Sherry Thomas, CCP, CCP-AS CEO/Director of Education 2011 ICD-9-CM Updates

Effective October 1, 2010 AHA, CMS, NCHS, AHIMA NO GRACE PERIOD!!! 122 NEW diagnosis codes 10 REVISED code titles 11 Invalid diagnosis codes 2011 ICD-9 CODES

303 NEW diagnosis codes 45 REVISED code titles 23 Invalid diagnosis codes 2010 ICD-9 CODES

 Disorders of iron metabolism  Fluid overload  Secondary thrombocytopenia  Other anomalies of uterus  Hemoptysis  Incontinence of feces  Poisoning by other specified central nervous system stimulants  ABO incompatibility  Rh incompatibility

 V25.1-Encounter for insertion of intrauterine contraceptive device  V85.4-Body mass index 40 and over, adult

 Recurrent pregnancy loss without current pregnancy  Recurrent pregnancy loss, unspecified as to episode of care or not applicable  Recurrent pregnancy loss, delivered, with or without mention of antepartum condition  Recurrent pregnancy loss, antepartum condition or complication  V Encounter for testing of male partner of female with recurrent pregnancy loss *All previously titled Habitual aborter

 Spinal stenosis, lumbar region, without neurogenic claudication  Neurologic neglect syndrome*  E Roller coaster riding*  V Personal history of (corrected) hypospadias  V Personal history of other (corrected) congenital malformations

 Schwannomatosis  Other neurofibromatosis

 Hereditary hemochromatosis  Hemochromatosis due to repeated red blood cell transfusions  Other hemochromatosis  Other disorders of iron metabolism

 Code replaced by: ◦ Transfusion associated circulatory overload ◦ Other fluid overload  Obesity hypoventilation syndrome  Code replaced by: ◦ Post-transfusion purpura ◦ Other secondary thrombocytopenia

 Aortic ectasia  Thoracic arotic ectasia  Abdominal aortic ectasia  Thoracoabdominal aortic ectasia  Fecal impaction  Spinal stenosis, lumbar region, with neurogenic claudication

 Agenesis of uterus  Hypoplasia of uterus  Unicornuate uterus  Bicornuate uterus  Septate uterus  Arcuate uterus  Other anomalies of uterus

 Cervical agenesis  Cervical duplication  Vaginal agenesis  Longitudinal vaginal septum  Post traumatic seizures  Febrile nonhemolytic transfusion reaction  Jaw pain

 Code replaced by: ◦ Hemoptysis, unspecified ◦ Acute idiopathic pulmonary hemorrhage in infants (AIPHI) ◦ Other hemoptysis  Code replaced by: ◦ Full incontinence of feces ◦ Incomplete defecation ◦ Fecal smearing ◦ Fecal urgency

 – Cognition and function deficits  Blood typing and transfusion reactions  V13.62-V13.68 –Personal history of (corrected) congenital malformations

 Code V25.1 replaced by: ◦V Encounter for insertion of IUD ◦V Encounter for removal of IUD ◦V Encounter for removal and reinsertion of IUD  V Homicidal ideation  V Do not resuscitate status  Code V85.4 replaced by: ◦V85.41-V85.45 – BMI, and over, adult

 V90.01-V Retained foreign bodies  V91.00-V Multiple gestation codes

Medical Staff SOS, Inc./PHIA Sherry Thomas, CEO/ Director of Education  Certified Coding Professional (CCP)  Certified Coding Professional – Audit Specialist (CCP-AS)  30 years experience in healthcare ◦ Clinical, Administrative, Education Services includes: Chart Auditing Healthcare Seminars/Workshops Qualified IRO - Integrity Agreements National Credentialing Organization ONLINE Coding/Billing Courses (Certification/Diploma) Provider/Staff Education ©2010 PHIA/Medical Staff SOS,. Inc

Thank you for joining me today! For additional information please contact: SHERRY THOMAS, CCP, CCP-AS CEO/Director of Education Medical Staff SOS, Inc./ PHIA ©2010 PHIA/Medical Staff SOS,. Inc