Rehabilitation Coding Update
Audio Seminar/Webinar September 25, 2007
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Faculty Patricia Trela, RHIA Ms. Trela is principal of her own consulting firm, PATrela Consulting, in Quincy, MA. Ms. Trela has over 25 years experience in the health information management (HIM) profession, and specializes in healthcare billing, coding, and reimbursement issues with a focus on rehabilitation facilities. Previously, she was a consultant with various HIM consulting firms. She was a member of the task force that developed the Functional Independence Measure (FIM) and is currently a member of the UDSmr Advisory Council.
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Table of Contents Disclaimer ..................................................................................................................... i Faculty .........................................................................................................................ii Agenda ........................................................................................................................ 1 Final Rule for FY 2008 IRF PPS ........................................................................................ 1 Present on Admission (POA)............................................................................................ 2 Post Acute Care (PAC) Patient Assessment Instrument and Payment Reform....................... 3 New and Revised ICD-9-CM Codes................................................................................... 5 Hydrocephalus ................................................................................................... 6 Dysphasia.......................................................................................................... 6 Hearing Loss ...................................................................................................... 7 Mytotonic Disorders ............................................................................................ 8 Lymphoma......................................................................................................... 9 Infection due to CVA device ...............................................................................10 Sudden Cardiac Arrest .......................................................................................10 Recovery Audit Contractors (RAC) ..................................................................................11 RAC and the Coder ............................................................................................12 Codes for the UB-04 and the IRF-PAI..............................................................................13 Non-traumatic Hemorrhages ..............................................................................14 Multiple Fractures..............................................................................................15 Old Spinal Cord Injuries .....................................................................................16 Medically Complex .............................................................................................18 Neurological Conditions/Neuropathies .................................................................19 The Coder’s Tool Box.....................................................................................................21 Resources ....................................................................................................................22 Audience Questions Appendix ..................................................................................................................25 Comparison of IRF PAI Codes with UB-04 Codes .....................................................26 Appendix C-List of Co morbidities .....................................................................27-49 CE Certificate Instructions .....................................................................................50
AHIMA 2007 Audio Seminar Series
Rehabilitation Coding Update
Notes/Comments/Questions
Agenda
The FY 2008 IRF PPS Final Rule
Present on Admission (POA)
Post Acute Care (PAC) Patient Assessment Instrument and Payment Reform Demonstration
New and revised ICD-9-CM codes - October 1, 2007
RAC audits – What you can do now to prepare your facility for the invasion of the RAC.
Case Studies – Comparison UB-04 and the IRF-PAI 1
Final Rule for FY 2008 IRF PPS • • • •
Approximately 1,234 IRFs in FY 2008 IRF discharges occurring during federal FY 2008, beginning October 1, 2007 Increased payment rates by 3.2 percent Increased the outlier threshold to $7,362
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AHIMA 2007 Audio Seminar Series
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Rehabilitation Coding Update
Notes/Comments/Questions
Final Rule for FY 2008 IRF PPS •
No changes to: • CMGs • Co-morbid conditions assigned to payment tiers (except for those affected by the changes to the ICD-9-CM Coding Classification system)
Resource: • •
http://www.cms.hhs.gov/InpatientRehabFacPPS/07_DataFiles.asp# TopOfPage Select FY 2008 Data Files ; open compressed file 1551 F-Data files; Select Appendix C – List of Co-morbidities updated 8/3/07 for discharges after 10/1/07 3
Present on Admission (POA)
Implementation Date: October 1, 2007
Resources: • CR Transmittal #: R1240CP • MLN Matters Number: MM5499 • MM5499 Revised August 15, 2007
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AHIMA 2007 Audio Seminar Series
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Rehabilitation Coding Update
Notes/Comments/Questions
Post Acute Care (PAC) Patient Assessment Instrument and Payment Reform Demonstration
Deficit Reduction Act of 2005 Establish demonstration program Comprehensive assessment on date of discharge Needs of patient and clinical characteristics of the diagnosis to determine appropriate placement in post-acute care site Standardized patient assessment instrument .
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Post Acute Care (PAC) Patient Assessment Instrument and Payment Reform Demonstration
Timetable January 2008 − Demonstration project in place Currently looking for volunteers
2008-2010 for data collection July 2011 − Report on demonstration delivered to Congress
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Rehabilitation Coding Update
Notes/Comments/Questions
Post Acute Care (PAC) Patient Assessment Instrument and Payment Reform Demonstration
Medicare Continuity Assessment Record and Evaluation (CARE) to: Measure patient severity Resource utilization Outcomes for patient in acute and post-acute care settings
.
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Post Acute Care (PAC) Patient Assessment Instrument and Payment Reform Demonstration
CARE instrument will be completed Acute hospital discharge Admission/discharge/interim for > Long-term care hospitals (LTCH) > Inpatient rehabilitation facilities (IRF) > Skilled nursing facilities (SNF) > Home health agencies (HHA)
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Rehabilitation Coding Update
Notes/Comments/Questions
Post Acute Care (PAC) Patient Assessment Instrument and Payment Reform Demonstration
Current tools at these facilities include: • • • • •
Acute hospitals – no tool Long term care hospitals – no tool Inpatient rehabilitation facilities – IRF-PAI Skilled nursing facilities – MDS Home health agencies – OASIS
Intent is that when implemented only the CARE form will be required and facilities will not be required to complete the current tools . 9
New and Revised ICD-9-CM Codes
Diagnosis Codes - Effective October 1, 2007 • >140 new codes
External cause of injury codes • 3 new E codes
Approximately 800 changes to the alphabetical index
Provide Physician Education • Physicians are probably unaware of the code changes • Additional information the physician needs to include in
their documentation.
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Rehabilitation Coding Update
Notes/Comments/Questions
New and Revised ICD-9-CM Codes
331.5 Idiopathic normal pressure hydrocephalus (INPH) Normal pressure hydrocephalus NOS • NPH caused by disruption in the cerebrospinal fluid (CSF) circulation that leads to enlargement of the ventricles • Symptoms include > Gait impairment > Subcortical dementia > Urinary urgency and incontinence
Do not confuse with current code
331.3 Secondary normal pressure hydrocephalus (communicating hydrocephalus) • Secondary to a disease process > Subarachnoid hemorrhage > Traumatic brain injury > Cerebral infarction > Meningitis 11
New and Revised ICD-9-CM Codes
Dysphagia • Code 787.2 has added 5th digits to distinguish the phase of dysphagia • 787.2 Dysphagia – (Code first, if applicable, dysphagia due to late effect of CVA (438.82) > 787.20 Dysphagia, unspecified Difficulty in swallowing NOS > 787.21 Dysphagia, oral phase > 787.22 Dysphagia, oropharyngeal phase > 787.23 Dysphagia, pharyngeal phase > 787.24 Dysphagia pharyngoesophageal phase > 787.29 Other dysphagia Cervical dysphagia Neurogenic dysphagia 12
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Rehabilitation Coding Update
Notes/Comments/Questions
New and Revised ICD-9-CM Codes Hearing Loss
315.34 Speech and language developmental delay due to hearing loss Use additional code to identify type of hearing loss (389.00-389.9) 388.45 Acquired auditory processing disorder Auditory processing disorder NOS Excludes: central auditory processing disorder (315.32)
Physician Education – Documentation should include: • The type of hearing loss (conductive, neural, sensory or mixed) • Identify if the loss is unilateral or bilateral
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New and Revised ICD-9-CM Codes Hearing Loss
389.0 Conductive hearing loss 389.05 Conductive hearing loss, unilateral 389.06 Conductive hearing loss, bilateral
389.1 Sensorineural hearing loss 389.13 Neural hearing loss, unilateral 389.14 Central hearing loss 389.17 Sensory hearing loss, unilateral 389.18 Sensorineural hearing loss, bilateral
389.2 Mixed conductive and sensorineural hearing loss 389.20 Mixed hearing loss, unspecified 389.21 Mixed hearing loss, unilateral 389.22 Mixed hearing loss, bilateral 14
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Rehabilitation Coding Update
Notes/Comments/Questions
New and Revised ICD-9-CM Codes Hearing Loss
389.7 Deaf, nonspeaking, not elsewhere classifiable
V49.85 Dual sensory impairment Blindness with Deafness Combined visual hearing impairment Code first: hearing impairment (389.0-389.9) visual impairment (369.00-369.9)
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New and Revised ICD-9-CM Codes Myotonic Disorders
359.2 Myotonic muscular dystrophy 359.21 Myotonic muscular dystrophy 359.22 Myotonia congenita 359.23 Myotonic chondrodystrophy 359.24 Drug-induced myotonia Use additional E code to identify drug 359.29 Other specified myotonic disorder
Physician Education – Documentation should include: • The type of disorder > myotonic muscular dystrophy > congenital myotonia > myotonic chondrodystrophy > drug induced myotonia 16
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Rehabilitation Coding Update
Notes/Comments/Questions
New and Revised ICD-9-CM Codes
Lymphoma • Several new codes for non-Hodgkins type of lymphoma • Important for physicians to document the type of lymphoma as: > 200.3 Marginal zone lymphoma > 200.4 Mantle cell lymphoma > 200.5 Primary central nervous system lymphoma > 200.6 Anaplastic large cell lymphoma > 200.7 Large cell lymphoma
• Another new code > 202.7 Peripheral T-cell lymphoma
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New and Revised ICD-9-CM Codes
Lymphoma 5th Digits require knowledge of the site • 0 unspecified site, extranodal and solid organ sites • 1 lymph nodes of head, face, and neck • 2 intrathoracic lymph nodes • 3 intra-abdominal lymph nodes • 4 lymph nodes of axilla and upper limb • 5 lymph nodes of inguinal region and lower limb • 6 intrapelvic lymph nodes • 7 spleen • 8 lymph nodes of multiple sites
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Rehabilitation Coding Update
Notes/Comments/Questions
New and Revised ICD-9-CM Codes
998.31 Infection due to central venous catheter Catheter-related bloodstream infection (CRBSI) Infection due to: Hickman catheter Peripherally inserted central catheter (PICC) Triple lumen catheter Excludes: infection due to: arterial catheter (996.62) catheter NOS (996.69) peripheral venous catheter (996.62) urinary catheter (996.64) 19
New and Revised ICD-9-CM Codes
V12.53 Sudden cardiac arrest Sudden cardiac death successfully resusitated
V12.54 Transient ischemic attack (TIA) and cerebral infarction without residual deficits Prolonged reversible ischemic neurological deficit (PRIND) Reversible ischemic neurologic deficit (RIND) Stroke NOS without residual deficits Excludes: late effects of cerebrovascular disease (438.0-438.9)
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Rehabilitation Coding Update
Notes/Comments/Questions
Recovery Audit Contractors (RAC) CMS – created RAC to recover Medicare overpayments • 3 year demonstration project (2006-2008) • 3 states (CA, NY, FL) > Identify Medicare overpayments and underpayments not previously identified by Medicare processing contractors
• In 2007, 3 states added to the program (AZ, MA, SC) • Program to expand to all states by 2010 • There will be 4 RACs (not necessarily the current RACs)
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Recovery Audit Contractors (RAC)
Payment to RAC is on contingency basis
Rehabilitation Hospitals in CA – hard hit • Concentrated on orthopedic cases (2002-2004) • Hip replacements • Knee replacements • Hip fractures • Cases assigned to Tier A • Short stay cases • Anything and everything • Claims older than one year – Need to have a reason to open claim. • Claims less than one year – no reason
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Rehabilitation Coding Update
Notes/Comments/Questions
RACs and the Coder
Code and report all documented conditions that meet the guidelines for coding and reporting, even if they do not affect the payment (this helps show medical necessity)
Consider concurrent coding to identify conditions that are monitored or treated and obtain physician documentation if necessary.
