November 2002 · Vol. 14, No. 11ICD-9-CM changes: what they mean for the Ob/Gyn
Daunted by the thought of sifting through all the diagnostic coding changes that went into effect last month? Fear not: Our expert has done the legwork for you. Here, she highlights key changes.
MELANIE
WITT,
RN, CPC, MAMs. Witt, former program manager in the department of coding and nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant.
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KEY POINTS
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The code for nonspecific abnormal Papanicolaou smear of cervix (795.0) has been expanded to 4 new codes to more closely match the Bethesda Pap interpretation language.
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The code for ectopic pregnancy (633) has been expanded to describe an ectopic pregnancy with the presence or absence of an intrauterine pregnancy.
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ICD-9 has added a new sequencing instruction: “Code, if applicable, any causal condition first.” Codes with this note may be used as a principal diagnosis if no causal condition is applicable or known.
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A new code for toxic shock syndrome (040.82) was added in recognition of its often-severe symptoms.
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It’s that time again—time to take a look at the latest round of changes in the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnostic codes, which went into effect on October 1. Since the changes for 2002-2003 are numerous, with many (including 31 new diagnostic codes) directly affecting Ob/Gyn practice, it’s a good idea to review your patient encounter forms to make sure they’re up to date. Be aware, however, that some payers may wait until January 1, 2003, before processing claims with the new codes. Be sure to check with yours before implementing these changes.
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