Neurology & Neurosurgery Tip Sheet for ICD-10

Size: px
Start display at page:

Download "Neurology & Neurosurgery Tip Sheet for ICD-10"

Transcription

1 Alzheimer s Disease Attention Disder Document onset as: -Early -Late Document site, such as: - Predominantly inattentive - Predominantly hyperactive - Combined type If with dementia, document as: -With behavial disturbance, f example combative and/ aggressive behavi -Without behavial disturbance Cerebral Infarction & Occlusion Document etiology: - Due to embolus, thrombosis, occlusion, stenosis -Right -Left Document specific artery affected: - Precerebral (vertebral, basilar, carotid) - Cerebral artery (middle, anteri, posteri) - Cerebellar arteries Specify if intraoperative postprocedural complication Document any related deficits: (Right left hemiparesis, aphasia, seizure, etc.) Cognitive Signs & Symptoms Identify when signs and symptoms are related to a known mental disder List any associated: - Current injuries - Late effects of past events. -TPA administration Clarify type of mental disturbances: - Altered mental status - Age-related cognitive decline - Confusion - Dementia Diabetic Neuropathy Dominant Nondominant Side Drug Underdosing Epilepsy Rather than diabetic neuropathy, if known suspected document instead: -Diabetic mononeuropathy -Diabetic polyneuropathy -Diabetic autonomic neuropathy -Diabetic amyotrophy -Other neurological complication Document side affected as: -Dominant -Nondominant - Intentional versus - Unintentional -Intractable versus not intractable And -With without status epilepticus If control is not maintained of blood glucose levels, document insulin control status as: - Inadequately controlled - Out of controlled - Poly controlled -Monoplegia -Hemiplegia -Other paralytic syndromes Document reason f underdosing, such as: -Financial hardship - Age related dementia Specify type: -Localization-related idiopathic symptomatic -Simple partial complex partial seizures -Generalized idiopathic If specify side is not documented as dominant nondominant: -Right side defaults to dominant -Left side defaults to nondominant Identify any special epileptic syndromes: -Seizures related to alcohol, drugs, sleep deprivation, etc. Include descriptions of poly controlled pharmacesistant, treatment resistant and refracty Version 1.0 Page 1

2 Gait Disturbance Headache Maj Depressive Disder Memy Loss Migraine Malnutrition Myalgia Pathological Vertebral Fractures Pressure Ulcers Pulmonary Embolism - Ataxic - Paralytic - Spastic - Staggering - Cluster - Vascular - Tension-type - Post-traumatic - Drug-induced (specify drug) Document episode: - Single - Recurrent - Disientated Anterograde Amnesia - Retrograde Amnesia - Age related - Altered mental status - Migraine w/ aura - Migraine w/o aura - Hemiplegic migraine - Persistent migraine aura w/o cerebral infarction - Persistent migraine aura w/ cerebral infarction migraine -Protein calie -Protein energy Document specific location: - Shoulder - Upper arm - Fearm - Hand - Fingers - Thigh - Ankle Specify whether etiology is: - Age related - Disuse osteopenia - Neoplastic - Some other disease Must document diagnosis of pressure ulcer Document type, such as: - Saddle - Septic - Falling - Unsteadiness - Difficult walking Document severity: - Mild - Moderate - Severe w/o psychotic symptoms - Severe w/ psychotic symptoms Identify when migraine is due to drugs and specify the drug - With status migrainosus - Without status migrainosus Document severity: -Mild 1 st degree -Moderate 2 nd degree -Severe 3 rd degree Detail when paralysis burns accompany the calcification and ossification of muscles. Document any underlying disease - Right - Left - Bilateral Document site and stage Document c pulmonale if present and whether it is: - Acute Document timing: - Episodic - Episodic paroxysmal hemicrania paroxysmal hemicrania - Sht lasting unilateral Indicate status: - Full remission - Partial remission Identify when migraine is associated with seizures cerebral infarction Document BMI Document any rupture: - Non-traumatic ischemic - Infarction - Wasting - Contracture of a muscle Note: Stage of pressure ulcer can be taken from nursing notes Specify if: -Chronic (still present) Versus -Healed/old -Note that histy of PE is ambiguous Version 1.0 Page 2

3 Respiraty Failure Seizures Sequelae of Cerebrovascular Disease Skin Disturbance Spinal Column Site Transient Ischemic Attack (TIA) - Acute - Acute on chronic Seizures not diagnosed as a disder recurrent (i.e., nonepileptic) should specify the condition as being: - Febrile specify simple complex - New onset - Single seizure convulsion - Post traumatic hysterical - Autonomic Cause & Effect, use due to Secondary to to link cause and effect. When present, document sequelae: - Congnitive - Monoplegia - Speech: - Hemiplegia - Aphasia - Dysphasia - Dysarthria - Fluency disder -Right -Left -Bilateral Detail any associated condition disease (e.g., easy bruising, leukemia) Document site, affected as: - Occipito-atlanto-axial - Cervical cervical-thacic - Thacic thacolumbar - Lumbar lumbosacral - Sacral sacrococcygeal Document, if known suspected, rather than TIA: - Vertebro-basilar artery syndrome - Carotid artery syndrome - Precerebral artery syndrome - Amaurosis fugax - Transient global amnesia cerebral ischemic attacks and Syndromes Document, if acute respiraty failure: - Hypoxemic - Hypercapnic -Both Describe seizures as: - Localized onset - Simple partial - Complex partial List specific sensy disturbances such as: - Hypoesthesia - Paresthesia - Hyperesthesia Document site f spinal cd injury: - Cervical = identify each vertebral segment - Thacic = identify as T1, T2-T6, T7-T10, T Lumbar = identify each vertebral segment - Sacral = no additional specificity needed Note: of TIA = unspecified code Further describe seizures as: - With status epilepticus - Without status epilepticus Identify the underlying cause of any sign and symptom when known. Version 1.0 Page 3