Query the physician (verbally if possible) on documentation that is ambiguous or incomplete.
Code accurately and ask the following questions • Could there be a coding issue in cases from 2004, 2005? • Did you know then what you now know about coding?
• Do these cases need to be recoded and resubmitted?
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RACs and the Coder Example: Patient with fractured hip replacement reported with Impairment Group for joint replacement, should have been reported as fractured hip RAC reviewing joint replacements, denied case for medical necessity. If accurately coded, case might not have been reviewed. 24
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Rehabilitation Coding Update
Notes/Comments/Questions
Codes for the UB-04 and the IRF-PAI
UB-04 • UB-04 has space for 18 codes • Medicare uses the first 9 codes
Sequence codes that support the Impairment Group and Payment Tier in the first 9 codes Groupers – Do not let the DRG grouper sequence codes • Codes that drive the DRG assignments are not the same as the codes that impact the CMG assignment 25
IRF-PAI Codes
Impairment Group Codes (IGC) Etiology Comorbidities Complications Reason for Interrupted Stay or Death
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Rehabilitation Coding Update
Notes/Comments/Questions
Non-traumatic Hemorrhages Cranial and Cerebral Non-traumatic hemorrhages Intracranial hemorrhage, IGC 02.1 • Bleeding between the skull and brain lining • Subdural hemorrhage, non traumatic
Intracerebral hemorrhage, IGC 01.x • Bleeding within the brain • Basilar, bulbar, cerebral, cerebellar, etc • Rupture of blood vessel within the brain
• Bleeding in space between brain and lining • Subarachnoid hemorrhage
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Traumatic or Non-traumatic Hemorrhages The patient was descending a flight of stairs and fell. The patient has taken by ambulance to the Emergency Room. The Emergency Room physician documented a subdural hemorrhage, a fracture of the right hip and ankle. Polling Question: How would you classify this hemorrhage? *1 Traumatic subdural hemorrhage *2 Non-traumatic subdural hemorrhage *3 Unknown type of hemorrhage 28
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Rehabilitation Coding Update
Notes/Comments/Questions
IGC 08.4 Multiple Fractures or IGC 17.9 Other Multiple Trauma
IGC 08.4 and IGC 17.9 both map to RIC 17
If the only injuries are fractures, report IGC 08.4 for multiple fractures
IGC 08.4 is non-compliant and IGC 17.9 is compliant with the 75% rule
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IGC 08.4 Multiple Fractures The patient fell from a ladder and sustained a fracture of the lower end of the right femur, right tibia and the left humerus Example 1: IGC: 08.4 Etiology: 821.20 Fracture lower end of femur unspecified Comorbidities: V54.11 aftercare healing traumatic fracture upper arm V54.16 aftercare healing traumatic fracture lower leg
Example 2: IGC: Etiology:
08.4 828.0 Closed fractures involving lower limb (leg) with upper limb (arm)
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Rehabilitation Coding Update
Notes/Comments/Questions
Old Spinal Cord Injuries
Admitted to IRF • Prior IRF rehab program has not been completed – Etiology is a code for the acute injury • Prior IRF rehab program has been completed – Etiology is a code for late effect of spinal cord injury (907.2)
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Old Spinal Cord Injuries
The coder must determine if the current reason is related or unrelated to the spinal cord injury • Related Conditions • Sacral decubitus • Neurogenic bladder • Unrelated Conditions • Fractured humerus • Stroke
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Rehabilitation Coding Update
Notes/Comments/Questions
Old Spinal Cord Injuries
Impairment Group Assignment • Once a spinal cord injury, always a spinal cord injury – MAYBE NOT!
Admitted for condition related to old spinal cord injury
IGG 04.2xx
Admitted for condition not related to old spinal cord injury
IGC based on reason for admission
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Old Spinal Cord Injuries Example 1 – Patient had a traumatic L-4 spinal cord injury with paraplegia 6 years ago and is now admitted for treatment of sacral decubitus. At the time of the injury the patient completed an IRF rehab program.
IRF-PAI IGC: Etiology: Comorbidities:
04.110 Paraplegia, Incomplete 907.2 Late effect of spinal cord injury 707.03 Decubitus ulcer of lower back
UB-04 Principal Diagnosis: Additional Conditions:
V57.89 707.03 344.1 907.2
Admission for rehab Decubitus of lower back Paraplegia Late effects of spinal cord injury 34
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Rehabilitation Coding Update
Notes/Comments/Questions
Old Spinal Cord Injuries Example 2 – Patient had a traumatic L-4 spinal cord injury with paraplegia 6 years ago and is now admitted for treatment of fractured humerus following a fall from the wheelchair. At the time of the injury the patient completed an IRF rehab program.
IRF-PAI IGC: Etiology: Comorbidities:
08.9 812.4 344.1 907.2
Other orthopedic Fracture lower end of humerus Paraplegia Late effects of spinal cord injury
UB-04 Principal Diagnosis: V57.89 Admission for rehab Additional Conditions V54.11 Aftercare for healing traumatic fracture upper arm 344.1 Paraplegia 907.2 Late effects of spinal cord injury
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Medically Complex IGC 17.x Medically Complex Primary reason for admission is to provide medical treatment and not for rehabilitation by therapy. Patient may require therapy, but not 3 hours a day. This is the type of patient that is typically admitted to the LTAC. This patient would not meet at least one of the criteria that an IRF must meet. (less than 3 hours of therapy a day) 36
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Rehabilitation Coding Update
Notes/Comments/Questions
Medically Complex
Example: An elderly patient new to dialysis to treat end stage renal failure experienced dysequilibrium syndrome from excessive volume depletion complicated by hypocalcemia and generalized debility/weakness.
1.
Reason for admission is for renal dialysis, improve the volume and treat hypocalcemia. The patient will receive some therapy to improve strength and endurance.
2.
