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	[No title]
		The first code (585) is for the diagnosis “chronic renal failure,” and the second code (357.4) is for the diagnosis “polyneuropathy.” Placed in brackets in the alphabetic index, the second code is a manifestation of the disease chronic renal failure.
		The diagnosis for gait abnormality is not necessary because the codes for MS and physical therapy sufficiently describe the patient’s status.
		There is no code in the section for late effects of CVD that specifically cites disturbance of skin sensation as the late effect, and a notation under 438.89 says to use an additional code to identify the late effect; therefore, a secondary diagnosis (782.0), which comes from the symptom chapter, follows the late effect code.
	www.aha.org /aha/content/2001/document/diagnosis010926.doc (11278 words)

	Official Inpatient & Outpatient Coding Rules
		The code for the acute phase of an illness or injury that led to the late effect is never used with a code for the cause of the late effect.
		Code 650 is for use in cases when a woman is admitted for a full-term normal delivery and delivers a single, healthy infant without any complications antepartum, during the delivery, or postpartum during the delivery episode.
		Code 677, Late effect of complication of pregnancy, childbirth, and the puerperium is for use in those cases when an initial complication of a pregnancy develops a sequela requiring care or treatment at a future date.
	www.sma.org /sdi/articles/icd-9-cm.htm (8848 words)

	Third Party Billing - FAQ - Misc. - Diagnosis Codes
		The diagnosis code that is selected should reflect the reason that you are seeing the child.
		Yes, a child can qualify for multiple diagnosis codes; however, the diagnosis code that is selected should reflect the reason that you are seeing the child.
		No, the diagnosis code is not in the child's record.
	www.bcps.org /offices/tpb/faq/misc_diagnosis-codes.html (405 words)

	ADVANCE for Health Information Professionals \| Editorial (Site not responding. Last check: 2007-10-24)
		Eleven of the new codes are for gingival and periodontal diseases.
		Code 404.93 is the principal diagnosis because the CHF is due to the hypertension and the patient also has end-stage renal disease.
		Diagnosis code V76.51 is assigned first to identify the screening for malignant neoplasm of intestine.
	health-information.advanceweb.com /common/editorial/editorial.aspx?CC=77988 (1959 words)

	Laguna Medical Systems
		High-risk pregnancy codes may be used as either principal or secondary codes if the patient is at high-risk due to her age or prior obstetrical history, but has no specific pregnancy complications.
		Codes V58.61-V58.69 are used to identify patients who take prescribed medications on a continuous basis, either for prophylactic use (e.g., aspirin therapy) or for treatment of a health problem.
		Codes found under this heading address social and economic reasons for seeking healthcare; cancellation of specific procedures; encounters for counseling of various kinds; convalescence and palliative care; follow-up examinations after surgery, radiation therapy, chemotherapy, psychotherapy, and other types of treatment; and encounters for administrative purposes.
	www.lagunamedsys.com /edgearchive/feature011501.htm (2870 words)

	ICD9CM (Site not responding. Last check: 2007-10-24)
		CPT codes (which are published by the American Medical Association with annual November updates becoming effective the following January) are similar to ICD-9-CM codes in that they're legally required on Medicare claims and are required by almost all other third-party payers in the United States.
		You would use one code to describe a condition that is the underlying cause of the manifestation you are treating and you would use another code for the specific manifestation itself.
		Another aspect of "always coding to the highest degree of specificity" is that you should never code undocumented diagnoses by using such words as "probable," "possible," "suspected," "questionable," or "rule out," along with a documented code.
	www.podiatrytoday.com /article/pod_200103f5 (2235 words)

	CIGNA Government Services - Diagnosis Codes (Site not responding. Last check: 2007-10-24)
		ICD-9-CM (hereafter referred to as ICD-9) diagnosis codes that are entered on claims and referenced on individual claim lines must be valid for the date of service on the claim and must be the highest level of specificity for that range of diagnosis codes.
		For claim lines in which a date span is entered, the diagnosis code must be valid on the “From” date of the date span (the edits do not require that the diagnosis code be valid on the “To” date).
		However, suppliers are reminded that ICD-9 diagnosis codes that are entered on a claim must be supported by information in the patient's medical record and that this information must be available to the DMERC on request.
	www.cignamedicare.com /articles/May03/COPE472.html (865 words)