4 Traumatic Brian Hemrhage Traumatic Vertebral Fractures Trems Procedures Arterial Catheterization Arteriogram Central Venous Catheter Placement Excision of Intervertebral Disc Injection/Infusion Specify site: - Left right cerebrum - Cerebellum - Brainstem - Epidural - Subdural - Subarachnoid -Level of vertebral, example L1 - Displaced versus nondisplaced - Part of vertebra fractured, example posteri arch -Abnmal head movements -Trem -Cramp/spasm -Fasciculations (twitching) Document site of artery: - Abdominal ata - Anteri tibial - External iliac - Renal - Common carotid - Hand - etc. Document if done with: - Plain radiography - Fluoscopy Document site: - Artium - Inferi vena cava - Innominate vein - Subclavian vein - Superi vena cava Differentiate: - between removal of a ption - All of an intervertebral disc - Substance administered (analgesic, anti- infective, sedative, anti-inflammaty, etc.) Specify if with LOC and f how long - Type ll dens fracture of the 2 nd cervical vertebra - Type lll spondylolisthesis of the 2 nd cervical vertebra - Stable versus unstable burst fracture - Zone l-lll Type 1-4 sacral fracture - Right - Left - Bilateral Document site: - Abdominal ata - Hepatic artery - Lumbar arteries - Lower arteries Document substance administered: -No substance -Antibiotics Antineoplastic -Dialysis -Nutritional substance -other substance Injection/infusion of thrombolytic agent - Document Substance: - Recumbinant Human-activated Protein C Thrombolytic endoscopic Document type of contrast used: - None - Low osmolar - High osmolar endoscopic Version 1.0 Page 4

5 Insertion Vascular Stent Transfusion Spinal Fusion Document specific site: - Olfacty - Optic - Facial - Vagus - Femal - Sciatic - Sacral - Etc. - Substance transfused: (FFP, RBC, albumin, etc.) - Autologous nonautologous -Level of spinal involved and -Number of vertebral joints fused Document if the approach: endoscopic Document when blood was collected: - Pri to surgery - Intraoperative/perioperative/ post-operative (24 HR period surrounding surgery) - Previously collected - Salvage (24 HR period surrounding surgery) Document, f operative approach: -Anteri approach, anteri -Posteri approach, posteri -Posteri approach, anteri Document site of administration: - Central artery vein - Peripheral artery vein Version 1.0 Page 5

Rehabilitation Best Practice Documentation

Rehabilitation Best Practice Documentation Rehabilitation Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: Reason for Admission to Inpatient Rehab CVA Deficits Fractures Secondary

More information

Neurological System Best Practice Documentation

Neurological System Best Practice Documentation Neurological System Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: Dementia Delirium/Encephalopathy Parkinson s Epilepsy /Seizure Migraines

More information

APPENDIX A NEUROLOGIST S GUIDE TO USING ICD-9-CM CODES FOR CEREBROVASCULAR DISEASES INTRODUCTION

APPENDIX A NEUROLOGIST S GUIDE TO USING ICD-9-CM CODES FOR CEREBROVASCULAR DISEASES INTRODUCTION APPENDIX A NEUROLOGIST S GUIDE TO USING ICD-9-CM CODES FOR CEREBROVASCULAR DISEASES INTRODUCTION ICD-9-CM codes for cerebrovascular diseases is not user friendly. This presentation is designed to assist

More information

Physical and Occupational Therapy Tip Sheet for ICD-10

Physical and Occupational Therapy Tip Sheet for ICD-10 Physical and Occupational Therapy Tip Sheet for ICD-10 Bursitis or Tendinitis Carpal Tunnel Syndrome Document specific site: (e.g. hand, knee, prepatellar, hip, shoulder, etc.) Cervicalgia Document the

More information

Hospital-based SNF Coding Tip Sheet: Top 25 codes and ICD-10 Chapter Overview

Hospital-based SNF Coding Tip Sheet: Top 25 codes and ICD-10 Chapter Overview Hospital-based SNF Coding Tip Sheet: Top 25 codes and Chapter Overview Chapter 5 - Mental, Behavioral and Neurodevelopmental Disorders (F00-F99) Classification improvements (different categories) expansions:

More information

Day Rehab ICD-10 documentation

Day Rehab ICD-10 documentation Day Rehab documentation Seven key impacts to documentation 1. Disease or disorder site 2. Acuity and/or encounter status of treatment 3. Etiology, causative agent, or disease type and injury/ poisoning

More information

ICD-9-CM coding for patients with Traumatic Brain Injury*

ICD-9-CM coding for patients with Traumatic Brain Injury* ICD-9-CM coding for patients with Traumatic Brain Injury* The diagnostic code for sequelae of traumatic brain injury is: 907.0 Late effect of intracranial injury without mention of skull fracture (Late

More information

CHAPTER 9 DISEASES OF THE CIRCULATORY SYSTEM (I00-I99)

CHAPTER 9 DISEASES OF THE CIRCULATORY SYSTEM (I00-I99) CHAPTER 9 DISEASES OF THE CIRCULATORY SYSTEM (I00-I99) March 2014 2014 MVP Health Care, Inc. CHAPTER 9 CHAPTER SPECIFIC CATEGORY CODE BLOCKS I00-I02 Acute rheumatic fever I05-I09 Chronic rheumatic heart

