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Tag Archives: Diseases

Old Diseases Require New Knowledge

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Disease thought long gone are resurging as the result of  lowered vaccination rates, homelessness, and other factors, and they are sending medical coders and billers back to their books. Diseases Not Gone for Good While polio is effectively controlled in the United States, public health experts, including the Centers for Disease Control and Prevention (CDC), […]

The post Old Diseases Require New Knowledge appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Polyneuropathy in diseases classified elsewhere

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According to the 2018 ICD 10 guidelines:
The word “with” or “in” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated or when another guideline exists that specifically requires a documented linkage between two conditions (e.g., sepsis guideline for “acute organ dysfunction that is not clearly associated with the sepsis”).

Does this mean that if polyneuropathy and vitamin B deficiency are documented in the same progress note, but not linked by the provider, I should still be coding them as linked?

Index has:
Polyneuropathy
in
->deficiency
–>B vitamins E53.9 [G63]

I know we do this for diabetes, but this scenario just doesn’t seem right to me.

Medical Billing and Coding Forum

In diseases classified elsewhere

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How would you code this and how would you find the parts in the Alpha Index of ICD10:

Direct infection of the left ankle due to leprosy (Mycobacterium leprae).

The correct answer is A30.9, M01.X72.

My students correctly found the Mycobacterium Leprae Leprosy A30.9 with little issue.

They could not find the M01.X72 which is Direct infection of left ankle and foot infectious and parasitic diseases classified elsewhere.

Where is this second in the Alpha Index? How would they have even know it’s a "disease classified elswhere" code.

I have searched and searched and I find no tangible answers.

Please help…..

Medical Billing and Coding Forum

RSV as the cause of diseases classified elsewhere B97.4

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I am getting a lot of denials this time of year for services provided to children for diagnosis B97.4, RSV as the cause of diseases classified elsewhere. I did some research on this code and found in Encoder Pro that "This code is reported only when the disease caused by RSV is in an organ or site beyond the respiratory tract.". So I have been having to send these back to the providers to determine if this is appropriate code or if it should be another RSV code. There are three other RSV codes, J12.1 (RSV pneumonia), J20.5 (Acute bronchitis due to respiratory syncytial virus) and J21.0 (Acute bronchiolitis due to respiratory syncytial virus). So my question is, for what ‘diseases’ would the B97.4 be appropriate? Just trying to find some type of examples of when a provider would use B97.4 and in what circumstances.

Thanks in advance!

Samantha

Medical Billing and Coding Forum

Infectious and Parasitic Diseases

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Good Afternoon, I am a new hire and I have take home, homework and I just have a question on if I’m using the right code and the sequencing. So the question is Chronic Gonococcal cystitis, the answer I put was A54.01, N30.20. I coded for the Gonococcal cystitis and then I coded for the chronic also, but when I coded for the chronic the notes in the tabular list indicated that an additional code to identify infectious agent (B95-B97)

Medical Billing and Coding Forum

ICD-10 Infectious and Parasitic Diseases

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Good Evening, I am a new hire and I have take home, homework and I just have a question on if I’m using the right code and the sequencing. So the question is Chronic Gonococcal cystitis, the answer I put was A54.01, N30.20. I coded for the Gonococcal cystitis and then I coded for the chronic also, but when I coded for the chronic the notes in the tabular list indicated that an additional code to identify infectious agent (B95-B97)

Medical Billing and Coding Forum

Diseases at Your Fingertips

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The Centers for Disease Control and Prevention (CDC) are releasing a mobile application called Health Information at Your Finger Tips CDC 24/7 allowing you to access health information as needed. The agency says it features important health articles, Disease of the Week, popular journals, prevention tips, and updates timed with new concerns and events. This […]
AAPC Blog

Change in Guidelines – Chapter 9 Diseases of the Circulatory System

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There is a significant change to the guidelines in chapter 9: Diseases of the Circulatory System. As you may recall in order to code the diagnosis of Hypertensive Heart and/or Kidney Disease the documentation had to be supported with language linking the conditions. This has changed. There is a presumed causal relationship between hypertension and heart involvement (I50.- or I51.4 – I51.9) and between hypertension and kidney involvement, as the two conditions are linked by the term “with” in the Alphabetic Index of the ICD-10 CM book. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated.

I am posting this as the changes did not make it to print.

Here is a link to a great article giving an overview of the changes. http://www.icd10monitor.com/enews/it…sions-for-2017

Steph

Medical Billing and Coding | AAPC Forum