Secondary Diabetes, 249.xx, the 5th digit indicates control. There is no type.

0: Not stated as uncontrolled, or unspecified

1: uncontrolled