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There are chances that high cholesterol will still be a challenge for your patients in 2013 when ICD-10 goes into effect. Here's how coding for this and similar diagnoses compares between ICD-9 and ICD-10. ICD-10 has a one-to-one match with ICD-9 for pure hypercholesterolemia (272.0, E78.0), pure hyperglyceridemia (272.1, E78.1), and mixed hyperlipidemia (272.2, E78.2). But then where ICD-9 offers one code for other and unspecified hyperlipidemia" (272.4), ICD-10 offers one code for 'other' (E78.4) and a different code for "unspecified" (E78.5). Documentation: Your clinicians' documentation shouldn't be changed from its present form. As a coder, all you need to do to capture this already present information is to format your superbill to capture the difference between 'other' and 'unspecified' hyperlipidemia. 'Other' means the doctor documented the type; however ICD-10 does not offer a code specific to the documented type. 'Unspecified' means the doctor didn't document the type of hyperlipidemia. More tip: The notes with the ICD-9 and ICD-10 codes for lipid metabolism disorders are pretty similar; however there are a few differences. For instance, while 272.1 includes "hypertriglyceridemia, essential," E78.1 includes "elevated fasting triglycerides." Under E78.2, ICD-10 adds 'combined hyperlipidemia NOS," "elevated cholesterol with elevated triglycerides NEC," and "Hyperlipidemia, group C." Code E78.2 also has an Excludes1 note, telling you in place to code E78.4 for "familial combined hyperlipidemia" and E78.5 for "cerebrotendinous cholesterosis [van Bogaert-Scherer- Epstein] (E75.5). When ICD-10 goes into effect in a couple of years' time, you should apply the code set and official guidelines in effect for the date of service reported. You can get to know more at a one-stop medical coding guide like Supercoder. Such a site comes with an ICD-10 bridge to help you make a smooth transition from ICD-9 to ICD-10. For More Read :- ICD-10: E78.0-E78.5 Promise to Be a Close Match to 272.x Codes
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ICD-9 to ICD-10, medical coding, ICD-10 bridgeThere are chances that high cholesterol will still be a challenge for your patients in 2013 when ICD-10,
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