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Healthcare Coding & Documentation 2011 Update - Part1

For the most current information, view the Healthcare Coding and Documentation 2012 Update 

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Coding Changes Reminder
  • Remember to change the following to reflect the new diagnosis and procedure codes for 2011:
    • Superbill / Encounter Form
    • Practice Management Software
     
  • Update ICD-9-CM and CPT Books

 

2011 Diagnosis Code Changes - Effective 10/1/10

New Diagnosis Codes, Additional Digits Required, and Deleted Diagnosis Codes

  • Neoplasms
    • Schwannomatosis - 237.73
      • One form of a genetic disorder called neurofibromatosis (NF) that has only been recently recognized
       
    • Neurofibromatosis, NEC - 237.79
     
  • Endocrine, Nutritional & Metabolic, Immunity
    • Deleted
      • Disorders of Iron Metabolism – 275.0
        • Additional 5th Digit Required
          • Hereditary Hemochromatosis – 275.01
          • Hemochromatos – RBC transfusions – 275.02
          • Hemochromatosis NEC - 275.03
          • Other Disorders of Iron Metabolism – 275.09
           
         
       
    • Deleted
      • Fluid Overload 276.6
        • Additional 5th Digit Required
          • Transfusion associated circulatory overload – 276.61
          • Other fluid overload – 276.69
           
         
       
    • New Code
      • Obesity hypoventilation syndrome – 278.03
       
     
  • Blood and Blood-Forming Organs
    • Deleted
      • Secondary Thrombocytopenia - 287.4
        • Additional 5th Digit Required
          • Post-transfusion purpura - 278.41
          • Other secondary thrombocytopenia – 278.49
           
         
       
    Mental Disorders
    • New Code
      • Childhood onset fluency disorder – 315.35
       
     
  • Circulatory System
    • New Codes
      • Other disorders of arteries and arterioles - 447.7
      • Aortic Ectasia - 447.71 – 447.73
       
     
  • Respiratory System
    • Deleted
      • Influenza due to identified avian influenza virus – 488.0
        • Additional 5th Digit Required
          • Influenza due to identified avian influenza virus with:
          • Pneumonia – 488.01
          • Other Respiratory Manifestations – 488.02
          • Other Manifestations – 488.09
           
         
       
    • Deleted
      • Influenza due to identified novel H1N1 influenza virus – 488.1
        • Additional 5th Digit Required
          • Influenza due to identified novel H1N1 influenza virus with:
          • Other Respiratory Manifestations – 488.12
          • Other Manifestations – 488.19
           
         
       
     
  • Digestive System
    • New Code
      • Fecal impaction – 560.32
       
     
  • Musculoskeletal System
    • New Code
      • Spinal stenosis, lumbar region, with neurogenic claudication – 724.03
       
     
  • Congenital Anomalies
    • Deleted
      • Other anomalies of uterus – 752.3
        • Additional 5th Digit Required:
          • 752.31 – 752.47
           
         
       
     
  • Symptoms, Signs and Ill-Defined Conditions
    • New Codes
      • Post traumatic seizures – 780.33
      • Febrile non-hemolytic transfusion reaction – 780.66
      • Fluency disorder in conditions classified elsewhere – 784.52
      • Jaw pain – 784.92
      • Signs and Symptoms involving cognition
        • Attention or concentration deficit – 799.51
        • Cognitive communication deficit – 799.52
        • Visuospatial deficit – 799.53
        • Psychomotor deficit – 799.54
        • Frontal lobe and executive function deficit – 799.55
        • Other signs and symptoms involving cognition – 799.59
         
       
    • Deleted Codes
      • Hemoptysis – 786.3
        • Additional 5th Digit Required:
          • Acute idiopathic pulmonary hemorrhage in infants – 786.31
          • Other hemoptysis – 786.39
           
         
      • Incontinence of Feces – 787.6
        • Additional 5th Digit Required:
          • Incomplete defecation – 787.61
          • Fecal smearing – 787.62
          • Fecal urgency – 787.63
           
         
       
