Health Care Information Blog

Tuesday, 12 June 2012

ICD-10 Update: Switch to New Code With No Descriptor Change For Bagassosis

Occupational history is the main hint to diagnosis.

As a pulmonology coder, you're expected to come across patients with extrinsic allergic alveolitis (hypersensitivity pneumonitis). To be ready to precisely report for every kind of extrinsic allergic alveolitis (EAA) when ICD-10 codes come into effect, see how ICD-9 codes will change.

Take This Symptoms, Tests Refresher

Your pulmonologist will reach a diagnosis of bagassosis based on an occupational history of exposure to cane dust and on the findings of blood tests and diagnostic tests for instance pulmonary function tests as well as chest x-rays.

Few of the common symptoms that you will witness in a patient with bagassosis will involve fever (R50.9, Fever unspecified), malaise (R53.81, Other malaise), fatigue (R53.83, Other fatigue), cough (R05, cough), shortness of breath (R06.02, Shortness of breath), painful breathing (R07.1, Chest pain on breathing), anorexia (R63.0, Anorexia) along with weight loss (R63.4, Abnormal weight loss).

Your pulmonologist might order definite lab tests like blood count (85025, Blood count; complete [CBC], automated [Hgb, Hct, RBC, WBC and platelet count] and automated differential WBC count) and definite immune assays (86001,Allergen specific IgG quantitative or semiquantitative, each allergen).
Chest x-rays and certain diagnostic tests for instance bronchoscopy i.e CPT code 31622 (Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed [separate procedure]) or bronchoscopy with biopsy (31628, Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy[s], single lobe) may help confirm the diagnosis.

Your pulmonologist will also rely on pulmonary function tests like spirometry i.e CPT Code 94010 (Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement[s], with or without maximal voluntary ventilation), determination of lung volumes (94727, Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes), diffusing capacity (+94729, Diffusing capacity [e.g., carbon monoxide, membrane] [List separately in addition to code for primary procedure]) and respiratory flow volume (94375, Respiratory flow volume loop) to confirm the diagnosis.

ICD-9 code 495.1 Becomes J67.1

Under ICD-9, you would use ICD-9 code 495.1 (Bagassosis). The fourth digit is specific for the type of EAA, and ICD-9 code 495.x expands to 10 different codes depending on the type of inhaled organic dust particles the person is exposed to.

Under ICD-10 codes , you will be reporting J67.1 (Bagassosis). Notice that the descriptor for bagassosis continues to be the same as the descriptor that is used in the ICD-9 code for the condition. Get free and comprehensive medical information and advice today at this medical advice website, source.


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