More information

Stroke Coding Issues Presentation to: NorthEast Cerebrovascular Consortium

Stroke Coding Issues Presentation to: NorthEast Cerebrovascular Consortium Stroke Coding Issues Presentation to: NorthEast Cerebrovascular Consortium October 30, 2008 Barry Libman, RHIA, CCS, CCS-P President, Barry Libman Inc. Stroke Coding Issues Outline Medical record documentation

More information

ICD-10 Cheat Sheet Frequently Used ICD-10 Codes for Musculoskeletal Conditions *

ICD-10 Cheat Sheet Frequently Used ICD-10 Codes for Musculoskeletal Conditions * ICD-10 Cheat Sheet Frequently Used ICD-10 Codes for Musculoskeletal Conditions * Finding the ICD-10 equivalent for an ICD-9 code can be a challenge. This resource of frequently used codes can help when

More information

Classification of Diseases and Disorders and Guidelines Chapters 4-7. Rebecca Herrera, CCS, CCS-P, CPC

Classification of Diseases and Disorders and Guidelines Chapters 4-7. Rebecca Herrera, CCS, CCS-P, CPC Classification of Diseases and Disorders and Guidelines Chapters 4-7 Rebecca Herrera, CCS, CCS-P, CPC Overview of. Endocrine, Nutritional and Metabolic Diseases Mental and Behavioral Disorders Diseases

More information

Anesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes

Anesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes Anesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant expansions or

More information

Intensivists & Hospitalists Tip Sheet for ICD-10

Intensivists & Hospitalists Tip Sheet for ICD-10 Intensivists & Hospitalists Tip Sheet for ICD-10 Anemia A-Fib/A-Flutter Cerebral Infarction & Occlusion Coma Congestive Heart Failure (CHF) Document Type: -Nutritional deficiency (iron, Vit B 12, folate,

More information

ICD-9 to ICD-10 Conversion Commonly Used Neurologic Diagnosis

ICD-9 to ICD-10 Conversion Commonly Used Neurologic Diagnosis ICD-9 to ICD-10 Conversion Commonly Used Neurologic Diagnosis 327.20 Organic sleep apnea, unspecified... 1 331.0 Alzheimer s disease...3 333.1 Essential and other specified forms of tremor...4 340 Multiple

More information

Pain Management Top Diagnosis Codes (Crosswalk)

Pain Management Top Diagnosis Codes (Crosswalk) Pain Management Top s (Crosswalk) 274.00 Gout arthropathy, M1000 Idiopathic gout, unspecified site unspecified M10011 Idiopathic gout, right shoulder M10012 Idiopathic gout, left shoulder M10019 Idiopathic

More information

Long term care coding issues for ICD-10-CM

Long term care coding issues for ICD-10-CM Long term care coding issues for ICD-10-CM Coding Clinic, Fourth Quarter 2012 Pages: 90-98 Effective with discharges: October 1, 2012 Related Information Long Term Care Coding Issues for ICD-10-CM Coding

More information

Emergency Medicine Tip Sheet for ICD-10

Emergency Medicine Tip Sheet for ICD-10 Abdominal Pain Acute Myocardial Infarction (AMI) Asthma Back Pain Burns Cerebral Infarction & Occlusion Document specific location: - RUQ - LUQ - RLQ - LLQ - Periumbilic - Epigastric - Generalized - STEMI

More information

Referral Form & Instructions Questions? Call 1 888 284 5433 and press 7

Referral Form & Instructions Questions? Call 1 888 284 5433 and press 7 Therapist Name: Phone: Referral Form & Instructions Questions? Call 1 888 284 5433 and press 7 1 2 Indicate all products that might be appropriate for your patient. Please check all products that might

More information

ICD-9-CM coding for patients with Spinal Cord Injury*

ICD-9-CM coding for patients with Spinal Cord Injury* ICD-9-CM coding for patients with Spinal Cord Injury* indicates intervening codes have been left out of this list. OTHER DISORDERS OF THE CENTRAL NERVOUS SYSTEM (340-349) 344 Other paralytic syndromes

More information

Speaking ICD-10-CM. The New Coding Language. COPD documented with a more specific respiratory condition falls under one code category: J44.0-J44.

Speaking ICD-10-CM. The New Coding Language. COPD documented with a more specific respiratory condition falls under one code category: J44.0-J44. Speaking : Chronic Obstructive Pulmonary Disease (COPD) COPD documented with a more specific respiratory condition falls under multiple code categories: 491.20-491.22 Obstructive chronic bronchitis 493.20-493.22

More information

Basic ICD-10-CM Documentation and Coding. Effective date: October 1, 2015. Presented by: Jenna Glenn, CPC May 6, 2015 1

Basic ICD-10-CM Documentation and Coding. Effective date: October 1, 2015. Presented by: Jenna Glenn, CPC May 6, 2015 1 Basic ICD-10-CM Documentation and Coding Effective date: October 1, 2015 Presented by: Jenna Glenn, CPC May 6, 2015 1 Objectives Overview on what is ICD-10-CM Changes from ICD-9-CM to ICD-10-CM Importance

More information

Medical Drug Monitoring ICD-10-CM Sign and Symptom Codes

Medical Drug Monitoring ICD-10-CM Sign and Symptom Codes Medical Drug Monitoring ICD-10-CM Sign and Symptom s The ICD-10-CM codes listed below are commonly associated with LabCorp and MedTox Laboratories for medical drug monitoring and were selected based on