     
  • Injury and Poisoning
    • Deleted
      • Poisoning by other specified central nervous system stimulants – 970.8
        • Additional 5th Digit Required:
          • Poisoning by cocaine – 970.81
          • Poisoning by other central nervous system stimulants – 970.89
           
         
      • ABO incompatibility reaction – 999.6
        • Additional 5th Digit Required:
          • ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed – 999.61
          • Acute – 999.62 Delayed – 999.63
          • Other ABO incompatibility reaction - 999.69
           
         
       
    • Deleted
      • Rh incompatibility reaction – 999.7
        • Additional 5th Digit Required:
          • Rh incompatibility with hemolytic transfusion reaction not specified as acute or delayed – 999.71
          • Acute – 999.72 Delayed – 999.73
          • Other Rh incompatibility reaction – 999.74
           
        • Non-ABO Incompatibility
          • Non-ABO incompatibility reaction, unspecified – 999.75
          • Not specified as acute or delayed – 999.76
          • Acute – 999.77 Delayed – 999.78
          • Other non-ABO incompatibility reaction – 999.79
           
         
       
    • New Codes
      • Transfusion reaction, unspecified – 999.8
      • Hemolytic transfusion reaction, incompatibility unspecified – 999.83
      • Acute hemolytic transfusion reaction, incompatibility unspecified - 999.84
      • Delayed hemolytic transfusion reaction, incompatibility unspecified – 999.85
       
     
  • External Causes of Injury and Poisoning
    • New Codes
      • Volunteer Activity – E000.2
       
     
  • Factors Influencing Health Status (V Codes)
    • New Codes
      • Personal History of:
        • Combat & operational stress reaction – V11.4
        • Vaginal dysplasia – V13.23
        • Vulvar dysplasia – V13.24
        • Other (corrected) congential malformations of:
          • Genitourinary system – V13.62
          • Nervous system – V13.63
          • Eye, ear, face and neck – V13.64
          • Heart and circulatory system – V13.65
          • Respiratory system – V13.66
          • Digestive system – V13.67
          • Integument, limbs and musculoskeletal – V13.68
           
        • Retained foreign body fully removed – V15.53
         
      • Do not resuscitate status – V49.86
      • Physical restraints status – V49.87
      • Homicidal ideation – V62.85
      • Acquired absence of pancreas – V88.1
        • Total – V88.11 Partial – V88.12
         
      • Retained:
        • Foreign body – V90
          • Radioactive fragment – V90.0
          • Depleted uranium fragments – V90.01
          • Other radioactive fragments – V90.09
           
        • Metal fragments – V91
          • Metal fragments, unspecified – V90.10
          • Magnetic metal fragments – V90.11
          • Non-magnetic metal fragments – V90.12
           
        • Plastic fragments – V90.2
        • Organic fragments – V90.3
        • Animal quills or spines – V90.31
        • Tooth – V90.32
        • Wood fragments – V90.33
        • Other organic fragments – V90.39
        • Other specified foreign body – V90.8
        • Glass fragments – V90.81
        • Stone or crystalline fragments – V90.83
        • Other specified foreign body, NEC – V90.89
        • Foreign body, unspecified material – V90.9
         
      • Multiple Gestation Placenta Status
        • Codes V91.0 – V91.99
         
       
    • Deleted
      • Encounter for insertion of intrauterine contraceptive device (IUD) – V25.1
        • Insertion of IUD – V25.11
        • Removal of IUD – V25.12
        • Removal and re-insertion of IUD – V25.13
         
      • Body Mass Index (BMI) 40 and over, adult – V85.4
        • BMI 40.0 – 44.9, adult – V85.41
        • BMI 45.0 – 49.9, adult – V85.42
        • BMI 50.0 – 59.9, adult – V85.43
        • BMI 60.0 – 69.9, adult – V85.44
        • BMI 70 and over, adult – V85.45
         
       
     

 

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Contact Information

Steven Bisciello, MBA 
Supervising Consultant, Healthcare Services Group  

EisnerAmper LLP is an independent member firm of PKF International Limited

 

The material contained in this presentation is for general information and should not be acted upon without prior professional consultation. 

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