Posts tagged ‘NCHS’

April 24, 2012

It’s not our imagination: Deaths from gastroenteritis are increasing

CMS confirms that gastroenteritis deaths have doubled in the past 10 years or so. Our friends, C. difficile and norovirus, are the leading causes.

Over the eight-year study period (1999-2007), CDC found that gastroenteritis-associated deaths from all causes increased from almost 7,000 to more than 17,000 per year. Adults over 65 years old accounted for 83 percent of deaths. Clostridium difficile (C. difficile) and norovirus were the most common infectious causes of gastroenteritis-associated deaths.

Much of the recent increase in the incidence and mortality of C. difficile is attributed to the emergence and spread of a hypervirulent, resistant strain of C. difficile. This bug contributed to about two-thirds of the deaths.

Norovirus was associated with about 800 deaths annually, though there were 50 percent more deaths in years when epidemics were caused by new strains of the virus. Norovirus is highly contagious.

Find out more.

June 30, 2011

New codes quiz time

It’s that time of year … the final new code lists are out, and we need to start learning. Here are some fill-in-the-blank to help you learn new codes: (Answers at the bottom)

1. Look up this main term to see changes to 416.8

2. You should use one or two additional codes (if you have documentation) with this new Infection of cystostomy code

3. Category 539 deals with complications of these procedures

4. Acquired absence of a joint now has this subcategory

5. Several codes, including chronic pulmonary embolism (416.2) and pulmonary embolism and infarction (415.1) now have excludes notes for these types of codes

6. Other infections with the central _____ catheter has new codes

7. This code now deals with aggressive behavior in dementia

8. Influenza codes in categories 487 and ___ have gotten more specific

9. *Local* infection due to central venous catheter is coded here

10. This chapter received a new title this year

11. There are more than 10 new codes and 20 revisions for this eye disease

12. NCHS’s correction addendum swapped out V54.81 with V54.82 when coding this V58 subcategory

13. V40.31, Wandering in diseases classified elsewhere, excludes Alzheimer’s and this symptom often association with Alzheimer’s

14. Complications codes are getting more complicated. Don’t code 596.8x with this urinary complications code

15. When coding some atherosclerosis codes, watch the use additional code note on some codes in this category

16. Pelvic fractures (808.5x) now have specificity for open or ______

17. This phrase is now used to describe the previously known “mental retardation”

18. For skin cancer codes, a fifth-digit of 2 designates squamous cell _____

More to come on new codes, but if you’re looking for the complete Index and Tabular listings, as well as the errata, go to this NCHS list.

 

1. hypertension; 2. 596.81; 3. bariatric; 4. V88.2; 5. personal history; 6. venous; 7. 294.21; 8. 488; 9. 999.93; 10. five; 11. glaucoma; 12. V58.9; 13. dementia; 14. 997.5; 15. 707; 16. closed; 17. intellectual disabilities; 18. carcinoma