Reason for admission is for 3 hours of therapy a day. The patient will also have renal dialysis, and treatment to improve volume and for hypocalcemia. 37
Neurological Conditions/Neuropathies
Is the problem the 75% rule? • 03.1 Multiple Sclerosis • 03.2 Parkinsonism > 03.3 Polyneuropathy > 03.4 Guillain-Barre Syndrome • 03.5 Cerebral Palsy • 03.8 Neuromuscular disorders > 03.9 Other neurologic
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Rehabilitation Coding Update
Notes/Comments/Questions
Neurological Conditions/Neuropathies
03.3 Polyneuropathy • 357.2 Diabetic polyneuropathy is not on the list of compliant codes
03.4 Guillain-Barre Syndrome • 357.0 Guillain-Barre disease or syndrome
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Neurological Conditions/Neuropathies
03.8 Neuromuscular Disorders • 359.81 Critical illness myopathy • 352.82 Critical illness polyneuropathy Compliant − Not assigned to a payment tier
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Rehabilitation Coding Update
Notes/Comments/Questions
The Coder’s Tool Box
Current ICD-9-CM Coding Manual and/or Encoder
IRF PAI Training Manual, effective 4/01/04
IRF PAI Final Rule for the current federal fiscal year
Appendix C – List of Comorbidities (from CMS website – Updated August 3, 2007 is in Appendix of resource book) http://www.cms.hhs.gov/InpatientRehabFacPPS/07_DataFiles.asp #TopOfPage Select FY 2008 Data Files ; open compressed file 1551 F-Data files; Select Appendix C – List of Co-morbidities updated 8/3/07 for discharges after 10/1/07
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The Coder’s Tool Box continued The 75% Rule Transmittal 938, provides information on Criteria an IRF must meet including the verification process used to determine if the IRF met the classification criteria List of Compliant Impairment Group Codes and ICD9-CM codes that meet presumptive compliance http://www.cms.hhs.gov/InpatientRehabFacPPS/03_Criteria.asp#TopOfPage
Download the IRF Compliance Rule Specification Files [ZIP, 138kb] (at bottom of page)
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Rehabilitation Coding Update
Notes/Comments/Questions
Resources
Coding Assessment and Training Solutions® web-based training • Rehabilitation Coding Guidelines
http://campus.ahima.org/campus/catalog_CATS.htm
IRF PPS Coding Challenges by Pat Trela, RHIA
• http:/library.ahima.org/xpedio/groups/public/document s/bo1_034071.hcsp?dDocName=bok_034071
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Audience Questions
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Rehabilitation Coding Update
Notes/Comments/Questions
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Rehabilitation Coding Update
Notes/Comments/Questions
Thank you for joining us today! Remember − sign on to the AHIMA Audio Seminars Web site to complete your evaluation form and receive your CE Certificate online at: http://campus.ahima.org/audio/2007seminars.html Each person seeking CE credit must complete the sign-in form and evaluation in order to view and print their CE certificate Certificates will be awarded for AHIMA and ANCC Continuing Education Credit
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Appendix Comparison of IRF PAI Codes with UB-04 Codes .....................................................26 Appendix C-List of Co morbidities......................................................................27-49 CE Certificate Instructions .....................................................................................50
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Appendix Comparison of IRF PAI Codes with UB-04 Codes Case # 1 - Stroke with right body involvement IRF PAI Item #
Codes
#21
01.2
Impairment Group Code Stroke - right body involvement (left brain) Etiology
#22
434.01
UB-04 Item #
Codes
#67
V57.89
Principal Diagnosis Care involving rehabilitation, multiple therapies
Additional Diagnoses #67A
438.20
Late effect, cerebrovascular disease, hemiplegia, affecting unspecified side
#67B
438.82
Dysphagia, late effect of cerebrovascular disease
#67C
438.7
Disturbed vision, late effect of cerebrovascular disease
Diplopia
#67D
368.2
Diplopia
Cerebral artery thrombosis with infarction
Comorbid Conditions #24a
787.2
Dysphagia
#24b
368.2
#24c
401.9
Hypertension unspecified
#67E
401.9
Hypertension, unspecified
#24d
599.0
Urinary tract infection
#67F
599.0
Urinary tract infection
#24e
041.4
E. coli infection
#67G
041.4
E. coli infection
#47 Complications during the rehab stay #47a
599.0
Urinary tract infection
#47b
041.4
E. coli infection
Case # 2 – Unilateral Below Knee Amputation IRF PAI
UB-04
Item # #21
Codes 05.4
Impairment Group Code Unilateral below knee amputation
Item # #67
Codes V57.89
Principal Diagnosis Care involving rehabilitation, multiple therapies
#22
785.4
Gangrene
#67A
V54.89
Other orthopedic aftercare
#67B
V49.75
Below knee amputation, unilateral
#24a
250.60
Type II DM with neurological manifestation
#67C
250.60
Type II DM with neurological manifestation
#24b
357.2
Polyneuropathy due to diabetes
#67D
357.2
Polyneuropathy due to diabetes
#24c
V58.67
Long term use of insulin
#67E
V58.67
Additional Diagnoses Comorbid Conditions
Long term use of insulin
Case # 3 - Bilateral knee joint replacements IRF PAI Item #
Codes
#21
08.62
#22
Impairment Group Code
UB-04 Item #
Codes
Bilateral knee joint replacements
#67
V57.89
Principal Diagnosis Care involving rehabilitation, multiple therapies
715.36
Osteoarthritis, both knees
#67A
V54.81
Aftercare following joint replacement
Comorbid Conditions
#67B
V43.65
Knee joint replacement
#24a
278.00
Obesity
#67C
278.00
Obesity
#24b
300.4
Anxiety/Depression
#67D
300.4
Anxiety/Depression
Etiology
Additional Diagnoses
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Appendix Appendix C—List of Comorbidities (Updated August 3, 2007) (Effective for Discharges Occurring On or After October 1, 2007)
