November 2003 · Vol. 15, No. 11Decoding the codes: How to apply the new ICD-9
At last—specific codes for diminished libido, emergency contraception, and premenstrual dysphoric disorder. Also notable are new codes for urinary urgency, long-term drug therapy, glucose levels, peripartum cardiomyopathy—and 3 SARS codes.
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 new code 799.81 can be assigned for visits involving complaints of decreased libido or sexual desire.
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A new code, V25.03, covers encounters regarding emergency or postcoital contraception or counseling.
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PMDD has been added as an inclusion term to code 625.4 (premenstrual tension syndrome).
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Three of the biggest dilemmas plaguing Ob/Gyn coders in recent years have finally been tackled by the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM):
These and other changes that went into effect October 1 may lead to significant revisions in practice encounter forms. (SeeQuick reference: ICD-9-CM updates.)
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