2009 Diagnosis Code Changes
• 435 New Diagnosis Codes Effective 10/1/08
• 60 Revised Diagnosis Codes
• 25 Deleted Diagnosis Codes
• Infectious & Parasitic Diseases – 29 New Codes
• Nervous System & Sense Organs – 80 New Codes
• Neoplasms – 81 New Codes
• Digestive System – 9 New Codes
• E Codes – 7 New Codes
• V Codes – 66 New Codes
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 Healthcare Articles
Healthcare Regulatory 2009 Update
Coding and Documentation 2009 Update
2009 Diagnosis Code Changes
2009 CPT Code Changes
2009 HAC & POA Indicator Reporting
Preparing for the RACs
Top 10 RAC/OIG Targets
OIG Work Plan
Employee Benefit Plan Alert: Fiduciaries must focus on Plan Fees
The Potential Liability of Self-Funded Health Insurance Plans
Physician Services
HealthLine Newsletter Articles
Healthcare Litigation
Health Claims Authorization, Processing and Payment Act
Healthcare Organizations Start to Adopt Sarbanes-Oxley Regulations
The OIG Stresses the Importance of Internal Controls for Hospitals to Reduce Risk
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2008 Diagnosis Code Changes
2008 CPT Code Changes
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2007 Medicare Update
2006 Medicare Update
2006 Medicare Bulletin: Nine-day hold on all Medicare payments
2005 Healthcare Update
2005 New Jersey Healthcare Bulletin
2005 Healthcare Events Update
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2005 Medicare Update ACAP Convention
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Sections
- 435 New Diagnosis Codes Effective 10/1/08
- 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
- Other Specified Codes
- “Other” or “Not Elsewhere Classified”
- Unspecified Codes
- 60 Revised Diagnosis Codes
- Majority of revisions are for:
- Neoplasms – 28 changes 209.00 – 209.69
- Nervous System/Sensory Organs – 15 changes
- Migraine 346.00 – 346.91
- Meniere’s Disease 386.00 – 386.04
- Skin/Subcutaneous Tissue – 9 changes
- Pressure Ulcers 707.00 – 707.09
- 25 Deleted Diagnosis Codes
- Commonly used diagnoses now deleted:
- 599.7 – Hematuria
- 780.6 – Fever
- 788.9 – Other Symptoms Involving Urinary System
- 997.3 – Respiratory Complications
- Updating Your Practice/Facility
- Highlight changes that will affect your practice
- New codes in the 249 category for secondary diabetes will likely be used with all specialties
- Identify all electronic & paper documents that need coding changes
- Create a checklist & timeline for updating all documents
- Diagnosis Codes 10/1/08 – CPT Codes 1/1/09
- Encounter forms
- Practice management software
- Physician Education
- New codes often require adjustments in documentation
- Create physician “cheat-sheet”
- Infectious & Parasitic Diseases – 29 New
- Numerous “pox” viruses added
- Cowpox 051.01
- Monkeypox 059.01
- Sealpox 059.12
- Neoplasms – 81 New Codes
- Leukemia Codes (204.02 – 208.92) – 25 new codes
- Type of Leukemia
- Acute, Chronic, Subacute, Other, Unspecified
- “In Relapse”
- Malignant Carcinoid Tumors (209.0 – 209.29) – 24 new codes
- Benign Carcinoid Tumors (209.4 – 209.69) – 24 new codes
- Both malignant & benign are site specific
- Endocrine, Nutritional and Metabolic, Immunity – 35 New Codes
- Secondary Diabetes Mellitus Codes – 31 New Codes
- Secondary Diabetes Mellitus Codes
- With/Without Complications
- Controlled/Uncontrolled/Unspecified
- Secondary Diabetes Mellitus Codes with Manifestations
- Blood and Blood Forming Organs –1 New
- Heparin-Induced Thrombocytopenia (HIT) 289.84
- Nervous System & Sense Organs – 80 New
- Headaches
- Cluster headaches
- Tension-type headaches
- Post-traumatic headache
- New daily persistent headache
- Primary headaches
- Thunderclap
- Cough
- Exertional
- Stabbing
- Migraines
- With and Without Aura
- Menstrual Migraine
- Hemiplegic Migraine
- Persistent Migraine Auras With Manifestations
- Chronic Migraine
- Retinopathy of Prematurity
- Circulatory System – 1 New Code
- Respiratory System - 3 New Codes
- Methicillin Resistant Pneumonia Due To Staphylococcus aureus (MRSA)
- Digestive System – 9 New Codes
- Eosinophilic esophagitis
- Eosinophilic gastritis
- Eosinophilic gastroenteritis
- Eosinophilic colitis
- Genitourinary System – 14 New Codes
- New Hematuria Codes
- Gross hematuria
- Microscopic Hematuria
- Hematuria, Unspecified
- Deformity/Disproportion of Reconstructed Breasts
- Complications of Pregnancy, Childbirth and Puerperium – 26 New Codes
- Cervical Shortening Codes
- Fetal Hematologic Conditions
- Fetal Conjoined Twins
- Maternal Complications from In Utero Procedures
- Fetal Complications from In Utero Procedures
- Skin and Subcutaneous Tissue – 25 New Codes
- Exfoliation Due to Erythematous Conditions
- Percentage of Body Surface
- Pressure Ulcers
- Stages 1- 5
- Unstageable
- Unspecified
- Pressure Ulcer Revisions
- Musculoskeletal System & Connective Tissue – 7 New Codes
- Stress Fracture Codes
- Femoral Neck
- Shaft of Femur
- Pelvis
- Certain Conditions Originating in the Perinatal Period – 8 New Codes
- Newborn Affected By:
- Amniocentesis
- In Utero Procedure
- Other Surgical Procedures on Mother
- Necrotizing Enterocolitis in Newborn
- Symptoms, Signs and Ill-Defined Conditions – 30 New Codes
- Fever (780.6 Deleted)
- Fever, Unspecified
- Fever Presenting with Conditions Classified Elsewhere
- Postprocedural Fever
- Postvaccination Fever
- Chills (Without Fever)
- Abnormal Pap Smears/Cytology Smears – 17 Codes
- Injury and Poisoning – 8 New Codes
- Ventilator Associated Pneumonia
- Other Respiratory Complications
- Disruption of Wound
- Disruption of Traumatic Injury Wound Repair
- Infusion / Transfusion Reaction
- E Codes – 7 New Codes
- V Codes – 66 New Codes
- Carrier or Suspected Carrier of MRSA
- Supervision of Other High Risk Pregnancy
- Wheelchair Dependence
- Other Aftercare Involving Use of Plastic Surgery
- Family Disruption
- Contact/Exposure to Hazardous Materials
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