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9 ICD9CM Label Tier Exclusion Added (none) (none) 478.31 VOCAL PARAL UNILAT PART 1 15 478.32 VOCAL PARAL UNILAT TOTAL 1 15 478.33 VOCAL PARAL BILAT PART 1 15 478.34 VOCAL PARAL BILAT TOTAL 1 15 478.6 EDEMA OF LARYNX 1 15 V44.0 TRACHEOSTOMY STATUS 1 V45.1 RENAL DIALYSIS STATUS 1 V55.0 ATTEN TO TRACHEOSTOMY 1 008.42 PSEUDOMONAS ENTERITIS 2 008.45 INT INF CLSTRDIUM DFCILE 2 041.7 PSEUDOMONAS INFECT NOS 2 438.82 LATE EF CV DIS DYSPHAGIA 2 01 579.3 INTEST POSTOP NONABSORB 2 787.20 DYSPHAGIA NOS 2 01 yes 787.21 DYSPHAGIA, ORAL PHASE 2 01 yes 787.22 DYSPHAGIA, OROPHARYNGEAL 2 01 yes 787.23 DYSPHAGIA, PHARYNGEAL 2 01 yes 787.24 DYSPHAGIA,PHARYNGOESOPH 2 01 yes 787.29 DYSPHAGIA NEC 2 01 yes 011.00 TB LUNG INFILTR-UNSPEC 3 15 011.01 TB LUNG INFILTR-NO EXAM 3 15 011.02 TB LUNG INFILTR-EXM UNKN 3 15 011.03 TB LUNG INFILTR-MICRO DX 3 15 011.04 TB LUNG INFILTR-CULT DX 3 15 011.05 TB LUNG INFILTR-HISTO DX 3 15 011.06 TB LUNG INFILTR-OTH TEST 3 15 011.10 TB LUNG NODULAR-UNSPEC 3 15 011.11 TB LUNG NODULAR-NO EXAM 3 15 011.12 TB LUNG NODUL-EXAM UNKN 3 15 011.13 TB LUNG NODULAR-MICRO DX 3 15 011.14 TB LUNG NODULAR-CULT DX 3 15 011.15 TB LUNG NODULAR-HISTO DX 3 15 011.16 TB LUNG NODULAR-OTH TEST 3 15 011.20 TB LUNG W CAVITY-UNSPEC 3 15 011.21 TB LUNG W CAVITY-NO EXAM 3 15 011.22 TB LUNG CAVITY-EXAM UNKN 3 15 AHIMA 2007 Audio Seminar Series
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Appendix
ICD9 011.23 011.24 011.25 011.26 011.30 011.31 011.32 011.33 011.34 011.35 011.36 011.40 011.41 011.42 011.43 011.44 011.45 011.46 011.50 011.51 011.52 011.53 011.54 011.55 011.56 011.60 011.61 011.62 011.63 011.64 011.65 011.66 011.70 011.71 011.72 011.73 011.74 011.75 011.76 011.80 011.81 011.82
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9CM Label Tier Exclusion Added (none) (none) TB LUNG W CAVIT-MICRO DX 3 15 TB LUNG W CAVITY-CULT DX 3 15 TB LUNG W CAVIT-HISTO DX 3 15 TB LUNG W CAVIT-OTH TEST 3 15 TB OF BRONCHUS-UNSPEC 3 15 TB OF BRONCHUS-NO EXAM 3 15 TB OF BRONCHUS-EXAM UNKN 3 15 TB OF BRONCHUS-MICRO DX 3 15 TB OF BRONCHUS-CULT DX 3 15 TB OF BRONCHUS-HISTO DX 3 15 TB OF BRONCHUS-OTH TEST 3 15 TB LUNG FIBROSIS-UNSPEC 3 15 TB LUNG FIBROSIS-NO EXAM 3 15 TB LUNG FIBROS-EXAM UNKN 3 15 TB LUNG FIBROS-MICRO DX 3 15 TB LUNG FIBROSIS-CULT DX 3 15 TB LUNG FIBROS-HISTO DX 3 15 TB LUNG FIBROS-OTH TEST 3 15 TB BRONCHIECTASIS-UNSPEC 3 15 TB BRONCHIECT-NO EXAM 3 15 TB BRONCHIECT-EXAM UNKN 3 15 TB BRONCHIECT-MICRO DX 3 15 TB BRONCHIECT-CULT DX 3 15 TB BRONCHIECT-HISTO DX 3 15 TB BRONCHIECT-OTH TEST 3 15 TB PNEUMONIA-UNSPEC 3 15 TB PNEUMONIA-NO EXAM 3 15 TB PNEUMONIA-EXAM UNKN 3 15 TB PNEUMONIA-MICRO DX 3 15 TB PNEUMONIA-CULT DX 3 15 TB PNEUMONIA-HISTO DX 3 15 TB PNEUMONIA-OTH TEST 3 15 TB PNEUMOTHORAX-UNSPEC 3 15 TB PNEUMOTHORAX-NO EXAM 3 15 TB PNEUMOTHORX-EXAM UNKN 3 15 TB PNEUMOTHORAX-MICRO DX 3 15 TB PNEUMOTHORAX-CULT DX 3 15 TB PNEUMOTHORAX-HISTO DX 3 15 TB PNEUMOTHORAX-OTH TEST 3 15 PULMONARY TB NEC-UNSPEC 3 15 PULMONARY TB NEC-NO EXAM 3 15 PULMON TB NEC-EXAM UNKN 3 15
AHIMA 2007 Audio Seminar Series
28
Appendix
ICD9 011.83 011.84 011.85 011.86 011.90 011.91 011.92 011.93 011.94 011.95 011.96 012.00 012.01 012.02 012.03 012.04 012.05 012.06 012.10 012.11 012.12 012.13 012.14 012.15 012.16 012.20 012.21 012.22 012.23 012.24 012.25 012.26 012.30 012.31 012.32 012.33 012.34 012.35 012.36 012.80 012.81 012.82
ICD9CM Label PULMON TB NEC-MICRO DX PULMON TB NEC-CULT DX PULMON TB NEC-HISTO DX PULMON TB NEC-OTH TEST PULMONARY TB NOS-UNSPEC PULMONARY TB NOS-NO EXAM PULMON TB NOS-EXAM UNKN PULMON TB NOS-MICRO DX PULMON TB NOS-CULT DX PULMON TB NOS-HISTO DX PULMON TB NOS-OTH TEST TB PLEURISY-UNSPEC TB PLEURISY-NO EXAM TB PLEURISY-EXAM UNKN TB PLEURISY-MICRO DX TB PLEURISY-CULT DX TB PLEURISY-HISTOLOG DX TB PLEURISY-OTH TEST TB THORACIC NODES-UNSPEC TB THORAX NODE-NO EXAM TB THORAX NODE-EXAM UNKN TB THORAX NODE-MICRO DX TB THORAX NODE-CULT DX TB THORAX NODE-HISTO DX TB THORAX NODE-OTH TEST ISOL TRACHEAL TB-UNSPEC ISOL TRACHEAL TB-NO EXAM ISOL TRACH TB-EXAM UNKN ISOLAT TRACH TB-MICRO DX ISOL TRACHEAL TB-CULT DX ISOLAT TRACH TB-HISTO DX ISOLAT TRACH TB-OTH TEST TB LARYNGITIS-UNSPEC TB LARYNGITIS-NO EXAM TB LARYNGITIS-EXAM UNKN TB LARYNGITIS-MICRO DX TB LARYNGITIS-CULT DX TB LARYNGITIS-HISTO DX TB LARYNGITIS-OTH TEST RESP TB NEC-UNSPEC RESP TB NEC-NO EXAM RESP TB NEC-EXAM UNKN
AHIMA 2007 Audio Seminar Series
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change Tier Exclusion Added (none) (none) 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 3 15 29
Appendix Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9 ICD9CM Label Tier Exclusion Added (none) (none) 012.83 RESP TB NEC-MICRO DX 3 15 012.84 RESP TB NEC-CULT DX 3 15 012.85 RESP TB NEC-HISTO DX 3 15 012.86 RESP TB NEC-OTH TEST 3 15 013.00 TB MENINGITIS-UNSPEC 3 03,05 013.01 TB MENINGITIS-NO EXAM 3 03,05 013.02 TB MENINGITIS-EXAM UNKN 3 03,05 013.03 TB MENINGITIS-MICRO DX 3 03,05 013.04 TB MENINGITIS-CULT DX 3 03,05 013.05 TB MENINGITIS-HISTO DX 3 03,05 013.06 TB MENINGITIS-OTH TEST 3 03,05 013.10 TUBRCLMA MENINGES-UNSPEC 3 03,05 013.11 TUBRCLMA MENING-NO EXAM 3 03,05 013.12 TUBRCLMA MENIN-EXAM UNKN 3 03,05 013.13 TUBRCLMA MENING-MICRO DX 3 03,05 013.14 TUBRCLMA MENING-CULT DX 3 03,05 013.15 TUBRCLMA MENING-HISTO DX 3 03,05 013.16 TUBRCLMA MENING-OTH TEST 3 03,05 013.20 TUBERCULOMA BRAIN-UNSPEC 3 03 013.21 TUBRCLOMA BRAIN-NO EXAM 3 03 013.22 TUBRCLMA BRAIN-EXAM UNKN 3 03 013.23 TUBRCLOMA BRAIN-MICRO DX 3 03 013.24 TUBRCLOMA BRAIN-CULT DX 3 03 013.25 TUBRCLOMA BRAIN-HISTO DX 3 03 013.26 TUBRCLOMA BRAIN-OTH TEST 3 03 013.30 TB BRAIN ABSCESS-UNSPEC 3 03 013.31 TB BRAIN ABSCESS-NO EXAM 3 03 013.32 TB BRAIN ABSC-EXAM UNKN 3 03 013.33 TB BRAIN ABSC-MICRO DX 3 03 013.34 TB BRAIN ABSCESS-CULT DX 3 03 013.35 TB BRAIN ABSC-HISTO DX 3 03 013.36 TB BRAIN ABSC-OTH TEST 3 03 013.40 TUBRCLMA SP CORD-UNSPEC 3 05 013.41 TUBRCLMA SP CORD-NO EXAM 3 05 013.42 TUBRCLMA SP CD-EXAM UNKN 3 05 013.43 TUBRCLMA SP CRD-MICRO DX 3 05 013.44 TUBRCLMA SP CORD-CULT DX 3 05 013.45 TUBRCLMA SP CRD-HISTO DX 3 05 013.46 TUBRCLMA SP CRD-OTH TEST 3 05 013.50 TB SP CRD ABSCESS-UNSPEC 3 05 013.51 TB SP CRD ABSC-NO EXAM 3 05 013.52 TB SP CRD ABSC-EXAM UNKN 3 05 AHIMA 2007 Audio Seminar Series
30
Appendix
ICD9 013.53 013.54 013.55 013.56 013.60 013.61 013.62 013.63 013.64 013.65 013.66 013.80 013.81 013.82 013.83 013.84 013.85 013.86 013.90 013.91 013.92 013.93 013.94 013.95 013.96 014.00 014.01 014.02 014.03 014.04 014.05 014.06 014.80 014.81 014.82 014.83 014.84 014.85 014.86 015.00 015.01 015.02
ICD9CM Label TB SP CRD ABSC-MICRO DX TB SP CRD ABSC-CULT DX TB SP CRD ABSC-HISTO DX TB SP CRD ABSC-OTH TEST TB ENCEPHALITIS-UNSPEC TB ENCEPHALITIS-NO EXAM TB ENCEPHALIT-EXAM UNKN TB ENCEPHALITIS-MICRO DX TB ENCEPHALITIS-CULT DX TB ENCEPHALITIS-HISTO DX TB ENCEPHALITIS-OTH TEST CNS TB NEC-UNSPEC CNS TB NEC-NO EXAM CNS TB NEC-EXAM UNKN CNS TB NEC-MICRO DX CNS TB NEC-CULT DX CNS TB NEC-HISTO DX CNS TB NEC-OTH TEST CNS TB NOS-UNSPEC CNS TB NOS-NO EXAM CNS TB NOS-EXAM UNKN CNS TB NOS-MICRO DX CNS TB NOS-CULT DX CNS TB NOS-HISTO DX CNS TB NOS-OTH TEST TB PERITONITIS-UNSPEC TB PERITONITIS-NO EXAM TB PERITONITIS-EXAM UNKN TB PERITONITIS-MICRO DX TB PERITONITIS-CULT DX TB PERITONITIS-HISTO DX TB PERITONITIS-OTH TEST INTESTINAL TB NEC-UNSPEC INTESTIN TB NEC-NO EXAM INTEST TB NEC-EXAM UNKN INTESTIN TB NEC-MICRO DX INTESTIN TB NEC-CULT DX INTESTIN TB NEC-HISTO DX INTESTIN TB NEC-OTH TEST TB OF VERTEBRA-UNSPEC TB OF VERTEBRA-NO EXAM TB OF VERTEBRA-EXAM UNKN