More information

PART 2 Countdown to ICD-10... Tips for a Smooth & Effective Transition

PART 2 Countdown to ICD-10... Tips for a Smooth & Effective Transition PART 2 Countdown to ICD-10... Tips for a Smooth & Effective Transition Cindy Cain, BSHA, CPC, CPC-H, CCS-P, CHC Senior Manager, Consulting June 23,2015 Objectives Identifying complex ICD-10 transitional

More information

Subclavian Steal Syndrome By Marta Thorup

Subclavian Steal Syndrome By Marta Thorup Subclavian Steal Syndrome By Marta Thorup Definition Subclavian steal syndrome (SSS), is a constellation of signs and symptoms that arise from retrograde flow of blood in the vertebral artery, due to proximal

More information

Chiropractic ICD-10 Common Codes List

Chiropractic ICD-10 Common Codes List Chiropractic ICD-10 Common Codes List This is a preliminary list of common ICD-10 codes for chiropractic diagnoses. This is a common code list to be used as a guide for coding and is not intended to represent

More information

ICD-9-CM to ICD-10-CM Resource Guide

ICD-9-CM to ICD-10-CM Resource Guide Prescription Drug Monitoring and Toxicology ICD-9-CM to ICD-10-CM Resource Guide Provided as a service of Quest Diagnostics ICD-9-CM to ICD-10-CM Resource Guide 1 Disclaimer This list is intended to assist

More information

Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes

Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant

More information

PHC4 35 Diseases, Procedures, and Medical Conditions for which Laboratory Data is Required Effective 10/1/2015

PHC4 35 Diseases, Procedures, and Medical Conditions for which Laboratory Data is Required Effective 10/1/2015 PHC4 35 Diseases, Procedures, and Medical Conditions for which Laboratory Data is Required Effective 10/1/2015 Laboratory data is to be submitted for discharges in the following conditions: 1. Heart Attack

More information

DIAGNOSTIC CRITERIA OF STROKE

DIAGNOSTIC CRITERIA OF STROKE DIAGNOSTIC CRITERIA OF STROKE Diagnostic criteria are used to validate clinical diagnoses. Here below MONICA diagnostic criteria are reported. MONICA - MONItoring trends and determinants of CArdiovascular

More information

STROKE PREVENTION AND TREATMENT MARK FISHER, MD PROFESSOR OF NEUROLOGY UC IRVINE

STROKE PREVENTION AND TREATMENT MARK FISHER, MD PROFESSOR OF NEUROLOGY UC IRVINE STROKE PREVENTION AND TREATMENT MARK FISHER, MD PROFESSOR OF NEUROLOGY UC IRVINE CASE REPORT: ACUTE STROKE MANAGEMENT 90 YEAR OLD WOMAN, PREVIOUSLY ACTIVE AND INDEPENDENT, CHRONIC ATRIAL FIBRILLATION,

More information

Alameda Alliance for Heath ICD-9 to ICD-10 TRANSLATION CODES E10.10

Alameda Alliance for Heath ICD-9 to ICD-10 TRANSLATION CODES E10.10 DIABETES ICD-9 CM ICD-9 CM Volume 1 - Diagnosis Description ICD-10 CM - Diagnosis Code ICD-10 CM - Diagnosis Description 250.00 Diabetes mellitus without mention of complication, type II or unspecified

More information

ICD10 Chiropractic Diagnosis Codes

ICD10 Chiropractic Diagnosis Codes ICD10 Chiropractic Diagnosis Codes Disclaimer: When the ICD-10 code requires a 7th character, the code shown assumes "initial." Disclaimer: This information is based on the General Equivalency Mapping

More information

CMS Limitations Guide - Radiology Services

CMS Limitations Guide - Radiology Services CMS Limitations Guide - Radiology Services Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations

More information

Coding and Payment Guide for the Physical Therapist. An essential coding, billing, and reimbursement resource for the physical therapist

Coding and Payment Guide for the Physical Therapist. An essential coding, billing, and reimbursement resource for the physical therapist Coding and Payment Guide for the Physical Therapist An essential coding, billing, and reimbursement resource for the physical therapist 2011 Contents Introduction...1 Coding Systems... 1 HCPCS Level II

More information

E08.621 Diabetes mellitus due to underlying condition with foot ulcer E09.621 Drug or chemical induced diabetes mellitus with foot ulcer E10.10 Type 1 diabetes mellitus with ketoacidosis without coma E10.11

More information

Billing and Coding Guidance Co-morbidities associated with morbid obesity

Billing and Coding Guidance Co-morbidities associated with morbid obesity Billing and Coding Guidance Co-morbidities associated with morbid obesity AMA CPT / ADA CDT / AHA NUBC Copyright Statement CPT only copyright 2002-2014 American Medical Association. All Rights Reserved.

More information

Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes

Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E99) ICD-10-CM diabetes mellitus

More information

EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN

EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN MEDICAL POLICY EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN Policy Number: 2015T0004W Effective Date: December 1, 2015 Table of Contents BENEFIT CONSIDERATIONS COVERAGE RATIONALE APPLICABLE CODES..