	APPENDIX A
		Duplicate of Principal Diagnosis Whenever a secondary diagnosis is coded the same as the principal diagnosis, the secondary diagnosis is identified by the CCE as a duplicate of the principal diagnosis.
		The code entered may have the 4th or 5th digit missing or not be valid for the code in question.
		Evaluate as Principal Diagnosis When a disease or condition is a symptom of, or the result of, some other underlying disease and is recorded as the principal diagnosis, the CCE will identify when there is a more specific secondary diagnosis that should be evaluated as principal.
	health.utah.gov /hda/st1/appenda.html (1091 words)

	Clinical Claims Editor- Oklahoma Inpatient Discharge Data Submission Manual
		Duplicate of principal diagnosis - Whenever a secondary diagnosis is coded the same as the principal diagnosis, the secondary diagnosis is identified by the CCE as a duplicate of the principal diagnosis.
		The code entered may have the 4th or 5th digit missing or not be valid for the code in question.
		When the CCE detects a maternal diagnosis code and a fetal/newborn diagnosis code the record is flagged as in error.
	www.health.state.ok.us /Program/hci/manual/cce.html (1175 words)

	Coordination of Benefits between Medical and Dental Insurance Companies
		The diagnosis codes that relate to dentistry are found in chapter 9 (of 17) in the section “Diseases of the Digestive System.” Most dental related diagnosis codes are found in the 520.3 to 524.6 range, however, the codes extend to 529.
		The diagnosis code for bruxism is 306.8, sleep apnea is 780.57, and TMD has multiple codes related to pain, muscles, and bone.
		E codes are classifications of external causes of injury and poisonings.
	www.dentalcare.com /soap/ce47ej/pg07.htm (831 words)

	ADVANCE for Health Information Professionals \| Coding Q&A (Site not responding. Last check: 2007-10-24)
		Our dilemma is in coding the underlying condition-cirrhosis (not directly treated), or the symptom for which the patient came in and was treated for (ascites or hypotension).
		Coding Clinic article addresses the sequencing of alcoholic cirrhosis with hematemesis due to a gastric varix that is due to the cirrhosis.
		This is consistent with the requirement to code the diagnosis to the highest degree of certainty.
	health-information.advanceweb.com /HIMStuff/codingqa.aspx?CC=34989 (2006 words)

	Beaverlog Tips Volume 22
		Insurance payers also base their payment amounts on a patient's diagnosis so it is important to have and use the correct codes when you submit claims.
		Coding can be a complex process in is not an exact science.
		The second way to set up your code substitutions is from the entry screen for the desired procedure or diagnosis code.
	www.beaverlog.com /therapist/newsletter/volume022.htm (764 words)

	Diagnosis coding changes for 2005 (Site not responding. Last check: 2007-10-24)
		Some of the new codes for 2005 include the much-needed code for allergic rhinitis, due to animal (cat or dog) hair and dander, which is 477.2.
		Once the practice has received the new books, all new codes relating to the specialty of the practice should be reviewed in detail and the appropriate changes should be made in the computer and on the patient encounter form.
		All codes under the new system will be in an alphanumeric format, i.e., one letter followed by two numbers at the three character level as opposed to the three numeric characters in the main classification of the ICD-9-CM book.
	www.physiciansnews.com /business/1104andress.html (989 words)

	SELECTION OF PRINCIPAL DIAGNOSIS
		The principal diagnosis is defined in the Uniform Hospital Discharge Data Set (UHDDS) as "that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care".
		Codes for symptoms, signs, and ill-defined conditions from Chapter 16 are not to be used as principal diagnosis when a related definitive diagnosis has been established.
		If there is also a diagnosis of drug abuse or dependence to the substance, the abuse or dependence is coded as an additional code.
	www.eicd.com /Guidelines/PrincipalDx.htm (1261 words)