AHIMA 2007 Audio Seminar Series
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change Tier Exclusion Added (none) (none) 3 05 3 05 3 05 3 05 3 03 3 03 3 03 3 03 3 03 3 03 3 03 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 03,09 3 03,09 3 03,09 31
Appendix
ICD9 015.03 015.04 015.05 015.06 015.10 015.11 015.12 015.13 015.14 015.15 015.16 015.20 015.21 015.22 015.23 015.24 015.25 015.26 015.50 015.51 015.52 015.53 015.54 015.55 015.56 015.60 015.61 015.62 015.63 015.64 015.65 015.66 015.70 015.71 015.72 015.73 015.74 015.75 015.76 015.80 015.81 015.82
ICD9CM Label TB OF VERTEBRA-MICRO DX TB OF VERTEBRA-CULT DX TB OF VERTEBRA-HISTO DX TB OF VERTEBRA-OTH TEST TB OF HIP-UNSPEC TB OF HIP-NO EXAM TB OF HIP-EXAM UNKN TB OF HIP-MICRO DX TB OF HIP-CULT DX TB OF HIP-HISTO DX TB OF HIP-OTH TEST TB OF KNEE-UNSPEC TB OF KNEE-NO EXAM TB OF KNEE-EXAM UNKN TB OF KNEE-MICRO DX TB OF KNEE-CULT DX TB OF KNEE-HISTO DX TB OF KNEE-OTH TEST TB OF LIMB BONES-UNSPEC TB LIMB BONES-NO EXAM TB LIMB BONES-EXAM UNKN TB LIMB BONES-MICRO DX TB LIMB BONES-CULT DX TB LIMB BONES-HISTO DX TB LIMB BONES-OTH TEST TB OF MASTOID-UNSPEC TB OF MASTOID-NO EXAM TB OF MASTOID-EXAM UNKN TB OF MASTOID-MICRO DX TB OF MASTOID-CULT DX TB OF MASTOID-HISTO DX TB OF MASTOID-OTH TEST TB OF BONE NEC-UNSPEC TB OF BONE NEC-NO EXAM TB OF BONE NEC-EXAM UNKN TB OF BONE NEC-MICRO DX TB OF BONE NEC-CULT DX TB OF BONE NEC-HISTO DX TB OF BONE NEC-OTH TEST TB OF JOINT NEC-UNSPEC TB OF JOINT NEC-NO EXAM TB JOINT NEC-EXAM UNKN
AHIMA 2007 Audio Seminar Series
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change Tier Exclusion Added (none) (none) 3 03,09 3 03,09 3 03,09 3 03,09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09,10,11 3 09,10,11 3 09,10,11 3 09,10,11 3 09,10,11 3 09,10,11 3 3 3 3 3 3 3 3 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 32
Appendix
ICD9 015.83 015.84 015.85 015.86 015.90 015.91 015.92 015.93 015.94 015.95 015.96 016.00 016.01 016.02 016.03 016.04 016.05 016.06 016.10 016.11 016.12 016.13 016.14 016.15 016.16 016.20 016.21 016.22 016.23 016.24 016.25 016.26 016.30 016.31 016.32 016.33 016.34 016.35 016.36 016.40 016.41 016.42
ICD9CM Label TB OF JOINT NEC-MICRO DX TB OF JOINT NEC-CULT DX TB OF JOINT NEC-HISTO DX TB OF JOINT NEC-OTH TEST TB BONE/JOINT NOS-UNSPEC TB BONE/JT NOS-NO EXAM TB BONE/JT NOS-EXAM UNKN TB BONE/JT NOS-MICRO DX TB BONE/JT NOS-CULT DX TB BONE/JT NOS-HISTO DX TB BONE/JT NOS-OTH TEST TB OF KIDNEY-UNSPEC TB OF KIDNEY-NO EXAM TB OF KIDNEY-EXAM UNKN TB OF KIDNEY-MICRO DX TB OF KIDNEY-CULT DX TB OF KIDNEY-HISTO DX TB OF KIDNEY-OTH TEST TB OF BLADDER-UNSPEC TB OF BLADDER-NO EXAM TB OF BLADDER-EXAM UNKN TB OF BLADDER-MICRO DX TB OF BLADDER-CULT DX TB OF BLADDER-HISTO DX TB OF BLADDER-OTH TEST TB OF URETER-UNSPEC TB OF URETER-NO EXAM TB OF URETER-EXAM UNKN TB OF URETER-MICRO DX TB OF URETER-CULT DX TB OF URETER-HISTO DX TB OF URETER-OTH TEST TB URINARY NEC-UNSPEC TB URINARY NEC-NO EXAM TB URINARY NEC-EXAM UNKN TB URINARY NEC-MICRO DX TB URINARY NEC-CULT DX TB URINARY NEC-HISTO DX TB URINARY NEC-OTH TEST TB EPIDIDYMIS-UNSPEC TB EPIDIDYMIS-NO EXAM TB EPIDIDYMIS-EXAM UNKN
AHIMA 2007 Audio Seminar Series
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change Tier Exclusion Added (none) (none) 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 09 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 33
Appendix
ICD9 016.43 016.44 016.45 016.46 016.50 016.51 016.52 016.53 016.54 016.55 016.56 016.60 016.61 016.62 016.63 016.64 016.65 016.66 016.70 016.71 016.72 016.73 016.74 016.75 016.76 016.90 016.91 016.92 016.93 016.94 016.95 016.96 017.00 017.01 017.02 017.03 017.04 017.05 017.06 017.10 017.11 017.12
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9CM Label Tier Exclusion Added (none) (none) TB EPIDIDYMIS-MICRO DX 3 TB EPIDIDYMIS-CULT DX 3 TB EPIDIDYMIS-HISTO DX 3 TB EPIDIDYMIS-OTH TEST 3 TB MALE GENIT NEC-UNSPEC 3 TB MALE GEN NEC-NO EXAM 3 TB MALE GEN NEC-EX UNKN 3 TB MALE GEN NEC-MICRO DX 3 TB MALE GEN NEC-CULT DX 3 TB MALE GEN NEC-HISTO DX 3 TB MALE GEN NEC-OTH TEST 3 TB OVARY & TUBE-UNSPEC 3 TB OVARY & TUBE-NO EXAM 3 TB OVARY/TUBE-EXAM UNKN 3 TB OVARY & TUBE-MICRO DX 3 TB OVARY & TUBE-CULT DX 3 TB OVARY & TUBE-HISTO DX 3 TB OVARY & TUBE-OTH TEST 3 TB FEMALE GEN NEC-UNSPEC 3 TB FEM GEN NEC-NO EXAM 3 TB FEM GEN NEC-EXAM UNKN 3 TB FEM GEN NEC-MICRO DX 3 TB FEM GEN NEC-CULT DX 3 TB FEM GEN NEC-HISTO DX 3 TB FEM GEN NEC-OTH TEST 3 GU TB NOS-UNSPEC 3 GU TB NOS-NO EXAM 3 GU TB NOS-EXAM UNKN 3 GU TB NOS-MICRO DX 3 GU TB NOS-CULT DX 3 GU TB NOS-HISTO DX 3 GU TB NOS-OTH TEST 3 TB SKIN/SUBCUTAN-UNSPEC 3 TB SKIN/SUBCUT-NO EXAM 3 TB SKIN/SUBCUT-EXAM UNKN 3 TB SKIN/SUBCUT-MICRO DX 3 TB SKIN/SUBCUT-CULT DX 3 TB SKIN/SUBCUT-HISTO DX 3 TB SKIN/SUBCUT-OTH TEST 3 ERYTHEMA NODOS TB-UNSPEC 3 ERYTHEM NODOS TB-NO EXAM 3 ERYTHEM NOD TB-EXAM UNKN 3
AHIMA 2007 Audio Seminar Series
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Appendix
ICD9 017.13 017.14 017.15 017.16 017.20 017.21 017.22 017.23 017.24 017.25 017.26 017.30 017.31 017.32 017.33 017.34 017.35 017.36 017.40 017.41 017.42 017.43 017.44 017.45 017.46 017.50 017.51 017.52 017.53 017.54 017.55 017.56 017.60 017.61 017.62 017.63 017.64 017.65 017.70 017.71 017.72 017.73
ICD9CM Label ERYTHEM NOD TB-MICRO DX ERYTHEM NODOS TB-CULT DX ERYTHEM NOD TB-HISTO DX ERYTHEM NOD TB-OTH TEST TB PERIPH LYMPH-UNSPEC TB PERIPH LYMPH-NO EXAM TB PERIPH LYMPH-EXAM UNK TB PERIPH LYMPH-MICRO DX TB PERIPH LYMPH-CULT DX TB PERIPH LYMPH-HISTO DX TB PERIPH LYMPH-OTH TEST TB OF EYE-UNSPEC TB OF EYE-NO EXAM TB OF EYE-EXAM UNKN TB OF EYE-MICRO DX TB OF EYE-CULT DX TB OF EYE-HISTO DX TB OF EYE-OTH TEST TB OF EAR-UNSPEC TB OF EAR-NO EXAM TB OF EAR-EXAM UNKN TB OF EAR-MICRO DX TB OF EAR-CULT DX TB OF EAR-HISTO DX TB OF EAR-OTH TEST TB OF THYROID-UNSPEC TB OF THYROID-NO EXAM TB OF THYROID-EXAM UNKN TB OF THYROID-MICRO DX TB OF THYROID-CULT DX TB OF THYROID-HISTO DX TB OF THYROID-OTH TEST TB OF ADRENAL-UNSPEC TB OF ADRENAL-NO EXAM TB OF ADRENAL-EXAM UNKN TB OF ADRENAL-MICRO DX TB OF ADRENAL-CULT DX TB OF ADRENAL-HISTO DX TB OF SPLEEN-UNSPEC TB OF SPLEEN-NO EXAM TB OF SPLEEN-EXAM UNKN TB OF SPLEEN-MICRO DX
AHIMA 2007 Audio Seminar Series
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change Tier Exclusion Added (none) (none) 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 35