More information

Behavioral Health Best Practice Documentation

Behavioral Health Best Practice Documentation Behavioral Health Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: DSM-5 and ICD-10 Codes Major Depressive Disorder Bipolar Disorder Eating

More information

309.28 F43.22 Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with disturbance of conduct

309.28 F43.22 Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with disturbance of conduct Description ICD-9-CM Code ICD-10-CM Code Adjustment reaction with adjustment disorder with depressed mood 309.0 F43.21 Adjustment disorder with depressed mood Adjustment disorder with anxiety 309.24 F43.22

More information

RHEUMATOLOGY ICD-10 CROSSWALK

RHEUMATOLOGY ICD-10 CROSSWALK RHEUMATOLOGY ICD-10 CROSSWALK ICD is revised periodically and is currently in its tenth edition and will be implemented in the United States on October 1, 2015. There is an annual minor update and three-yearly

More information

ICD 10 CM IMPLEMENTATION DATE OCT 1, 2015

ICD 10 CM IMPLEMENTATION DATE OCT 1, 2015 Presented by: Teri Romano, RN, MBA, CPC, CMDP ICD 10 CM IMPLEMENTATION DATE OCT 1, 2015 Source: http://journal.ahima.org/2015/02/04/us house committee to hold hearing on icd 10 implementation/ 2 2015 Web_Non

More information

Coding in Germany - The Use of ICD-10 for Diagnoses

Coding in Germany - The Use of ICD-10 for Diagnoses Coding in Germany - The Use of ICD-10 for Diagnoses Dr. Thomas Mansky, TU Berlin Th. Mansky, HIMSS 2012 1 DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do

More information

Intrathecal Baclofen for CNS Spasticity

Intrathecal Baclofen for CNS Spasticity Intrathecal Baclofen for CNS Spasticity Last Review Date: November 13, 2015 Number: MG.MM.ME.31bC5 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or

More information

Risk Adjustment Coding/Documentation Checklist

Risk Adjustment Coding/Documentation Checklist Risk Adjustment Coding/Documentation Checklist The following list should be used to ensure that all member and diagnosis-related information is reported, and all the member s chronic conditions are documented

More information

Celebrating ICD-10: A New Tradition of Codes.

Celebrating ICD-10: A New Tradition of Codes. Celebrating ICD-10: A New Tradition of Codes. Delayed. Now What? Stop training entirely? Continue training as originally planned? Alter the course of training? Important Dates January 16, 2009 February

More information

hepatolenticular degeneration (E83.0) human immunodeficiency virus [HIV] disease (B20) hypercalcemia (E83.52) hypothyroidism, acquired (E00-E03.

hepatolenticular degeneration (E83.0) human immunodeficiency virus [HIV] disease (B20) hypercalcemia (E83.52) hypothyroidism, acquired (E00-E03. ICD-10-CM Codes for Mental, Behavioral and Neurodevelopmental Disorders Chapter 5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99) Includes: disorders of psychological development Excludes2:

More information

ICD-10 IS COMING OCTOBER 1, 2014

ICD-10 IS COMING OCTOBER 1, 2014 ICD-10 IS COMING OCTOBER 1, 2014 WHAT IS THE IMPACT ON THERAPY PRACTICES? CHET DESHMUKH, MBA, OTR/L, CPC, CHDA Overview Understanding the language of clinical diagnosis What is ICD? About ICD-9 CM Good

More information

EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN

EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN CLINICAL POLICY EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN Policy Number: PAIN 019.16 T2 Effective Date: December 1, 2015 Table of Contents CONDITIONS OF COVERAGE... BENEFIT CONSIDERATIONS..

More information

Getting Ready for ICD-10. Dianna Hoskins, OCS Cincinnati Eye Institute

Getting Ready for ICD-10. Dianna Hoskins, OCS Cincinnati Eye Institute Dianna Hoskins, OCS Cincinnati Eye Institute Chart Documentation: Will your documentation stand up to ICD-10? Do you always mark which eye, severity or status of the disease (chronic or acute), site, etiology

More information

6/3/2011. High Prevalence and Incidence. Low back pain is 5 th most common reason for all physician office visits in the U.S.

6/3/2011. High Prevalence and Incidence. Low back pain is 5 th most common reason for all physician office visits in the U.S. High Prevalence and Incidence Prevalence 85% of Americans will experience low back pain at some time in their life. Incidence 5% annual Timothy C. Shen, M.D. Physical Medicine and Rehabilitation Sub-specialty

More information

ICD-10 CM: Focus on documentation Physical, occupational & speech therapy, physical medicine and rehab

ICD-10 CM: Focus on documentation Physical, occupational & speech therapy, physical medicine and rehab ICD-10 CM: Focus on documentation Physical, occupational & speech therapy, physical medicine and rehab 1 Should you have technical difficulties during the webinar: ReadyTalk Customer Care Phone: 800.843.9166

More information

ICD-10 Dx Edit Code Lists

ICD-10 Dx Edit Code Lists Integrated Outpatient Code Editor Software ICD-10 Dx Edit Code Lists v15.0 ICD-10 Pilot 3M Health Information Systems 100 Barnes Road Wallingford, CT 06492 CPT codes, descriptions and material only are

More information

Fast Forward. ICD-9-CM Code ICD-10-CM Code(s) ICD-9-CM Code ICD-10-CM Code(s) Codes. (cont.) 719.41 Pain in joint, shoulder region.

Fast Forward. ICD-9-CM Code ICD-10-CM Code(s) ICD-9-CM Code ICD-10-CM Code(s) Codes. (cont.) 719.41 Pain in joint, shoulder region. Top 50 Orthopaedics IC-9-CM Code Code(s) IC-9-CM Code Code(s) 724.2 Lumbago M54.5 Low back pain (Lumbago, NO) M54.40 Lumbago with sciatica, unspecified site M54.41 Lumbago with sciatica, right side M54.42

More information

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Mental health issues in the elderly January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Cognitive Disorders Outline Dementia (294.xx) Dementia of the Alzheimer's Type (early and late

More information

How To Write An Icd10

How To Write An Icd10 Crosswalk of Common Spine ICD-9-CM Codes to ICD-10 Codes As of October 1, 2015, all health care entities covered by the Health Insurance Portability and Accountability Act (HIPAA) will be required to use

