2008 Diagnosis Code Changes
168 New Diagnosis Codes Effective 10/1/07. The Aim for New Codes is More Specificity.
• Primary Diagnosis Codes
• Additional Digits Required
• Manifestation Codes
• Other Specified Codes
• Unspecified Code
Healthcare News
Amper’s Healthcare Services Group
Our
Healthcare experts specialize in strategic planning, organizational development, physician compliance programs, HIPAA updates, facilities management, auditing services, and tax services.
Amper is one of the largest independent CPA,
accounting,
tax preparation, and
auditing firms in the New Jersey, Pennsylvania and New York region.
Presented by
Amper’s Healthcare Services Group
Sections
168 New Diagnosis Codes Effective 10/1/07
- Primary Diagnosis Codes
- Additional Digits Required
- Manifestation Codes
- Not allowed to be reported as a primary diagnosis
- Describes a manifestation of some other underlying disease, not the disease itself
- Mandatory multiple coding of etiology & manifestation
- Other Specified Codes
- "Other" or "Not Elsewhere Classified"
- Unspecified Code
The Aim for New Codes is More Specificity
- Additional fifth digits
- Most deleted codes were replaced with codes that have five-digit specificity
- Corticoadrenal Deficiency – 255.4
- Must now report the type of steroid deficiency
- Glucocorticoid Deficiency – 255.41
- Mineralocorticoid Deficiency – 255.42
- Pay For Performance
- Support CPT code billed for optimum reimbursement
- Examples of New Code Specificity
- Hearing Impairments
- More Accurate Descriptions
- Dysphagia
- Myotonia / Myotonic Disorders
- Family History of Certain Conditions
- Ascities
- Most Misused Unspecified Code
- Hypertension – 401.9
- For each hypertension code, there are three selections
- Malignant – 401.0
- Severe high arterial blood pressure (BP); results in necrosis in kidney, retina, etc; hemorrhages occur & death commonly due to uremia or rupture of cerebral vessel
- Benign – 401.1
- Mildly elevated arterial blood pressure
- Unspecified – 401.9
- Elevated BP without dx of hypertension – 796.2
- Secondary Hypertension (405.0 – 405.99)
- Infectious & Parasitic Diseases – 16 New
- Botulism (Other Specified; Infant; Wound) - 3
- Roseola infantum - 4
- Human Herpesvirus – 5
- Human Herpesvirus Encephalitis – 3
- Parvovirus B19
- Neoplasms – 64 New Codes
- 60 Lymphoma Codes by Type & Site
- Marginal Zone - 10
- Mantle Cell - 10
- Primary Central Nervous System - 10
- Anaplastic Large Cell - 10
- Large Cell - 10
- Peripheral T-Cell - 10
- Endocrine, Nutritional and Metabolic, Immunity – 5 New Codes
- Glucocorticoid Deficiency
- Mineralocorticoid Deficiency
- Multiple Endocrine Neoplasia
- Blood and Blood Forming Organs –3 New
- Red cell aplasia (acquired; adult; w/thymoma)
- Other specified aplastic anemias
- Bandemia
- Mental Disorders – 1 New Code
- Speech & Language Developmental Delay Due to Hearing Loss
- Nervous System & Sense Organs – 16 New
- Idiopathic Normal Pressure Hydrocephalus - 1
- Myotonia Disorders - 5
- Floppy Iris Syndrome – 1
- Other Disorders of Iris/Ciliary Body – 1
- Acquired Auditory Processing Disorder - 1
- Hearing Loss (Conductive; Neural; Sensory; Mixed) – 7
- Unilateral / Bilateral
- Unspecified
- Circulatory System – 5 New Codes
- Chronic Total Occlusion of Coronary Artery
- Septic Pulmonary Embolism
- Cardiac Tamponade
- Chronic Total Occlusion of Artery of the Extremities
- Septic Arterial Embolism
- Respiratory System - 1 New Code
- Influenza Due to Identified Avian Influenza Virus
- Digestive System – 6 New Codes
- Dental Codes – 5
- Digestive System Code - 1
- Genitourinary System
- Vulvar Intraepithelial Neoplasia
- Complications of Pregnancy, Childbirth and Puerperium – 4 New Codes
- Anal Sphincter Tears Complicating Delivery
- Unspecified As to Episode of Care
- With or Without Mention of Antepartum Condition
- Postpartum Condition or Complication
- Musculoskeletal System & Connective Tissue – 1 New
- Aseptic Necrosis of Bone, Jaw
- Symptoms, Signs, and Ill-Defined Conditions – 8 New Codes
- Dysphagia – 6
- Ascities – 2
- Injury and Poisoning – 2 New Codes
- Infection Due to Central Venous Catheter
- Infection Following Other Infusion, Injection, Transfusion or Vaccination
- E Codes – 3 New Codes
- Environmental Exposure to Harmful Algae and Toxins
- Oral / Intravenous Bisphosphonates
- Used in the treatment of osteoporosis, osteitis, bone metastasis, multiple myeloma, etc.
- V Codes – 20 New Codes
- Personal History Of:
- Sudden Cardiac Arrest
- TIA
- Cervical Dysplasia
- Family History Of:
- Malignant Neoplasm, Bladder
- Sudden Cardiac Death
- Other Cardiovascular Diseases
- Multiple Endocrine Neoplasia Syndrome
|
Print this issue
View as PDF