Appendix
ICD9 017.74 017.75 017.76 017.80 017.81 017.82 017.83 017.84 017.85 017.86 017.90 017.91 017.92 017.93 017.94 017.95 017.96 018.00 018.01 018.02 018.03 018.04 018.05 018.06 018.80 018.81 018.82 018.83 018.84 018.85 018.86 018.90 018.91 018.92 018.93 018.94 018.95 018.96 027.0 027.1 027.2 027.8
ICD9CM Label TB OF SPLEEN-CULT DX TB OF SPLEEN-HISTO DX TB OF SPLEEN-OTH TEST TB ESOPHAGUS-UNSPEC TB ESOPHAGUS-NO EXAM TB ESOPHAGUS-EXAM UNKN TB ESOPHAGUS-MICRO DX TB ESOPHAGUS-CULT DX TB ESOPHAGUS-HISTO DX TB ESOPHAGUS-OTH TEST TB OF ORGAN NEC-UNSPEC TB OF ORGAN NEC-NO EXAM TB ORGAN NEC-EXAM UNKN TB OF ORGAN NEC-MICRO DX TB OF ORGAN NEC-CULT DX TB OF ORGAN NEC-HISTO DX TB OF ORGAN NEC-OTH TEST ACUTE MILIARY TB-UNSPEC ACUTE MILIARY TB-NO EXAM AC MILIARY TB-EXAM UNKN AC MILIARY TB-MICRO DX ACUTE MILIARY TB-CULT DX AC MILIARY TB-HISTO DX AC MILIARY TB-OTH TEST MILIARY TB NEC-UNSPEC MILIARY TB NEC-NO EXAM MILIARY TB NEC-EXAM UNKN MILIARY TB NEC-MICRO DX MILIARY TB NEC-CULT DX MILIARY TB NEC-HISTO DX MILIARY TB NEC-OTH TEST MILIARY TB NOS-UNSPEC MILIARY TB NOS-NO EXAM MILIARY TB NOS-EXAM UNKN MILIARY TB NOS-MICRO DX MILIARY TB NOS-CULT DX MILIARY TB NOS-HISTO DX MILIARY TB NOS-OTH TEST LISTERIOSIS ERYSIPELOTHRIX INFECTION PASTEURELLOSIS ZOONOTIC BACT DIS NEC
AHIMA 2007 Audio Seminar Series
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change Tier Exclusion Added (none) (none) 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 36
Appendix
ICD9 027.9 036.0 036.2 036.3 036.40 036.42 036.43 037. 038.0 038.10 038.11 038.19 038.2 038.3 038.40 038.41 038.42 038.43 038.44 038.49 038.8 038.9 042. 047.8 047.9 048. 049.0 049.9 052.0 052.1 053.0 053.13 054.3 054.5 054.72 054.74 054.79 055.0 055.1 058.21 058.29
ICD9CM Label ZOONOTIC BACT DIS NOS MENINGOCOCCAL MENINGITIS MENINGOCOCCEMIA MENINGOCOCC ADRENAL SYND MENINGOCOCC CARDITIS NOS MENINGOCOCC ENDOCARDITIS MENINGOCOCC MYOCARDITIS TETANUS STREPTOCOCCAL SEPTICEMIA STAPHYLCOCC SEPTICEM NOS STAPH AUREUS SEPTICEMIA STAPHYLCOCC SEPTICEM NEC PNEUMOCOCCAL SEPTICEMIA ANAEROBIC SEPTICEMIA GRAM-NEG SEPTICEMIA NOS H. INFLUENAE SEPTICEMIA E COLI SEPTICEMIA PSEUDOMONAS SEPTICEMIA SERRATIA SEPTICEMIA GRAM-NEG SEPTICEMIA NEC SEPTICEMIA NEC SEPTICEMIA NOS HUMAN IMMUNO VIRUS DIS VIRAL MENINGITIS NEC VIRAL MENINGITIS NOS OTH ENTEROVIRAL CNS DIS LYMPHOCYTIC CHORIOMENING VIRAL ENCEPHALITIS NOS POSTVARICELLA ENCEPHALIT VARICELLA PNEUMONITIS HERPES ZOSTER MENINGITIS POSTHERPES POLYNEUROPATH HERPETIC ENCEPHALITIS HERPETIC SEPTICEMIA H SIMPLEX MENINGITIS HERPES SIMPLEX MYELITIS H SIMPLEX COMPLICAT NEC POSTMEASLES ENCEPHALITIS POSTMEASLES PNEUMONIA HUMAN HERPESVIR 6 ENCEPH HUMAN HERPESVR ENCPH NEC
AHIMA 2007 Audio Seminar Series
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change Tier Exclusion Added (none) (none) 3 3 03,05 3 03,05 3 05 3 14 3 14 3 14 3 06 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 03,05 3 03,05 3 03,05 3 03,05 3 03 3 03 3 15 3 03,05 3 06 3 3 3 3 3 3 3 3 3
03 03 03,05
03 15 03 03
yes yes 37
Appendix Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9 ICD9CM Label Tier Exclusion Added (none) (none) 070.20 HPT B ACTE COMA WO DLTA 3 03 070.21 HPT B ACTE COMA W DLTA 3 03 070.22 HPT B CHRN COMA WO DLTA 3 03 070.23 HPT B CHRN COMA W DLTA 3 03 070.41 HPT C ACUTE W HEPAT COMA 3 03 070.42 HPT DLT WO B W HPT COMA 3 03 070.43 HPT E W HEPAT COMA 3 03 070.44 CHRNC HPT C W HEPAT COMA 3 03 070.49 OTH VRL HEPAT W HPT COMA 3 03 070.6 VIRAL HEPAT NOS W COMA 3 03 070.71 HPT C W HEPATIC COMA NOS 3 03 072.1 MUMPS MENINGITIS 3 03,05 072.2 MUMPS ENCEPHALITIS 3 03 072.3 MUMPS PANCREATITIS 3 079.50 RETROVIRUS, UNSPECIFIED 3 079.51 HTLV-1 INFECTION OTH DIS 3 06 079.52 HTLV-II INFECTN OTH DIS 3 06 079.53 HIV-2 INFECTION OTH DIS 3 079.59 OTH SPECFIED RETROVIRUS 3 090.42 CONGEN SYPH MENINGITIS 3 03,05 093.20 SYPHIL ENDOCARDITIS NOS 3 14 093.82 SYPHILITIC MYOCARDITIS 3 14 094.2 SYPHILITIC MENINGITIS 3 03,05 094.87 SYPH RUPT CEREB ANEURYSM 3 01,03 098.89 GONOCOCCAL INF SITE NEC 3 112.4 CANDIDIASIS OF LUNG 3 15 112.5 DISSEMINATED CANDIDIASIS 3 112.81 CANDIDAL ENDOCARDITIS 3 14 112.83 CANDIDAL MENINGITIS 3 03,05 112.84 CANDIDAL ESOPHAGITIS 3 114.2 COCCIDIOIDAL MENINGITIS 3 03,05 115.00 HISTOPLASMA CAPSULAT NOS 3 15 115.01 HISTOPLASM CAPSUL MENING 3 03,05 115.02 HISTOPLASM CAPSUL RETINA 3 115.03 HISTOPLASM CAPS PERICARD 3 14 115.04 HISTOPLASM CAPS ENDOCARD 3 14 115.05 HISTOPLASM CAPS PNEUMON 3 15 115.09 HISTOPLASMA CAPSULAT NEC 3 15 115.10 HISTOPLASMA DUBOISII NOS 3 115.11 HISTOPLASM DUBOIS MENING 3 03,05 115.12 HISTOPLASM DUBOIS RETINA 3 115.13 HISTOPLASM DUB PERICARD 3 14 AHIMA 2007 Audio Seminar Series
38
Appendix
ICD9 115.14 115.15 115.19 115.90 115.91 115.92 115.93 115.94 115.95 115.99 130.0 130.3 130.4 136.3 139.0 204.00 205.00 206.00 207.00 208.00 250.01 250.40 250.41 250.42 250.43 250.50 250.51 250.52 250.53 250.60 250.61 250.62 250.63 250.70 250.71 250.72 250.73 250.80 250.81 250.82 250.83 250.91
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9CM Label Tier Exclusion Added (none) (none) HISTOPLASM DUB ENDOCARD 3 14 HISTOPLASM DUB PNEUMONIA 3 15 HISTOPLASMA DUBOISII NEC 3 15 HISTOPLASMOSIS NOS 3 15 HISTOPLASMOSIS MENINGIT 3 03,05 HISTOPLASMOSIS RETINITIS 3 HISTOPLASMOSIS PERICARD 3 14 HISTOPLASMOSIS ENDOCARD 3 14 HISTOPLASMOSIS PNEUMONIA 3 15 HISTOPLASMOSIS NEC 3 15 TOXOPLASM MENINGOENCEPH 3 03,05 TOXOPLASMA MYOCARDITIS 3 14 TOXOPLASMA PNEUMONITIS 3 15 PNEUMOCYSTOSIS 3 15 LATE EFF VIRAL ENCEPHAL 3 03 ACT LYM LEUK W/O RMSION 3 ACT MYL LEUK W/O RMSION 3 ACT MONO LEUK W/O RMSION 3 ACT ERTH/ERYLK W/O RMSON 3 ACT LEUK UNS CL W/O RMSN 3 DMI WO CMP NT ST UNCNTRL 3 DMII RENL NT ST UNCNTRLD 3 DMI RENL NT ST UNCNTRLD 3 DMII RENAL UNCNTRLD 3 DMI RENAL UNCNTRLD 3 DMII OPHTH NT ST UNCNTRL 3 DMI OPHTH NT ST UNCNTRLD 3 DMII OPHTH UNCNTRLD 3 DMI OPHTH UNCNTRLD 3 DMII NEURO NT ST UNCNTRL 3 06 DMI NEURO NT ST UNCNTRLD 3 06 DMII NEURO UNCNTRLD 3 06 DMI NEURO UNCNTRLD 3 06 DMII CIRC NT ST UNCNTRLD 3 DMI CIRC NT ST UNCNTRLD 3 DMII CIRC UNCNTRLD 3 DMI CIRC UNCNTRLD 3 DMII OTH NT ST UNCNTRLD 3 DMI OTH NT ST UNCNTRLD 3 DMII OTH UNCNTRLD 3 DMI OTH UNCNTRLD 3 DMI UNSPF NT ST UNCNTRLD 3
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Appendix
ICD9 250.92 277.00 277.01 277.02 277.03 277.09 278.01 282.60 282.61 282.62 282.63 282.64 282.68 282.69 284.01 284.09 284.1 284.2 284.81 284.89 284.9 286.0 286.1 286.6 320.0 320.1 320.2 320.3 320.7 320.81 320.82 320.89 320.9 321.0 321.1 321.2 321.3 321.4 321.8 322.0 322.2 322.9
