Errata for ICD-10-CM and ICD-10-PCS Coding Handbook 2014 with Answers

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1 Errata for ICD-10-CM and ICD-10-PCS Coding Handbook 2014 with Answers Narrative changes appear in bold italicized text; deletions show as strikethrough text. 6/27/14 Page Number Current Text Revision 9 ICD-10-PCS is divided into three sections: the Index, Tables, and List of Codes Nondisplaced abduction fracture anterior acetabulum, subsequent encounter with routine healing ICD-10-PCS is divided into three sections: the Index and the Tables, and List of Codes. The complete list of ICD-10-PCS long and abbreviated code titles is available online from the CMS Web site ( ICD-10-PCS.html). 8. Nondisplaced abduction fracture anterior acetabulum acetabular column, subsequent encounter with routine healing Hereditary retinal degeneration H Hereditary retinal degeneration H35.9 H M M M Endometrial ablation using hysteroscope 0U5B7ZZ 108 When the splint and braces are placed in inpatient settings (except for the rehabilitation setting), they are coded to Immobilization, Table 2X3 in the Placement Section. 7. Endometrial ablation using hysteroscope 0U5B7ZZ 0U5B8ZZ When the splint and braces are placed in inpatient settings (except for the rehabilitation setting), they are coded to Immobilization, Table 2X3 2W3 in the Placement Section. 119 Radiation Oncology Section Radiation Oncology Therapy Section 140 T40.1x4A + R40.20 T40.1x4A T40.1x1A + R Chest pain, probably angina pectoris 149 B E35 Tuberculous calcification of adrenal gland 9. Chest pain, probably angina pectoris (inpatient) B E35 + B90.8 Tuberculous calcification of adrenal gland

2 Enterococcal septic shock due to acute postoperative peritonitis (surgery performed in previous admission) A41.81, T81.12xD, K Enterococcal septic shock due to acute postoperative peritonitis (surgery performed in previous during same admission) A41.81, T81.12xD, T81.12xA, K65.9 K B20 L B20 L F05 J14 1. F05 J14 F Stress reaction, psychomotor 6. Acute sstress reaction, psychomotor G89.21, M54.5, M51.16, 3E0S33Z Acute exacerbation chronic asthmatic bronchitis J Chronic chemical bronchitis due to inhaled chlorine fumes J Acute pulmonary insufficiency due to shock J Hepatic coma with massive ascites secondary to Laennec's cirrhosis K72.91 K G89.21, S39.92xS, M54.5, M51.16, 3E0S33Z 3. Acute exacerbation chronic asthmatic bronchitis J44.1 J Chronic chemical bronchitis due to inhaled chlorine fumes T59.4x1S J Acute pulmonary insufficiency due to shock J80 J Alcoholic hhepatic coma with massive ascites secondary to Laennec's cirrhosis, alcohol dependence K72.91 K70.41, K70.31, F End-stage renal disease N End-stage renal disease N18.6 Z Varicose ulcer, lower right leg with severe inflammation I Infected ingrown toenail, right great toe L If recombinant bone morphogenetic protein (a genetically engineered protein) is inserted to help create a bone graft substitute, assign code 3E0V3GB, Introduction of recombinant bone morphogenetic protein into bones, percutaneous approach. 1. Varicose ulcer, lower right leg with severe inflammation I I L Infected ingrown toenail, right great toe L60.0 L If recombinant bone morphogenetic protein (a genetically engineered protein) is inserted to help create a bone graft substitute, assign code 3E0V3GB, Introduction of recombinant bone morphogenetic protein into bones, percutaneous approach OSB00ZZ 11. OSB00ZZ 0SB00ZZ

3 Arthrodesis C5-C6 anterior interbody fusion device with allograft C7 allograft with titanium plate and screws... 0RG104Z Arthrodesis C5-C6 anterior interbody fusion device with allograft C6-C7 allograft with titanium plate and screws... 0RG104Z 0RG10K0 346 If an expelled fetus has a period of gestation of more than 20 weeks but less than 37 weeks, it is considered an early delivery and a code from subcategory O60.1, Preterm labor with preterm delivery, is assigned Electively induced abortion with liveborn, 21 weeks O60.12x0 Z37.0 Z3A Maternal Conditions Affecting the Fetus or Newborn... Unless there is an adverse effect, no code from this series is assigned. 373 A newborn is admitted following cesarean delivery and diagnosed with hypermagnesemia. The provider documents that the infant had developed hypermagnesemia due to the mother s treatment with magnesium sulfate for pregnancyrelated eclampsia prior to delivery. Assign codes P74.4, Other transitory electrolyte disturbances of newborn, and P04.1, Newborn (suspected to be) affected by other maternal medication Newborn twins, #1 delivered in parking lot of hospital, #2 delivered after admission of mother; #1 Z38.30, #2 Z For the procedure, assign code 0W9D30Z, Drainage of pericardial cavity with drainage device, percutaneous approach. If an expelled fetus has a period of gestation of more than 20 weeks but less than 37 weeks, it is considered an early delivery and a code from subcategory O60.1, Preterm labor with preterm delivery, is assigned. 6. Electively induced abortion with liveborn, 21 weeks Z33.2 O60.12x0 Z37.0 Z3A.21 Maternal Conditions Affecting the Fetus or Newborn... Unless there is an adverse effect, no code from this series is assigned. A newborn is admitted following cesarean delivery and diagnosed with hypermagnesemia. The provider documents that the infant had developed hypermagnesemia due to the mother s treatment with magnesium sulfate for pregnancy-related eclampsia prior to delivery. Assign codes P74.4, P71.8, Other transitory neonatal disorders of calcium and magnesium metabolism electrolyte disturbances of newborn, and P04.1, Newborn (suspected to be) affected by other maternal medication. 19. Newborn twins delivered vaginally, #1 delivered in parking lot of hospital, #2 delivered after admission of mother; #1 Z38.30, #2 Z38.4 #1 Z38.4, #2 Z38.30 For the procedure, assign code 0W9D30Z, 0W9D3ZZ, Drainage of pericardial cavity with drainage device, percutaneous approach.

