Cardiology Coding Alert

ICD-9 2012:

414.4 Lets You Get Specific About Calcified Coronary Lesions

But 425.1 will bring instant denials as of October 1.Don't consider your ICD-9 2012 update lists final until you've studies these late additions for coronary atherosclerosis and hypertrophic cardiomyopathy. Although coders get a sneak peek at ICD-9 changes each summer in CMS's proposed Inpatient PPS rule, those changes aren't the last word for updates. The codes below weren't finalized in time to be included in the proposed rule, but they are effective Oct. 1, 2011, all the same. 414.4 Helps Single Out Coronary LesionsICD-9 2012 adds 414.4 (Coronary atherosclerosis due to calcified coronary lesion), following a proposal by Jeffrey Chambers, MD, for a unique code for severely calcified coronary lesions (ICD-9-CM Coordination and Maintenance Committee Meeting, March 9-10, 2011 www.cdc.gov/nchs/data/icd9/2011March_Summary_%20HA.pdf). Chambers' goal was to be able to distinguish a calcified lesion from other ischemic lesions, according to the Meeting Agenda (www.cdc.gov/nchs/data/icd9/TopicpacketforMarch2011_HA1.pdf). Calcified lesions are not the same as [...]
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