ICD9CM Label DMII UNSPF UNCNTRLD CYSTIC FIBROS W/O ILEUS CYSTIC FIBROSIS W ILEUS CYSTIC FIBROS W PUL MAN CYSTIC FIBROSIS W GI MAN CYSTIC FIBROSIS NEC MORBID OBESITY SICKLE CELL DISEASE NOS HB-SS DISEASE W/O CRISIS HB-SS DISEASE W CRISIS HB-SS/HB-C DIS W/O CRSIS HB-S/HB-C DIS W CRISIS HB-S DIS W/O CRISIS NEC HB-SS DIS NEC W CRISIS CONSTITUTION RBC APLASIA CONST APLASTC ANEMIA NEC PANCYTOPENIA MYELOPHTHISIS RED CELL APLASIA APLASTIC ANEMIAS NEC APLASTIC ANEMIA NOS CONG FACTOR VIII DIORD CONG FACTOR IX DISORDER DEFIBRINATION SYNDROME HEMOPHILUS MENINGITIS PNEUMOCOCCAL MENINGITIS STREPTOCOCCAL MENINGITIS STAPHYLOCOCC MENINGITIS MENING IN OTH BACT DIS ANAEROBIC MENINGITIS MNINGTS GRAM-NEG BCT NEC MENINGITIS OTH SPCF BACT BACTERIAL MENINGITIS NOS CRYPTOCOCCAL MENINGITIS MENING IN OTH FUNGAL DIS MENING IN OTH VIRAL DIS TRYPANOSOMIASIS MENINGIT MENINGIT D/T SARCOIDOSIS MENING IN OTH NONBAC DIS NONPYOGENIC MENINGITIS CHRONIC MENINGITIS MENINGITIS NOS
AHIMA 2007 Audio Seminar Series
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change Tier Exclusion Added (none) (none) 3 3 15 3 15 3 15 3 15 3 15 3 3 3 3 3 3 3 3 3 3 3 3 3 yes 3 yes 3 3 3 3 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 3 03,05 40
Appendix
ICD9 323.61 323.62 323.63 323.81 323.82 323.9 324.0 324.1 324.9 341.20 341.21 341.22 342.00 342.01 342.02 342.10 342.11 342.12 342.80 342.81 342.82 342.90 342.91 342.92 345.11 345.3 348.1 357.2 376.01 376.02 376.03 398.0 403.01 404.01 404.03 415.11 415.12 415.19 421.0 421.1 421.9 422.0
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9CM Label Tier Exclusion Added (none) (none) INF AC DIS ENCEPHALOMYEL 3 03 POSTINF ENCEPHALITIS NEC 3 03 POSTINFECTIOUS MYELITIS 3 03 ENCEPH & ENCEPHLALO NEC 3 03 MYELITIS CAUSE NEC 3 03 ENCEPHALITIS NOS 3 03 INTRACRANIAL ABSCESS 3 03 INTRASPINAL ABSCESS 3 03 CNS ABSCESS NOS 3 03 ACUTE MYELITIS NOS 3 03 ACUTE MYELITIS OTH COND 3 03 IDIOPATHC TRANS MYELITIS 3 03 FLCCD HMIPLGA UNSPF SIDE 3 01 FLCCD HMIPLGA DOMNT SIDE 3 01 FLCCD HMIPLG NONDMNT SDE 3 01 SPSTC HMIPLGA UNSPF SIDE 3 01 SPSTC HMIPLGA DOMNT SIDE 3 01 SPSTC HMIPLG NONDMNT SDE 3 01 OT SP HMIPLGA UNSPF SIDE 3 01 OT SP HMIPLGA DOMNT SIDE 3 01 OT SP HMIPLG NONDMNT SDE 3 01 UNSP HEMIPLGA UNSPF SIDE 3 01 UNSP HEMIPLGA DOMNT SIDE 3 01 UNSP HMIPLGA NONDMNT SDE 3 01 GEN CNV EPIL W INTR EPIL 3 02,03 GRAND MAL STATUS 3 02,03 ANOXIC BRAIN DAMAGE 3 02,03 NEUROPATHY IN DIABETES 3 06 ORBITAL CELLULITIS 3 ORBITAL PERIOSTITIS 3 ORBITAL OSTEOMYELITIS 3 RHEUMATIC MYOCARDITIS 3 14 MAL HYP KID W CR KID V 3 MAL HYP HT/KD I-IV W HF 3 14 MAL HYP HT/KD STG V W HF 3 14 IATROGEN PULM EMB/INFARC 3 15 SEPTIC PULMONARY EMBOLSM 3 15 yes PULM EMBOL/INFARCT NEC 3 15 AC/SUBAC BACT ENDOCARD 3 14 AC ENDOCARDIT IN OTH DIS 3 14 AC/SUBAC ENDOCARDIT NOS 3 14 AC MYOCARDIT IN OTH DIS 3 14
AHIMA 2007 Audio Seminar Series
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Appendix
ICD9 422.90 422.91 422.92 422.93 422.99 427.41 427.5 428.1 428.20 428.21 428.22 428.23 428.30 428.31 428.32 428.33 428.40 428.41 428.42 428.43 430. 431. 432.0 432.1 433.01 433.11 433.21 433.31 433.81 433.91 434.01 434.11 434.91 436. 440.23 440.24 440.4 441.00 441.01 441.02 441.03
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9CM Label Tier Exclusion Added (none) (none) ACUTE MYOCARDITIS NOS 3 14 IDIOPATHIC MYOCARDITIS 3 14 SEPTIC MYOCARDITIS 3 14 TOXIC MYOCARDITIS 3 14 ACUTE MYOCARDITIS NEC 3 14 VENTRICULAR FIBRILLATION 3 14 CARDIAC ARREST 3 14 LEFT HEART FAILURE 3 14 SYSTOLIC HRT FAILURE NOS 3 14 AC SYSTOLIC HRT FAILURE 3 14 CHR SYSTOLIC HRT FAILURE 3 14 AC ON CHR SYST HRT FAIL 3 14 DIASTOLC HRT FAILURE NOS 3 14 AC DIASTOLIC HRT FAILURE 3 14 CHR DIASTOLIC HRT FAIL 3 14 AC ON CHR DIAST HRT FAIL 3 14 SYST/DIAST HRT FAIL NOS 3 14 AC SYST/DIASTOL HRT FAIL 3 14 CHR SYST/DIASTL HRT FAIL 3 14 AC/CHR SYST/DIA HRT FAIL 3 14 SUBARACHNOID HEMORRHAGE 3 01,02,03 INTRACEREBRAL 3 01,02,03 HEMORRHAGE NONTRAUM EXTRADURAL HEM 3 01,02,03 SUBDURAL HEMORRHAGE 3 01,02,03 OCL BSLR ART W INFRCT 3 01 OCL CRTD ART W INFRCT 3 01 OCL VRTB ART W INFRCT 3 01 OCL MLT BI ART W INFRCT 3 01 OCL SPCF ART W INFRCT 3 01 OCL ART NOS W INFRCT 3 01 CRBL THRMBS W INFRCT 3 01 CRBL EMBLSM W INFRCT 3 01 CRBL ART OCL NOS W INFRC 3 01 CVA 3 01 ATH EXT NTV ART ULCRTION 3 10,11 ATH EXT NTV ART GNGRENE 3 10,11 CHR TOT OCCL ART EXTREM 3 10,11 yes DSCT OF AORTA UNSP SITE 3 DSCT OF THORACIC AORTA 3 05 DSCT OF ABDOMINAL AORTA 3 05 DSCT OF THORACOABD AORTA 3 05
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Appendix
ICD9 441.1 441.3 441.5 441.6 446.3 449. 452. 453.0 453.1 453.2 453.3 464.11 464.21 464.31 466.11 466.19 478.30 480.0 480.1 480.2 480.8 480.9 481. 482.0 482.1 482.2 482.30 482.31 482.32 482.39 482.40 482.41 482.49 482.81 482.82 482.83 482.84 482.89 482.9 483.0
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9CM Label Tier Exclusion Added (none) (none) RUPTUR THORACIC ANEURYSM 3 05 RUPT ABD AORTIC ANEURYSM 3 05 RUPT AORTIC ANEURYSM NOS 3 05 THORACOABD ANEURYSM 3 05 RUPT LETHAL MIDLINE GRANULOMA 3 SEPTIC ARTERIAL EMBOLISM 3 yes PORTAL VEIN THROMBOSIS 3 BUDD-CHIARI SYNDROME 3 THROMBOPHLEBITIS MIGRANS 3 VENA CAVA THROMBOSIS 3 RENAL VEIN THROMBOSIS 3 AC TRACHEITIS W OBSTRUCT 3 15 AC LARYNGOTRACH W OBSTR 3 15 AC EPIGLOTTITIS W OBSTR 3 15 ACU BRONCHOLITIS D/T RSV 3 15 ACU BRNCHLTS D/T OTH ORG 3 15 VOCAL CORD PARALYSIS NOS 3 15 ADENOVIRAL PNEUMONIA 3 15 RESP SYNCYT VIRAL PNEUM 3 15 PARINFLUENZA VIRAL PNEUM 3 15 VIRAL PNEUMONIA NEC 3 15 VIRAL PNEUMONIA NOS 3 15 PNEUMOCOCCAL PNEUMONIA 3 15 K. PNEUMONIAE PNEUMONIA 3 15 PSEUDOMONAL PNEUMONIA 3 15 H.INFLUENZAE PNEUMONIA 3 15 STREPTOCOCCAL PNEUMN 3 15 NOS PNEUMONIA STRPTOCOCCUS A 3 15 PNEUMONIA STRPTOCOCCUS B 3 15 PNEUMONIA OTH STREP 3 15 STAPHYLOCOCCAL PNEU NOS 3 15 STAPH AUREUS PNEUMONIA 3 15 STAPH PNEUMONIA NEC 3 15 PNEUMONIA ANAEROBES 3 15 PNEUMONIA E COLI 3 15 PNEUMO OTH GRM-NEG BACT 3 15 LEGIONNAIRES' DISEASE 3 15 PNEUMONIA OTH SPCF BACT 3 15 BACTERIAL PNEUMONIA NOS 3 15 PNEU MYCPLSM PNEUMONIAE 3 15
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Appendix
ICD9 483.1 483.8 484.1 484.3 484.5 484.6 484.7 484.8 485. 486. 487.0 488. 506.0 506.1 507.0 507.1 507.8 510.0 510.9 511.1 513.0 513.1 514. 515. 517.3 518.3 518.5 518.81 519.2 528.3 530.4 530.82 531.00 531.01 531.10 531.11 531.20 531.21 531.40 531.41 531.50