	[No title]
		One of these codes must be the principal diagnosis located in form indicator 21-1 on the HCFA-1500 claim form or form indicator 67 on the UB-92 claim form.
		These diagnostic codes must be used in form indicator # 21-1 as the principal diagnosis code on the HCFA-1500 or form indicator # 67 on the UB-92 billing claim form.
		Diagnosis Codes 290.0-319 995.53 V61.1 V61.20 V62.82 V71.5 995.5 995.50 995.55 995.59 995.80-85 995.89 Home Health Agency Services Psychiatric Nursing Services The services of a psychiatric registered nurse are exempt from MaineCare managed care.
	www.state.me.us /bms/provider/managedcare_edcodes.doc (1618 words)

	DIAGNOSIS CODES
		The Current Procedural Terminology (CPT) coding conventions and general guidelines as published by the AMA for surgical and diagnostic procedure coding will be followed by all staff responsible for coding.
		Requisitions containing text diagnosis or missing diagnosis are referred to the Patient Access Staff for follow-up with clinics to obtain valid ICD-9 codes.
		Coding guidelines for CPT procedural coding are included in both the CPT manual and published in the AMA CPT-Assistant.
	www.healthsystem.virginia.edu /internet/medlabs/compliance/mlcp0010.cfm (437 words)

	Review of Ophthalmology
		The diagnosis code should correlate with the reason for the patient’s visit as described in the chief complaint.
		Coverage policy of third-party payers is driven by the purpose of the procedure and described on the claim for reimbursement as the diagnosis code.
		It may be tempting to change the diagnosis on the claim form to prevent a denial, but don’t.
	www.revophth.com /index.asp?page=1_847.htm (819 words)

	Advances in Skin & Wound Care: Diagnosis=Medical Necessity=Payment
		Now, claims submitted with ICD-9-CM codes that were not valid on the date of service and were not stated to the highest specificity for that range of diagnosis codes will be rejected and returned as unprocessable or will be denied for incorrect coding.
		If they do not incorporate the new ICD-9-CM codes into their practices, they and/or other providers and suppliers may miss out on the level of reimbursement they would be entitled to if the new diagnosis codes were used to prove medical necessity.
		Providers and suppliers face serious consequences if a diagnosis code that is not supported in the medical record is used on a claim in order to obtain payment.
	www.findarticles.com /p/articles/mi_qa3977/is_200311/ai_n9342485 (1493 words)

	Annual Updating of ICD-9-CM Codes Changes to Date of Service Driven (Site not responding. Last check: 2007-10-24)
		Effective for claims processed on or after October 1, 2002, diagnosis codes will be reviewed based on the code in effect for the date of service, and not the date processed.
		According to the Health Insurance Portability and Accountability Act (HIPAA), national code sets must be date of service compliant so that they may edit for the validity of diagnosis codes based on the date of service of the procedure code to which the diagnosis code is correlated.
		Therefore, diagnosis codes will be processed in a fashion similar to HCPCS codes (by date of service).
	www.medicarenhic.com /whats_new/archive2002/icddos_0702.htm (262 words)

	Codes on Disk
		Codes on Disk is a selection of specialty-specific procedure and diagnosis codes for MediSoft, MediSoft Advanced and Just Claims software.
		Getting Codes on Disk means there's no need to take time to type procedure and diagnosis code files by hand because Codes on Disk builds these files automatically.
		Codes on Disk may be used for new MediSoft, MediSoft Advanced, PractiSoft Advanced and Just Claims systems or when these systems are set up and in use.
	www.mediclaimfl.com /codesondisk.htm (181 words)

	Oncology Coding Article - ICD-9-CM diagnosis codes
		Parenthetical notes accompanying this code indicate that it may only be assigned in addition to 61510 (craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma) or 61518 (craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull).
		A deleted code in this section is 38231 (blood-derived peripheral stem cell harvesting for transplantation, per collection), and the coder is redirected to 38205 or 38206 to report this service.
		There has also been a verbiage change to the existing pump refill code and the addition of a new code to clarify whether the medication is administered through the vascular system, or the central nervous system.
	www.aameda.org /Specialtygroups/ACOA/coding/2002/codingupdate.html (729 words)