More information

Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes

Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant expansions or revisions

More information

Dallas Neurosurgical and Spine Associates, P.A Patient Health History

Dallas Neurosurgical and Spine Associates, P.A Patient Health History Dallas Neurosurgical and Spine Associates, P.A Patient Health History DOB: Date: Reason for your visit (Chief complaint): Past Medical History Please check corresponding box if you have ever had any of

More information

MEDICAL POLICY No. 91104-R7 DETOXIFICATION I. POLICY/CRITERIA

MEDICAL POLICY No. 91104-R7 DETOXIFICATION I. POLICY/CRITERIA DETOXIFICATION MEDICAL POLICY Effective Date: January 7, 2013 Review Dates: 1/93, 2/97, 4/99, 2/01, 12/01, 2/02, 2/03, 1/04, 1/05, 12/05, 12/06, 12/07, 12/08, 12/09, 12/10, 12/11, 12/12, 12/13, 11/14 Date

More information

ICD-10... What Are You Waiting For?

ICD-10... What Are You Waiting For? ICD-10... What Are You Waiting For? What is it? International classification for all general epidemiological, many health management purposes, and clinical use Published by the World Health Organization

More information

Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario

Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario Page 1 Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario Injury Descriptions Developed from Newfoundland claim study injury definitions No injury Death Psychological

More information

Thoracic Surgery Top Diagnosis Codes (Crosswalk)

Thoracic Surgery Top Diagnosis Codes (Crosswalk) Thoracic Surgery Top s (Crosswalk) 427.5 Cardiac arrest I46.2 Cardiac arrest due to underlying cardiac condition I46.8 Cardiac arrest due to other underlying condition I46.9 Cardiac arrest, cause unspecified

More information

Critical Illness Benefit BP/FFS/CI/06 Page 1 of 5

Critical Illness Benefit BP/FFS/CI/06 Page 1 of 5 Critical Illness Benefit BP/FFS/CI/06 Page 1 of 5 The following Benefits are payable in respect of the Benefit Participants shown in the Policy Schedule as entitled to Critical Illness Benefits. No Benefit

More information

Advanced Practice Provider Academy

Advanced Practice Provider Academy (+)Dean T. Harrison, MPAS,PA C,DFAAPA Director of Mid Level Practitioners; Assistant Medical Director Clinical Evaluation Unit, Division of Emergency Medicine, Department of Surgery, Duke University Medical

More information

1 REVISOR 5223.0070. (4) Pain associated with rigidity (loss of motion or postural abnormality) or

1 REVISOR 5223.0070. (4) Pain associated with rigidity (loss of motion or postural abnormality) or 1 REVISOR 5223.0070 5223.0070 MUSCULOSKELETAL SCHEDULE; BACK. Subpart 1. Lumbar spine. The spine rating is inclusive of leg symptoms except for gross motor weakness, bladder or bowel dysfunction, or sexual

More information

Diabetes Mellitus in ICD 10 CM

Diabetes Mellitus in ICD 10 CM ICD 10 Resource: Diabetes Mellitus in ICD 10 CM The diabetes mellitus codes are expanded in ICD 10 CM. The codes for diabetes mellitus are located in chapter 4, Endocrine, Nutritional, and Metabolic Diseases,

More information

Spinal Cord Injury Education. An Overview for Patients, Families, and Caregivers

Spinal Cord Injury Education. An Overview for Patients, Families, and Caregivers Spinal Cord Injury Education An Overview for Patients, Families, and Caregivers Spinal Cord Anatomy A major component of the Central Nervous System (CNS) It is 15 to 16 inches long, and weighs 1 to 2 ounces

More information

2016 CODING FOR FETAL ALCOHOL SPECTRUM DISORDERS

2016 CODING FOR FETAL ALCOHOL SPECTRUM DISORDERS 2016 CODING FOR FETAL ALCOHOL SPECTRUM DISORDERS Listed below are the most commonly used codes applicable to FASD patient care. Code Description ICD-10-CM Primary Diagnosis P04.3 Newborn (suspected to

More information

ICD-10-CM Coding Overview AHCA Spring Convention & Trade Show April 21-23, 2015

ICD-10-CM Coding Overview AHCA Spring Convention & Trade Show April 21-23, 2015 ICD-10-CM Coding Overview AHCA Spring Convention & Trade Show April 21-23, 2015 1 Why the Conversion to ICD-10-CM? ICD-10-CM provides more specific data than ICD-9-CM Better reflection of current medical

More information

Cerebral palsy can be classified according to the type of abnormal muscle tone or movement, and the distribution of these motor impairments.

Cerebral palsy can be classified according to the type of abnormal muscle tone or movement, and the distribution of these motor impairments. The Face of Cerebral Palsy Segment I Discovering Patterns What is Cerebral Palsy? Cerebral palsy (CP) is an umbrella term for a group of non-progressive but often changing motor impairment syndromes, which

More information

How To Code In Icd10

How To Code In Icd10 www.aptahpa.org HPA The Catalyst is the Section on Health Policy & Administration of APTA Presented by: Jean Jurek, MS, RHIA, CPC & Karen Hughes, PT, MS, ATC 4/29/14 1 Understanding & Utilization of ICD

More information

Clinical Medical Policy Cognitive Rehabilitation

Clinical Medical Policy Cognitive Rehabilitation Benefit Coverage Outpatient cognitive rehabilitation is considered to be the most appropriate setting for members who have sustained a traumatic brain injury or an acute brain insult. Cognitive rehabilitation

More information

Extended Disability Income. Fixed cease age. Extended Disability Income. Whole Life UP TO 24 MONTHS. Pre-retirement.