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9CM Label Tier Exclusion Added (none) (none) PNEUMONIA D/T CHLAMYDIA 3 15 PNEUMON OTH SPEC ORGNSM 3 15 PNEUM W CYTOMEG INCL DIS 3 15 PNEUMONIA IN WHOOP COUGH 3 15 PNEUMONIA IN ANTHRAX 3 15 PNEUM IN ASPERGILLOSIS 3 15 PNEUM IN OTH SYS MYCOSES 3 15 PNEUM IN INFECT DIS NEC 3 15 BRONCHOPNEUMONIA ORG 3 15 NOS PNEUMONIA, ORGANISM NOS 3 15 INFLUENZA WITH PNEUMONIA 3 15 FLU D/T AVIAN FLU VIRUS 3 15 yes FUM/VAPOR BRONC/PNEUMON 3 15 FUM/VAPOR AC PULM EDEMA 3 15 FOOD/VOMIT PNEUMONITIS 3 15 OIL/ESSENCE PNEUMONITIS 3 15 SOLID/LIQ PNEUMONIT NEC 3 15 EMPYEMA WITH FISTULA 3 15 EMPYEMA W/O FISTULA 3 15 BACT PLEUR/EFFUS NOT TB 3 15 ABSCESS OF LUNG 3 15 ABSCESS OF MEDIASTINUM 3 15 PULM CONGEST/HYPOSTASIS 3 15 POSTINFLAM PULM FIBROSIS 3 15 ACUTE CHEST SYNDROME 3 PULMONARY EOSINOPHILIA 3 15 POST TRAUM PULM INSUFFIC 3 15 ACUTE RESPIRATRY FAILURE 3 15 MEDIASTINITIS 3 15 CELLULITIS/ABSCESS MOUTH 3 PERFORATION OF ESOPHAGUS 3 15 ESOPHAGEAL HEMORRHAGE 3 AC STOMACH ULCER W HEM 3 AC STOMAC ULC W HEM-OBST 3 AC STOMACH ULCER W PERF 3 AC STOM ULC W PERF-OBST 3 AC STOMAC ULC W HEM/PERF 3 AC STOM ULC HEM/PERF-OBS 3 CHR STOMACH ULC W HEM 3 CHR STOM ULC W HEM-OBSTR 3 CHR STOMACH ULCER W PERF 3
AHIMA 2007 Audio Seminar Series
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Appendix Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9 ICD9CM Label Tier Exclusion Added (none) (none) 531.51 CHR STOM ULC W PERF-OBST 3 531.60 CHR STOMACH ULC HEM/PERF 3 531.61 CHR STOM ULC HEM/PERF-OB 3 532.00 AC DUODENAL ULCER W HEM 3 532.01 AC DUODEN ULC W HEM-OBST 3 532.10 AC DUODENAL ULCER W PERF 3 532.11 AC DUODEN ULC PERF-OBSTR 3 532.20 AC DUODEN ULC W HEM/PERF 3 532.21 AC DUOD ULC HEM/PERF-OBS 3 532.40 CHR DUODEN ULCER W HEM 3 532.41 CHR DUODEN ULC HEM-OBSTR 3 532.50 CHR DUODEN ULCER W PERF 3 532.51 CHR DUODEN ULC PERF-OBST 3 532.60 CHR DUODEN ULC HEM/PERF 3 532.61 CHR DUOD ULC HEM/PERF-OB 3 533.00 AC PEPTIC ULCER W HEMORR 3 533.01 AC PEPTIC ULC W HEM-OBST 3 533.10 AC PEPTIC ULCER W PERFOR 3 533.11 AC PEPTIC ULC W PERF-OBS 3 533.20 AC PEPTIC ULC W HEM/PERF 3 533.21 AC PEPT ULC HEM/PERF-OBS 3 533.40 CHR PEPTIC ULCER W HEM 3 533.41 CHR PEPTIC ULC W HEM-OBS 3 533.50 CHR PEPTIC ULCER W PERF 3 533.51 CHR PEPTIC ULC PERF-OBST 3 533.60 CHR PEPT ULC W HEM/PERF 3 533.61 CHR PEPT ULC HEM/PERF-OB 3 534.00 AC MARGINAL ULCER W HEM 3 534.01 AC MARGIN ULC W HEM-OBST 3 534.10 AC MARGINAL ULCER W PERF 3 534.11 AC MARGIN ULC W PERF-OBS 3 534.20 AC MARGIN ULC W HEM/PERF 3 534.21 AC MARG ULC HEM/PERF-OBS 3 534.40 CHR MARGINAL ULCER W HEM 3 534.41 CHR MARGIN ULC W HEM-OBS 3 534.50 CHR MARGINAL ULC W PERF 3 534.51 CHR MARGIN ULC PERF-OBST 3 534.60 CHR MARGIN ULC HEM/PERF 3 534.61 CHR MARG ULC HEM/PERF-OB 3 535.01 ACUTE GASTRITIS W HMRHG 3 535.11 ATRPH GASTRITIS W HMRHG 3 535.21 GSTR MCSL HYPRT W HMRG 3 AHIMA 2007 Audio Seminar Series
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Appendix Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9 ICD9CM Label Tier Exclusion Added (none) (none) 535.31 ALCHL GSTRITIS W HMRHG 3 535.41 OTH SPF GASTRT W HMRHG 3 535.51 GSTR/DDNTS NOS W HMRHG 3 535.61 DUODENITIS W HMRHG 3 537.4 GASTRIC/DUODENAL FISTULA 3 537.83 ANGIO STM/DUDN W HMRHG 3 537.84 DIEULAFOY LES,STOM&DUOD 3 540.0 AC APPEND W PERITONITIS 3 557.0 AC VASC INSUFF INTESTINE 3 562.02 DVRTCLO SML INT W HMRHG 3 562.03 DVRTCLI SML INT W HMRHG 3 562.12 DVRTCLO COLON W HMRHG 3 562.13 DVRTCLI COLON W HMRHG 3 567.0 PERITONITIS IN INFEC DIS 3 567.1 PNEUMOCOCCAL PERITONITIS 3 567.21 PERITONITIS (ACUTE) GEN 3 567.22 PERITONEAL ABSCESS 3 567.23 SPONTAN BACT PERITONITIS 3 567.29 SUPPURAT PERITONITIS NEC 3 567.38 RETROPERITON ABSCESS NEC 3 567.39 RETROPERITON INFECT NEC 3 567.81 CHOLEPERITONITIS 3 567.82 SCLEROSING MESENTERITIS 3 567.89 PERITONITIS NEC 3 567.9 PERITONITIS NOS 3 569.60 COLSTOMY/ENTER COMP NOS 3 569.61 COLOSTY/ENTEROST INFECTN 3 569.62 COLOSTY/ENTER COMP-MECH 3 569.69 COLSTMY/ENTEROS COMP NEC 3 569.83 PERFORATION OF INTESTINE 3 569.85 ANGIO INTES W HMRHG 3 570. ACUTE NECROSIS OF LIVER 3 572.0 ABSCESS OF LIVER 3 572.4 HEPATORENAL SYNDROME 3 573.4 HEPATIC INFARCTION 3 575.4 PERFORATION GALLBLADDER 3 576.3 PERFORATION OF BILE DUCT 3 577.2 PANCREAT CYST/PSEUDOCYST 3 580.0 AC PROLIFERAT NEPHRITIS 3 580.4 AC RAPIDLY PROGR NEPHRIT 3 580.81 AC NEPHRITIS IN OTH DIS 3 580.89 ACUTE NEPHRITIS NEC 3 AHIMA 2007 Audio Seminar Series
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Appendix
ICD9 580.9 583.4 584.5 584.6 584.7 584.8 584.9 590.2 596.6 659.30 659.31 665.00 665.01 665.03 665.10 665.11 669.10 669.11 669.12 669.13 669.14 669.30 669.32 669.34 673.00 673.01 673.02 673.03 673.04 673.10 673.11 673.12 673.13 673.14 673.20 673.22 673.23 673.24 673.30 673.31 673.32 673.33
ICD9CM Label ACUTE NEPHRITIS NOS RAPIDLY PROG NEPHRIT NOS LOWER NEPHRON NEPHROSIS AC RENAL FAIL, CORT NECR AC REN FAIL, MEDULL NECR AC RENAL FAILURE NEC ACUTE RENAL FAILURE NOS RENAL/PERIRENAL ABSCESS BLADDER RUPT, NONTRAUM SEPTICEMIA IN LABOR-UNSP SEPTICEM IN LABOR-DELIV PRELABOR RUPT UTER-UNSP PRELABOR RUPT UTERUS-DEL PRELAB RUPT UTER-ANTEPAR RUPTURE UTERUS NOS-UNSP RUPTURE UTERUS NOS-DELIV OBSTETRIC SHOCK-UNSPEC OBSTETRIC SHOCK-DELIVER OBSTET SHOCK-DELIV W P/P OBSTETRIC SHOCK-ANTEPAR OBSTETRIC SHOCK-POSTPART AC REN FAIL W DELIV-UNSP AC REN FAIL-DELIV W P/P AC RENAL FAILURE-POSTPAR OB AIR EMBOLISM-UNSPEC OB AIR EMBOLISM-DELIVER OB AIR EMBOL-DELIV W P/P OB AIR EMBOLISM-ANTEPART OB AIR EMBOLISM-POSTPART AMNIOTIC EMBOLISM-UNSPEC AMNIOTIC EMBOLISM-DELIV AMNIOT EMBOL-DELIV W P/P AMNIOTIC EMBOL-ANTEPART AMNIOTIC EMBOL-POSTPART OB PULM EMBOL NOS-UNSPEC PULM EMBOL NOS-DEL W P/P PULM EMBOL NOS-ANTEPART PULM EMBOL NOS-POSTPART OB PYEMIC EMBOL-UNSPEC OB PYEMIC EMBOL-DELIVER OB PYEM EMBOL-DEL W P/P OB PYEMIC EMBOL-ANTEPART
AHIMA 2007 Audio Seminar Series
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change Tier Exclusion Added (none) (none) 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 03 3 03 3 03 3 03 3 03 3 3 3 3 01 3 01 3 01 3 01 3 01 3 01 3 01 3 01 3 01 3 01 3 15 3 15 3 15 3 15 3 03 3 03 3 03 3 03 47
Appendix
ICD9 673.34 673.80 673.81 673.82 673.83 673.84 674.00 682.0 682.1 682.2 682.3 682.4 682.5 682.6 682.7 682.8 765.01 765.02 765.03 781.7 785.4 785.51 785.52 785.59 799.1 958.0 958.1 958.5 995.90 995.91 995.92 995.93 995.94 996.02 996.61 996.62 996.63 996.66 996.67 996.68 996.69 997.62
Changes Incorporated on August 3, 2007 Tier Exclusion RIC ICD9CM Change Change ICD9CM Label Tier Exclusion Added (none) (none) OB PYEMIC EMBOL-POSTPART 3 03 OB PULMON EMBOL NEC-UNSP 3 15 PULMON EMBOL NEC-DELIVER 3 15 PULM EMBOL NEC-DEL W P/P 3 15 PULMON EMBOL NEC-ANTEPAR 3 15 PULMON EMBOL NEC-POSTPAR 3 15 PUERP CEREBVASC DIS-UNSP 3 01,03 CELLULITIS OF FACE 3 CELLULITIS OF NECK 3 CELLULITIS OF TRUNK 3 CELLULITIS OF ARM 3 CELLULITIS OF HAND 3 CELLULITIS OF BUTTOCK 3 CELLULITIS OF LEG 3 10 CELLULITIS OF FOOT 3 10 CELLULITIS, SITE NEC 3 EXTREME IMMATUR
