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
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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
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