|
You must report the myelopathy, ganglionitis, neuropathy, as well as unspecified neurological complications. After you're faced with a neurological complication subsequent to an episode of Herpes zoster, you'll require knowing how to report it once ICD-9 to ICD-10 transition takes place in Oct. 1, 2013. Take our expert medical coding advice below on pinning down the suitable diagnosis for definite neurological complication linked with the Herpes zoster virus. Review the basics: Herpes zoster, generally known as shingles and also known as zona, which is caused by varicella zoster virus (VZV), the same infection that leads to chicken pox. The annual number of Herpes zoster cases in the United States is likely to be approximately 1 million. Coding for Herpes zoster minus complications is simple as there is a single code. "Herpes zoster without complications is presently reported with 053.9 (Herpes zoster without mention of complications) which is cross walked over to B02.9 (Zoster without complications) for ICD-10. The challenge: Reporting of complications other than meningitis needs a deeper knowledge of the possible complications. Code 053.1x for further nervous system complications in Herpes zoster, includes six codes in ICD-9 (053.10 to 053.19). These complications refer to manifestations except meningitis associated with Herpes zoster. Review Possible Complications A usual complication of Herpes zoster is postherpetic neuralgia (PHN), which is pain that continues for longer than one month following resolution of the rash. The reported incidence of postherpetic neuralgia ranges from 8 to 70 percent and both the incidence and duration increases with advancing age. If the pain management specialist notes a diagnosis of postherpetic neuralgia, you would search the alphabetic index in looking for the accurate ICD-9 code or ICD-10 code. For dates of service prior to Oct 1, 2013, you will report 053.19 (…other nervous system complications) but after the ICD-10 implementation date, you will bill B02.29 (Other postherpetic nervous system involvement). Both ICD-9 as well as ICD-10 include diagnosis codes for PHN of specific cranial nerves, with the trigeminal nerve: 053.12 (Postherpetic trigeminal neuralgia) for ICD-9 and likewise B02.22 for ICD-10. Presently this diagnosis is coded as 053.11 (Geniculate herpes zoster); however, for ICD-10 it will be reported as B02.21 (Postherpetic geniculate ganglionitis)." Chronic VZV Encephalitis, inflammation of the brain because of a viral infection, is a rare but fatal complication of Herpes zoster. ICD-10 offers a specific diagnosis code for this complication, V02.0 (Zoster encephalitis), however ICD9 Codes does not list a specific code for encephalitis associated with Herpes zoster. A different major complication related with Herpes zoster is meningitis. Meningitis in Herpes zoster is reported with ICD-9 code 053.0 (Herpes zoster with meningitis). This corresponds to code B02.1 (Zoster meningitis) in ICD-10. There are a lot of other neurological complications probable with Herpes zoster; these involve polyneuropathy, myelitis, and radiculopathy.
Related Articles -
ICD9 Codes, Medical Coding, ICD-9 Codes,
| 
