! ICD-10-CM www.todayswoundclinic.com 30 April 2014 Today’s Wound Clinic ® As a reminder, refer to the original ICD-10-CM article in the October 2013 issue of Today’s Wound Clinic for instructions on how to properly use this grid to begin your documentation improvement program. Pointers: Remember to have any operative reports and documentation regarding the circumstances surrounding the injury readily available. Stay tuned for a new ICD- 10-CM topic next month! n ICD-10-CM DIAGNOSIS CODING DOCUMENTATION TIPS FOR VENOUS ULCERS (CATEGORIES 170-174; 180.00-187.9) ICD-10-CM Diagnosis Coding Documentation Tips for Venous Ulcers (Categories 170-174; 180.0-187.9) Topic ICD-10-CM Code Ranges Documentation Tips/Guidelines Requirement of a 7th Character for Trauma Codes I70.201-I70.209: Atherosclerosis of extremities, unspecified I70.231-I70.25: Atherosclerosis of extremities with ulceration I70.262-I70.269: Atherosclerosis of the extremities with gangrene Documentation should include specific site of thigh, calf, ankle, heel, midfoot, and other or unspecified, as well as any laterality. In addition, it is important to specify if the disease is with ulceration or gangrene. Note: If ulcer is present, be sure to document depth and tissue involved with the ulcer. Coders will need to use additional codes to identify the specific ulcers. Raynaud’s Syndrome Peripheral Angiopathy in Diseases Classified Elsewhere (ie, Diabetes) I73.00: Without gangrene I73.01: With gangrene I79.1-I79.8: Plus code from diabetes (E08.51-E13.5) Document with or without gangrene. Be sure to document whether angiopathy is due to any underlying disease such as diabetes. Arterial Embolisms I74.2: Upper extremity I74.3, I74.4: Lower extremity I74.5: Iliac artery Specify site of embolism. Phlebitis/ Thrombophlebitis Lower Extremity Superficial Vessels Phlebitis/ Thrombophlebitis Lower Extremity Deep Vessels I80.00-I80.03: Superficial vessels I80.10-I80.299: Deep vessels Document laterality. Specify femoral, popliteal, tibial, other, unspecified, and laterality. Varicose Veins Lower Extremity I83.001-I83.029: With ulcer I82.201-I83.229: With ulcer and inflammation I83.811-I83.999: With other complication Document thigh, calf, ankle, heel, midfoot, other, unspecified laterality. May use additional code for specific ulcer site. Document any other complications, such as pain. Postphlebitic Syndrome I87.011-I87.019: With ulcer I87.031-I87.039: With ulcer and inflammation Document laterality. (May use additional code for specific ulcer site.) Chronic Venous Hypertension I87.311-I87.319: With ulcer I87.331-I87.339: With ulcer and inflammation I87.391-I87.399: With other specified complication Document laterality. (May use additional code for specific ulcer site.) National Center for Health Statistics: www.cdc.gov/nchs/icd/icd10cm.htm T he arrival of ICD-10-CM has been pushed back to at least October 2015, but Today’s Wound Clinic is still helping wound care practitioners get an early start on refining their documentation skills in preparation for the new coding format. In an effort to assist our readers as they continue to transition from ICD-9-CM, we’re offering an assortment of ICD- 10-CM documentation tools on particular disease states or medical conditions that have been developed to help improve documentation habits, which will be vital to the success of wound clinics in the ICD-10-CM environment. The tools may also contain information on coding guidelines when appropriate. This month’s tool covers the category of venous ulcers.

ICD-10-CM DIAGNOSIS CODING DOCUMENTATION TIPS … · how to properly use this grid to begin your documentation improvement program. ... ICD-10-CM Diagnosis Coding Documentation Tips

Download PDF Report

Upload
hoangthuan
View
226
Download
0

Embed Size (px)

Citation preview

ICD-10-CM

www.todayswoundclinic.com30 April 2014 Today’s Wound Clinic®

As a reminder, refer to the original ICD-10-CM article in the October 2013 issue of Today’s Wound Clinic for instructions on how to properly use this grid to begin your documentation improvement program. Pointers: Remember to have any operative reports and documentation regarding the circumstances surrounding the injury readily available. Stay tuned for a new ICD-10-CM topic next month! n

ICD-10-CM DIAGNOSIS CODING DOCUMENTATION TIPS FOR VENOUS ULCERS

(CATEGORIES 170-174; 180.00-187.9)

ICD-10-CM Diagnosis Coding Documentation Tips for Venous Ulcers (Categories 170-174; 180.0-187.9)

Topic ICD-10-CM Code Ranges Documentation Tips/Guidelines

Requirement of a 7th Character for Trauma Codes

I70.201-I70.209: Atherosclerosis of extremities, unspecified

I70.231-I70.25: Atherosclerosis of extremities with ulceration

I70.262-I70.269: Atherosclerosis of the extremities with gangrene

Documentation should include specific site of thigh, calf, ankle, heel, midfoot, and other or unspecified, as well as any laterality. In addition, it is important to specify if the disease is with ulceration or gangrene.

Note: If ulcer is present, be sure to document depth and tissue involved with the ulcer. Coders will need to use additional codes to identify the specific ulcers.

Raynaud’s Syndrome

Peripheral Angiopathy in Diseases Classified Elsewhere (ie, Diabetes)

I73.00: Without gangreneI73.01: With gangrene

I79.1-I79.8: Plus code from diabetes (E08.51-E13.5)

Document with or without gangrene.

Be sure to document whether angiopathy is due to any underlying disease such as diabetes.

Arterial Embolisms I74.2: Upper extremityI74.3, I74.4: Lower extremityI74.5: Iliac artery

Specify site of embolism.

Phlebitis/Thrombophlebitis Lower Extremity Superficial Vessels

Phlebitis/Thrombophlebitis Lower Extremity Deep Vessels

I80.00-I80.03: Superficial vessels

I80.10-I80.299: Deep vessels

Document laterality.

Specify femoral, popliteal, tibial, other, unspecified, and laterality.

Varicose Veins Lower Extremity

I83.001-I83.029: With ulcer I82.201-I83.229: With ulcer and inflammationI83.811-I83.999: With other complication

Document thigh, calf, ankle, heel, midfoot, other, unspecified laterality. May use additional code for specific ulcer site.

Document any other complications, such as pain.

Postphlebitic Syndrome

I87.011-I87.019: With ulcer I87.031-I87.039: With ulcer and inflammation Document laterality. (May use additional code for specific ulcer site.)

Chronic Venous Hypertension

I87.311-I87.319: With ulcer I87.331-I87.339: With ulcer and inflammation I87.391-I87.399: With other specified complication Document laterality. (May use additional code for specific ulcer site.)

National Center for Health Statistics: www.cdc.gov/nchs/icd/icd10cm.htm

T he arrival of ICD-10-CM has been pushed back to at least October 2015, but Today’s Wound Clinic is still helping wound care practitioners get an early start on refining their documentation skills in preparation for the new coding format. In an effort to assist our readers as they continue to transition from ICD-9-CM, we’re offering an assortment of ICD-

10-CM documentation tools on particular disease states or medical conditions that have been developed to help improve documentation habits, which will be vital to the success of wound clinics in the ICD-10-CM environment. The tools may also contain information on coding guidelines when appropriate. This month’s tool covers the category of venous ulcers.

XX_TWC_Mar_ICD-10.indd 30 4/10/14 2:04 PM