Extended Disability Income. Fixed cease age. Extended Disability Income. Whole Life UP TO 24 MONTHS. Pre-retirement. For intermediaries Sanlam Risk Cover January 2015 Temporary Disability Income benefit (OIT3) Primary Income Protector benefits Waiting period Sickness Temporary Disability Income Including fixed payment

More information

CARDIA 288 MONTH FOLLOW-UP SUPPLEMENTAL FORM (FORM B) HOSPITALIZATION CASE #: INTERVIEWER ID FY288BIVID2. Page 1 of 6 FY288BH4CN

CARDIA 288 MONTH FOLLOW-UP SUPPLEMENTAL FORM (FORM B) HOSPITALIZATION CASE #: INTERVIEWER ID FY288BIVID2. Page 1 of 6 FY288BH4CN HOSPITALIZATION CASE #: 2 8 8 0 H FY288BH4CN Has the participant indicated any of the following reasons for being admitted overnight for this case? 1. Suspected or confirmed problems with the heart, circulation,

More information

Neck and Back Pain in VA Incidence and Prevalence in VA Users

Neck and Back Pain in VA Incidence and Prevalence in VA Users Neck and Back Pain in VA Incidence and Prevalence in VA Users Spotlight on Pain Management: Patsi Sinnott, PT, PhD, MPH Sharon Dally, MS, Tigran Avoundjian, MPH, Jody Trafton, PhD, Todd Wagner, PhD Dec.

More information

MEDICAL POLICY POLICY TITLE POLICY NUMBER NEUROPSYCHOLOGICAL TESTING (FOR MEDICAL PURPOSES) MP-4.027

MEDICAL POLICY POLICY TITLE POLICY NUMBER NEUROPSYCHOLOGICAL TESTING (FOR MEDICAL PURPOSES) MP-4.027 Original Issue Date (Created): July 1, 2005 Most Recent Review Date (Revised): November 26, 2013 Effective Date: February 1, 2014 I. POLICY Neuropsychological testing may be considered medically necessary

More information

Using the ICD-10-CM. The Alphabetic Index helps you determine which section to refer to in the Tabular List. It does not always provide the full code.

Using the ICD-10-CM. The Alphabetic Index helps you determine which section to refer to in the Tabular List. It does not always provide the full code. Using the ICD-10-CM Selecting the Correct Code To determine the correct International Classification of Diseases, 10 Edition, Clinical Modification (ICD-10-CM) code, follow these two steps: Step 1: Look

More information

Introduction to ICD - 10. Andrea Devlin, CPMA, CPC Alta Partners, LLC 2015

Introduction to ICD - 10. Andrea Devlin, CPMA, CPC Alta Partners, LLC 2015 Introduction to ICD - 10 Andrea Devlin, CPMA, CPC Alta Partners, LLC 2015 Agenda Introduction Benefits of ICD-10 Features of ICD-10 ICD-9 vs. ICD-10 ICD-10 Structure Question & Answer Introducing ICD-10

More information

Patient Information Form Pain Management Center at Phoebe

Patient Information Form Pain Management Center at Phoebe Patient Information Form Pain Management Center at Phoebe Please complete the following form, so that we may facilitate your visit Occupation: or (circle) Retired, Disabled Homemaker, Full time student

More information

ICD- 9 Source Description ICD- 10 Source Description

ICD- 9 Source Description ICD- 10 Source Description 291.0 Alcohol withdrawal delirium F10.121 Alcohol abuse with intoxication delirium 291.0 Alcohol withdrawal delirium F10.221 Alcohol dependence with intoxication delirium 291.0 Alcohol withdrawal delirium

More information

Vertebrobasilar Disease

Vertebrobasilar Disease The Vascular Surgery team at the University of Michigan is dedicated to providing exceptional treatments for in the U-M Cardiovascular Center (CVC), our new state-of-the-art clinical facility. Treatment

More information

Careful Coding: Headaches

Careful Coding: Headaches Dynamic Chiropractic March 26, 2012, Vol. 30, Issue 07 Careful Coding: Headaches By K. Jeffrey Miller, DC, DABCO and Ray Tuck, DC Because s are among the most common reasons for seeking chiropractic care,

More information

Colossus Important Diagnoses. Instructions for How to List Diagnoses

Colossus Important Diagnoses. Instructions for How to List Diagnoses 1 Colossus Important Diagnoses Instructions for How to List Diagnoses 1. Only list diagnoses on HCFA-1500 or CMS-1500 billing forms 2. Use as many billing forms/pages as necessary (4 diagnoses per billing

More information

Brain Spots on Imaging Tests

Brain Spots on Imaging Tests Brain Spots on Imaging Tests To Be or Not to Be Concerned Metropolitan Underwriting Discussion Group 1/29/13 Charles Levy, MD Aviva USA CT and MRI 2 most common forms of brain imaging today As with any

More information

Spinal Surgery Functional Status and Quality of Life Outcome Specifications 2015 (01/01/2013 to 12/31/2013 Dates of Procedure) September 2014

Spinal Surgery Functional Status and Quality of Life Outcome Specifications 2015 (01/01/2013 to 12/31/2013 Dates of Procedure) September 2014 Description Methodology For patients ages 18 years and older who undergo a lumbar discectomy/laminotomy or lumbar spinal fusion procedure during the measurement year, the following measures will be calculated:

More information

Differential Diagnosis of Chronic Headache

Differential Diagnosis of Chronic Headache Chronic Headache Differential Diagnosis of Chronic Headache JMAJ 47(3): 118 123, 2004 Koichi HIRATA Professor, Department of Neurology, Dokkyo University School of Medicine Abstract: Headache is one of