4 Hemiplegia on right (dominant side) due to old cerebral thrombosis (patient suffered cerebral embolism one year ago... ) I I I Hemiplegia on right (dominant side) due to old cerebral thrombosis with infarction (patient suffered cerebral embolism with infarction one year ago... ) 403 Uncontrolled hypertension usually refers to an existing state of hypertension that is under control by therapy. Uncontrolled Controlled hypertension usually refers to an existing state of hypertension that is under control by therapy Hemorrhoidectomy Hemorrhoidectomy (via open excision of hemorrhoids)... L T82.121A 0JWT0PZ T82.121A T82.191A 0JWT0PZ T82.598A T82.598A T82.118A The oncologist listed chemotherapyinduced pancytopenia in his diagnostic statement. Assign code D61.810, Antineoplastic chemotherapy induced pancytopenia, as the first-listed diagnosis. Assign code C50.412, Malignant neoplasm of upper-outer quadrant of left female breast, as an additional diagnosis. The oncologist listed chemotherapy-induced pancytopenia in his diagnostic statement. Assign code D61.810, Antineoplastic chemotherapy induced pancytopenia, as the first-listed diagnosis. Assign code C50.412, Malignant neoplasm of upper-outer quadrant of left female breast, as an additional diagnosis. Code T45.1x5A, Adverse effect of antineoplastic and immunosuppresive drugs, initial encounter, may also be assigned C C C If a patient is a student but is injured while performing an activity for income, use seventh character 2, work-related activity. A work-related activity is any activity for which payment or income is received Anoxic brain damage... patient was accidentally struck... V03.90xS If a patient is a student but is injured while performing an activity for income, use seventh character 2, workrelated activity. A work-related activity is any activity for which payment or income is received. 4. Anoxic brain damage... patient was in traffic accident accidentally and struck... V03.90xS V03.10xS S42.432A 7. S42.432A S42.452A S82.832B S82.832B S82.402B PBK0ZZ PBK0ZZ

5 NB10ZZ 0NB20ZZ NB10ZZ 0NB20ZZ Radiation cataract 3. Radiation cataract due to excessive exposure to microwave radiation V28.4xxA V28.4xxA Y M M M S06.337A S06.337A S06.2x7A S52.601D S52.601D W09.8xxD Y Y Y firefighter paid firefighter T21.23xD T21.23xD T21.24xD X02.0xxD X02.0xxD X06.2xxD T21.33xA T21.33xA T21.34xA S70.312A S70.312A T24.012A G G21.8 G T821.90A T821.90A T82.190A Z3A Z3A.025 Z3A infarction of the inferoposterior wall Bilateral multiple-channel implants were inserted QS6XZZ Reposition right upper femur, external approach The gastroepiploic artery was used to bypass the circumflex infarction of the inferoposterior inferolateral wall Bilateral multiple-channel implants were inserted via open approach QS6XZZ 0QS8XZZ Reposition right femoral shaft upper femur, external approach The gastroepiploic artery was used as a pedicled graft to bypass the circumflex.

6 A1223Z Performance of cardiac pacing, continuous (intraoperative pacemaker)... Codes are assigned for the cardiopulmonary bypass and the intraoperative pacemaker A1223Z Performance of cardiac pacing, continuous (intraoperative pacemaker)... Codes are A code is assigned for the cardiopulmonary bypass and the intraoperative pacemaker. No separate code is assigned for the intraoperative pacemaker as intraoperative pacing is considered integral to bypass surgery I50.9 Heart failure, unspecified... Pulmonary edema and pleural effusion with heart condition or heart failure is classified to heart failure E E11.29 E I50.9 I50.1 Left ventricular Heart failure, unspecified... Pulmonary edema and pleural effusion with heart condition or heart failure is classified to left ventricular heart failure Y92.39 Other specified sports and athletic area as the place of occurrence of the external cause G30.9 Alzheimer s disease, unspecified After a transfusion of two units of packed red blood cells into the central vein K29.01 Acute gastritis with bleeding Y92.39 Y92.34 Other specified sports and athletic area Swimming pool (public) as the place of occurrence of the external cause G30.9 G30.1 Alzheimer s disease, unspecified with late onset After a transfusion of two units of packed red blood cells into the central vein (open approach) K29.01 Acute gastritis with bleeding... T45.515A Adverse effect of anticoagulants, initial encounter external neurolysis external (percutaneous) neurolysis Septic joint, right knee Septic joint, bacterial, right knee Z38.69 Other multiple liveborn infant, delivered by cesarean N89.9 Noninflammatory disorder of vagina, unspecified... The Index provides direction to see Disease of specified organ or site for Mass, specified organ NEC, which leads to code N Z38.69 Z38.62 Triplet Other multiple liveborn infant, delivered by cesarean [insert before correction to existing answer:] Z Encounter for gynecological examination (general)(routine)with abnormal findings N89.9 N89.8 Other specified Nnoninflammatory disorders of vagina, unspecified... The Index provides direction to see Disease of specified organ or site for Mass, specified organ NEC, which leads to code N89.9. N89.8.

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