Healthcare Coding and Documentation 2010 Update

2010 Healthcare Diagnosis Code Changes

344 New Diagnosis Codes Effective 10/1/09
Includes E Codes for Activities and V Codes

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    Healthcare Coding and Documentation 2010 Update

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    Presented by
    Amper’s Healthcare Services Group

    Sections
    2010 Diagnosis Code Changes

    344 New Diagnosis Codes Effective 10/1/09

    Neoplasms – 33 New Codes

    • Malignant Poorly Differentiated Neuroendocrine Tumors
      • Merkel Cell Carcinoma of:
        • Face 209.31
        • Scalp & Neck 209.32
        • Upper Limb 209.33
        • Lower Limb 209.34
        • Trunk 209.35
        • Other Sites 209.36
    • Secondary neuroendocrine tumors (209.70-209.79)
    • Code first associated multiple endocrine neoplasm syndrome (258.1 – 258.03)
    • Use additional code to identify associated endocrine syndrome (i.e. carcinoid syndrome 259.2)

    Nervous System & Sense Organs – 6 New

    Circulatory System – 25 New Codes

    • Chronic Pulmonary Embolism - 416.2
    • Late effects of Cerebrovascular Disease
      • 438.13-438.14
    • Chronic Venous Embolism and Thrombosis
      • 453.50 – 453.79
    • Acute Venous Embolism and Thrombosis
      • 453.81 – 453.89

    Respiratory System - 2 New Codes

    • Influenza Due to Identified Avian Influenza Virus (488.0)
    • Influenza Due to Identified Novel H1N1 Influenza Virus (488.1)

    Digestive System – 3 New Codes

    • Complications of Intestinal Pouch (569.71 & 569.79)
    • Vomiting of Fecal Matter (569.87)

    Genitourinary System – 2 New Codes

    • Benign Endometrial Hyperplasia (621.34)
    • Endometrial Intraepithelial Neoplasia (EIN) (621.35)

    Complications of Pregnancy, Childbirth and Puerperium – 16 New Codes

    • Puerperal Endometritis (670.10 – 670.14)
    • Puerperal Sepsis (670.20 – 670.24)
    • Puerperal Septic Thrombophlebitis (670.30 – 670.34)
    • Other Major Puerperal Infection (670.80 – 670.84)

    Congenital Anomalies – 2 New Codes

    Perinatal Period – 8 New Codes

    • Hypoxic-Ischemic Encephalopathy (768.70 – 768.73)
    • Newborn Feeding Problems (779.31 – 779.34)

    Symptoms, Signs & Ill-Defined Conditions – 15 New Codes

    • Non-specific (Abnormal) Findings on Radiological and Other Examination of Body Structure; Inconclusive Mammogram (793.82)
    • Nervousness (799.21)
    • Irritability (799.22)
    • Other Signs and Symptoms Involving Emotional State (799.29)
    • Apparent Life Threatening Event in Infant (799.82)

    External Causes of Injury & Poisoning – 170 New Codes

    • E Codes - Activities Involving:
      • E000.0 – E000.9 External Cause Status
        • Civilian Activity Done for Income or Pay
        • Military Activity
      • E001.0 – E001.1 Walking and Running
      • E002.0 – E002.9 Swimming
      • E003.0 – E003.9 Ice and Snow
      • E004.0 – E004.9 Climbing, Rappelling and Jumping Off
        • Rock Climbing
        • Bungee Jumping

    E Codes - Activities Involving:

    • E005.0 – E005.9
    • Dancing and Other Rhythmic Movement
      • Yoga
      • Cheerleading
    • E006.0 – E006.9
    • Sports & Athletics Played Individually
      • Skateboarding
      • Bike Riding
      • Golf
    • E007.0 – E007.9
    • Other Sports & Athletes Played as a Team or Group
      • Flag or Touch Football
      • Soccer, Football, Basketball, etc
      • Volleyball (beach or court)
      • Physical Games at School Recess or School Camp

    • E008.0 – E008.9
    • Other Specified Sports and Athletics
      • Boxing
      • Martial Arts
      • Frisbee

    • E009.0 – E009.9
    • Exercise Machines Primarily for Cardiorespiratory Conditioning

    • E010.0 – E010.9
    • Exercise Machines Primarily for Muscle Strengthening

    • E011.0 – E011.9
    • Computer Technology & Electronical Devices
      • Hand held interactive electronic device
      • Computer Keyboarding

    • E012.0 – E012.9 Arts and Handcrafts

    • E013.0 – E013.9
    • Personal Hygiene or Household Maintenance
      • Bathing and Showering
      • Vacuuming

    • E014.0 – E014.9
    • Person Providing Caregiving

    • E015.0 – E015.9
    • Food Preparation, Cooking and Grilling

    • E016.0 – E016.9
    • Property and Land Maintenance

    • E017.0 – E017.9
    • Roller Coasters and Other Types of External Motion

    • E018.0 – E018.9
    • Playing a Musical Instrument

    • E019.0 – E019.9
    • Animal Care

    • E016.0 – E016.9
    • Property and Land Maintenance

    • E017.0 – E017.9
    • Roller Coasters and Other Types of External Motion

    • E018.0 – E018.9
    • Playing a Musical Instrument

    • E019.0 – E019.9
    • Animal Care

    • E029.0 – E029.9
    • Other Activity
      • Refereeing a sports activity
      • Spectator at a sports activity
      • Rough housing or horseplay

    • E 990.0 - E998.9
    • Military / War Operations

    V Codes – 33 New Codes

    • Personal History
      • V10.90 – V15.83
        • Unspecified Malignant neoplasm
        • Other Personal History Presenting Hazards to Health; Injury;
          • Traumatic Brain Injury
          • Failed Moderate Sedation
          • Under-immunization Status
      • V20.31 – V20.32
        • Health supervision of infant or child
      • V26.42 – V26.82
        • Procreative management – fertility preservation procedure
      • V53.50 – V53.9
        • Fitting and adjustment of intestinal appliance and device
        • Lap Band
      • V60.81 – V60.89
        • Housing, Household and Economic Circumstances; Foster Care (Status)
      • V61.07 – V61.42
        • Other Family Circumstances; Parent-Child Problems
      • V60.81 – V60.89
        • Housing, Household and Economic Circumstances; Foster Care (Status)
      • V61.07 – V61.42
        • Other Family Circumstances; Parent-Child Problems
      • V72.60 – V72.69
        • Special Investigations and Examinations
          • Laboratory
      • V80.01 – V80.09
        • Special Screening for Neurological, Eye and Ear Diseases
      • V87.32 – V87.46
        • Other Specified Personal Exposures and History Presenting Hazards to Health
          • Estrogen Therapy
          • Steroid Therapy
    Other Sections

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


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