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Special Alta News Update:
Attached below are three PDF files that summarize changes for 2007 for
the CMS’s classification of ICD-9 codes. These new codes go into effect
on October 1, 2006. Note the information in each of the files (pdf):
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New ICD-9’s for
2007
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Changes (in
description) of ICD-9 codes
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Deleted ICD-9
codes
Adobe Acrobat Reader required to
view above documents, if you don't already have Adobe Reader, it is
available free of charge by clicking on the "Get Adobe Reader" image
below.
We recommend that
each of you review your current encounter form against this information
and determine whether or not you have any changes that need to be
incorporated. In our experience, most commercial insurance companies
will follow suit with the changes made by Medicare. However, it is not
easy to determine the “effective date” when the insurance companies
recognize the changes. To be safe, please review this information in
its entirety.
We spoke to Alta
Partner’s Director of Operations, Anne Hanzel, to help us identify those
changes which would most impact our practices.
Most of the
changes are related to the OB/GYN specialty.
At a minimum, please
consider these items:
New
Diagnosis Codes:
608.21
Extravaginal torsion of spermatic cord
608.22
Intravaginal torsion of spermatic cord
608.23
Torsion of appendix testis
608.24
Torsion of appendix epididymis
616.81
Mucositis (ulcerative) of cervix, vagina, and vulva
616.89
Other inflammatory disease of cervix, vagina and vulva
618.84
Cervical stump prolapse
629.29
Other female genital mutilation status
629.81
Habitual aborter without current pregnancy
629.89
Other specified disorders of female genital organs
649.00
Tobacco use disorder complicating pregnancy, childbirth, or the
puerperium, unspecified as to episode of care or not applicable
649.01
Tobacco use disorder complicating pregnancy, childbirth, or the
puerperium, delivered, with or without mention of antepartum condition
649.02
Tobacco use disorder complicating pregnancy, childbirth, or the
puerperium, delivered, with mention of postpartum complication
649.03
Tobacco use disorder complicating pregnancy, childbirth, or the
puerperium, antepartum condition or complication
649.04
Tobacco use disorder complicating pregnancy, childbirth, or the
puerperium, postpartum condition or complication
649.10
Obesity complicating pregnancy, childbirth, or the puerperium,
unspecified as to episode of care or not applicable
649.11
Obesity complicating pregnancy, childbirth, or the puerperium,
delivered, with or without mention of antepartum condition
649.12
Obesity complicating pregnancy, childbirth, or the puerperium,
delivered, with mention of postpartum complication
649.13
Obesity complicating pregnancy, childbirth, or the puerperium,
antepartum condition or complication
649.14
Obesity complicating pregnancy, childbirth, or the puerperium,
postpartum condition or complication
649.30
Coagulation defects complicating pregnancy, childbirth, or the
puerperium, unspecified as to episode of care or not applicable
649.31
Coagulation defects complicating pregnancy, childbirth, or the
puerperium, delivered, with or without mention of antepartum condition
649.32
Coagulation defects complicating pregnancy, childbirth, or the
puerperium, delivered, with mention of postpartum complication
649.33
Coagulation defects complicating pregnancy, childbirth, or the
puerperium, antepartum condition or complication
649.34
Coagulation defects complicating pregnancy, childbirth, or the
puerperium, postpartum condition or complication
649.50
Spotting complicating pregnancy, unspecified as to episode of care or
not applicable
649.51
Spotting complicating pregnancy, delivered, with or without mention of
antepartum condition
649.53
Spotting complicating pregnancy, antepartum condition or complication
649.60
Uterine size date discrepancy, unspecified as to episode of care or not
applicable
649.61
Uterine size date discrepancy, delivered, with or without mention of
antepartum condition
649.62
Uterine size date discrepancy, delivered, with mention of postpartum
complication
649.63
Uterine size date discrepancy, antepartum condition or complication
649.64
Uterine size date discrepancy, postpartum condition or complication
780.96
Generalized pain
784.91
Postnasal drip
788.64
Urinary hesitancy
788.65
Straining on urination
795.06
Papanicolaou smear of cervix with cytologic evidence of malignancy
795.81
Elevated carcinoembryonic antigen [CEA]
795.82
Elevated cancer antigen 125 [CA 125]
V18.51
Family history, Colonic polyps
V18.59
Family history, Other digestive disorders
Invalid Diagnosis Codes:
616.8
Other specified inflammatory diseases of cervix, vagina, and vulva
629.8
Other specified disorders of female genital organs
NOTE: For
our Misys users. For those ICD-9 Codes that are invalid as of October
1, 2006, we will inactivate them from our system on October 8, 2006 in
order to prevent you from using an invalid code. (We can allow for an
override as necessary to work out any issues for claims prior to October
1, 2006).
I hope you’ve found
this email informational. Please call with any questions,
440-808-3647.
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