	Flash Code - News
		Flash Code prevents this from happening by using easy to follow green lights (go to more specific codes) and red lights (stop and pick your code) when finding ICD codes and uses ICD code specificity as a filter when validating codes.
		The use of fictitious diagnosis code XX000, as explained in MCM 4020.3(D)(2), should be discontinued for use on unassigned claims.
		A valid ICD-9 code will be required as of July 1, 1996 (i.e., develop for complete diagnosis codes on unassigned services furnished by physicians, do not plug in the fictitious code XX000).
	www.flashcode.com /newsnfeatures/news1996.html (724 words)

	DIAGNOSIS CODES (ICD-9) COMMONLY USED IN THE CHIROPRACTIC OFFICE
		DIAGNOSIS CODES (ICD-9) COMMONLY USED IN THE CHIROPRACTIC OFFICE
		This is a cross-section of the ICD-9 Codes commonly used in chiropractic offices, listed by body region and complaint.
		This is the cover letter we send insurers, along with the full diagnosis, so they will understand our use of the codes, and what it is we are describing.
	www.chiro.org /LINKS/dx.shtml (587 words)

	Part L, Div I, Section IV, Respiratory Care Services — Billing Information, Diagnosis Codes (Site not responding. Last check: 2007-10-24)
		Appendix 21 of this handbook is a listing of common diagnosis codes for ventilator-assisted individuals, including codes which may be indicated as secondary diagnoses.
		This listing is for use as a reference for diagnosis codes and is not intended to be an all-inclusive listing.
		Diagnoses codes with an "M" prefix are not acceptable on a claim submitted to the WMAP.
	www.dhfs.state.wi.us /medicaid5/handbooks/respiratory_care/billing/billing_6.htm (145 words)

	The Endocrine Society : ICD-9-CM Diagnosis Codes for Diabetes Mellitus Revised (Site not responding. Last check: 2007-10-24)
		When a patient has multiple diagnoses pertaining to various manifestations of diabetes and its complications, it is advisable to use multiple diagnosis codes, linking, when possible, each to the specific service(s) for which that service was required.
		For example, if neuropathy is being evaluated, the code for any somatosensory testing procedure should be linked with a diagnosis code for diabetic neuropathy.
		Even better is to code the specific diabetes code for the manifestation of the patient’s disease for which you were consulted [e.g.
	www.endo-society.org /news/endocrine_news/2005/codingnewsApr2005.cfm (467 words)

	WITHIN: Help for the Diagnosis Code Lookup Program (Site not responding. Last check: 2007-10-24)
		For complete information about diagnosis codes and descriptions, consult a printed reference with an index.
		Enter a key word to look for diagnosis codes whose descriptions contain your key word.
		A search for 001 yields not only the codes that begin with 001 but also all codes that contain 001 anywhere in the first through fifth digits.
	www.dhfs.state.wi.us /within/qspages/dluhelp.htm (306 words)

	New ICD-9 Diagnosis Codes
		Join nationally-recognized medical coding expert Nancy Maguire for a no-nonsense, plain-English explanation of the new ICD-9 diagnosis codes pertinent to physician practices and how to use them to prevent medical necessity denials.
		She has authored several texts on billing, coding and use of code modifiers and is currently Publisher of Nancy Maguire’s Coding and Billing Expert magazine.
		Effective October 1, 2002, you’ll have 147 new ICD-9 codes to use that provide greater specificity in your diagnosis coding, and require explicit documentation of the patient condition(s) and co-morbidities.
	www.partbnews.com /conferences/A135 (384 words)

	Access Plus Data Book - IV. Disease Definitions
		Patients with Acute Myocardial Infarction (ICD-9 diagnosis code 410.xx or DRG codes 121, 122, 123).
		Cardiac Catheterization (CPT codes 93501, 93510, 93511, 93514, 93524-29, 93530-33, 93542-43, 93545-56, DRG codes 124 and 125) with an ICD-9 diagnosis code of 414.xx.
		Patients with inpatient admission for asthma with ICD-9 diagnosis code 493.xx and DRG codes 088, 096-098.
	www.dpw.state.pa.us /omap/hcmc/AccessPlusDB4.asp (789 words)

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