|
Watch for when combo codes are most suitable. The shift to ICD-10-CM on Oct. 1, 2013, doesn’t sound so far away now that 2012 is here. Make certain your practice is ready to report aortic valve disorders, check out how the novel code set divides this diagnosis. ICD9 Code 424.1 (Aortic valve disorders) ICD-10 Codes I35.0 (Nonrheumatic aortic (valve) stenosis) I35.1 (Nonrheumatic aortic (valve) insufficiency) I35.2 (Nonrheumatic aortic (valve) stenosis with insufficiency) I35.8 (Other nonrheumatic aortic valve disorders) I35.9 (Nonrheumatic aortic valve disorder, unspecified) A disorder of the aortic valve refers to a problem with the valve between the aorta and the left ventricle. ICD-9 coding rules: There is one ICD-9 code to cover aortic valve disorders not indicated as rheumatic. Among the notes with the code is an excludes note pointing you in place of ICD-9 code 395.x (Diseases of aortic valve) when documentation specifies "rheumatic." ICD-10 changes: You’ll need to select from multiple aortic valve disorder codes in the I35.- range under ICD-10. You’ll have separate ICD9 codes counterparts in ICD-10 for stenosis (I35.0), insufficiency (I35.1), stenosis with insufficiency (I35.2), other (I35.8), and unspecified (I35.9). The notes for I35, Nonrheumatic aortic valve disorders, state: Excludes1: Aortic valve disorder of unspecified cause however with diseases of mitral and/or tricuspid valve(s) (I08.-) Aortic valve disorder specified as congenital (Q23.0, Q23.1) Aortic valve disorder specified as rheumatic (I06.-) Hypertrophic subaortic stenosis (I42.1). Documentation: In order to support proper coding, the physician must take care to document whether the aortic valve disease is rheumatic or not rheumatic. Also alert physicians that you need to know whether the condition is congenital because it affects your code choice. For the reason that you won’t have the one-code-fits-all choice for aortic valve disorders under ICD-10, your physician’s documentation requires specifying the type of disorder for you to select the most specific code. ICD-9 to ICD-10 Tips: Take note that when documentation demonstrates both stenosis as well as insufficiency, you must select single code I35.2 instead of reporting both I35.0 and I35.1. Also you must keep in mind that insufficiency may be documented by means of incompetence or regurgitation. The "other" in I35.8 simply implies that the physician documented the type, however ICD-10 codes doesn’t offer a code specific to the documented type. The "unspecified" in I35.9 implies the physician did not document the type.
Related Articles -
ICD9 Codes, ICD9 codes, ICD-10 codes,
| 