More information

Is this pt s brain dysfunction due to ischemia? Onset & progression of sx; location of deficit

Is this pt s brain dysfunction due to ischemia? Onset & progression of sx; location of deficit CEREBROVASCULAR ACCIDENTS & TIA s Maggie Kelly History: Onset of symptoms exact time Previous sxs suggestive of TIA s Progression of symptoms Headache? Medications Past history of CVA, clotting events

More information

Classification of Chronic Headache

Classification of Chronic Headache Chronic Headache Classification of Chronic Headache JMAJ 47(3): 112 117, 2004 Mitsunori MORIMATSU Professor, Department of Neurology and Clinical Neuroscience, Yamaguchi University School of Medicine Abstract:

More information

DRAFT. ICD-10 Clinical Modification Code Sets

DRAFT. ICD-10 Clinical Modification Code Sets NOTE: The tables provided below are for reference only and should not be programmed or submitted. Table 8.1 Ischemic Stroke ICD-10 Code I6300 I63011 I63012 I63019 I6302 I63031 I63032 I63039 I6309 I6310

More information

Spinal Surgery 2. Teaching Aims. Common Spinal Pathologies. Disc Degeneration. Disc Degeneration. Causes of LBP 8/2/13. Common Spinal Conditions

Spinal Surgery 2. Teaching Aims. Common Spinal Pathologies. Disc Degeneration. Disc Degeneration. Causes of LBP 8/2/13. Common Spinal Conditions Teaching Aims Spinal Surgery 2 Mr Mushtaque A. Ishaque BSc(Hons) BChir(Cantab) DM FRCS FRCS(Ed) FRCS(Orth) Hunterian Professor at The Royal College of Surgeons of England Consultant Orthopaedic Spinal

More information

Podiatry Specialty ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Podiatry and Top 20 codes

Podiatry Specialty ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Podiatry and Top 20 codes Podiatry Specialty ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Podiatry and Top 20 codes Chapter 1 Certain Infectious and Parasitic Diseases Terminology changes: The term sepsis (ICD-10-CM)

More information

TABLE 6E--REVISED DIAGNOSIS CODE TITLES Page 1 of 9 October 1, 2004

TABLE 6E--REVISED DIAGNOSIS CODE TITLES Page 1 of 9 October 1, 2004 TABLE 6E--REVISED DIAGNOSIS CODE TITLES Page 1 of 9 041.82 Bacteroides fragilis 070.41 Acute hepatitis C with hepatic coma 070.51 Acute hepatitis C without mention of hepatic coma 250.00 Diabetes mellitus

More information

NCD for Lipids Testing

NCD for Lipids Testing Applicable CPT Code(s): NCD for Lipids Testing 80061 Lipid panel 82465 Cholesterol, serum or whole blood, total 83700 Lipoprotein, blood; electrophoretic separation and quantitation 83701 Lipoprotein blood;

More information

Clinical guidance for MRI referral

Clinical guidance for MRI referral MRI for cervical radiculopathy Referral by a medical practitioner (excluding a specialist or consultant physician) for a scan of spine for a patient 16 years or older for suspected: cervical radiculopathy

More information

Overview. Geriatric Overview. Chapter 26. Geriatrics 9/11/2012

Overview. Geriatric Overview. Chapter 26. Geriatrics 9/11/2012 Chapter 26 Geriatrics Slide 1 Overview Trauma Common Medical Emergencies Special Considerations in the Elderly Medication Considerations Abuse and Neglect Expanding the Role of EMS Slide 2 Geriatric Overview

More information

LOW BACK PAIN; MECHANICAL

LOW BACK PAIN; MECHANICAL 1 ORTHO 16 LOW BACK PAIN; MECHANICAL Background This case definition was developed by the Armed Forces Health Surveillance Center (AFHSC) for the purpose of epidemiological surveillance of a condition

More information

ACEP Reimbursement & Coding WEBINAR. November 19, 2013. Countdown to ICD-10: Physician Documentation Education and Preparedness

ACEP Reimbursement & Coding WEBINAR. November 19, 2013. Countdown to ICD-10: Physician Documentation Education and Preparedness *Michael A. Granovsky, MD, CPC, FACEP ACEP Reimbursement & Coding WEBINAR November 19, 2013 Countdown to ICD-10: Physician Documentation Education and Preparedness Your group s success requires an understanding

More information

Adult Cardiac Surgery ICD9 to ICD10 Crosswalks

Adult Cardiac Surgery ICD9 to ICD10 Crosswalks 164.1 Malignant neoplasm of heart C38.0 Malignant neoplasm of heart 164.1 Malignant neoplasm of heart C45.2 Mesothelioma of pericardium 198.89 Secondary malignant neoplasm of other specified sites C79.89

More information

Complete coverage. Unbeatable value.

Complete coverage. Unbeatable value. Quest Travel Insurance Complete coverage. Unbeatable value. Quest with confidence, anytime, anywhere! Quest protects you when nothing else can, with: Future stability coverage: Stable now? Not sure you

More information

M05.9 Rheumatoid arthritis with rheumatoid factor, unspecified M06.00 Rheumatoid arthritis without rheumatoid factor, unspecified site M06.

M05.9 Rheumatoid arthritis with rheumatoid factor, unspecified M06.00 Rheumatoid arthritis without rheumatoid factor, unspecified site M06. Rheumatology ICD-9 ICD-10 V58.69 Z79.3 Long term (current) use of hormonal contraceptives Z79.891 Long term (current) use of opiate analgesic Z79.899 Other long term (current) drug therapy 714.0 M05.40

More information