ED Coding and Reimbursement Alert

Here are the new ICD-9 codes you should note for ED claims, suggested by Robert Polglase, MD, JD, CEO of Stratagem Group Inc. in Augusta, Ga.

Please refer to the article for further elaboration on the key codes from this list. (Note that this list does not include revised or deleted codes.) Infectious Disease 040.82 Toxic shock syndrome
066.4 West Nile fever
Endocrine and Metabolic Section
277.02 Cystic fibrosis with pulmonary manifestations
Neurology Section
357.81 Chronic inflammatory demyelinating polyneuritis
365.83 Aqueous misdirection (malignant glaucoma)
Circulatory System
414.06 Coronary atherosclerosis; of coronary artery of transplanted heart

414.12 Dissection of coronary artery 428.20-428.23 Systolic heart failure ...
428.30-428.33 Diastolic heart failure ...
428.40-428.43 Combined systolic and diastolic heart failure ...
443.21-443.24, 443.29 Other arterial dissection
445.01-445.02, 445.81-445.89 Atheroembolism ...
459.10-459.13, 459.19 Postphlebitic syndrome without complications
Obstetrics and Gynecology
633.00-633.91 Ectopic pregnancy
765.20-765.29 Weeks of gestation
770.81-770.84, 770.89 Other respiratory conditions of fetus and newborn; other respiratory problems after birth
Signs and Symptoms
780.91 Fussy infant (baby)
780.92 Excessive crying of infant (baby)
795.31 Nonspecific positive findings for anthrax
795.39 Other nonspecific positive culture findings
Injuries and Poisoning
995.90-995.94 Systemic inflammatory response syndrome (SIRS)
Postoperative Complications
998.31 Disruption of internal operation wound
998.32 Disruption of external operation wound
V Codes
V01.81 Contact with or exposure to anthrax
V01.89 Contact with or exposure to other communicable diseases
V23.41 Pregnancy with history of pre-term labor
V23.49 Pregnancy with other poor obstetric history
V71.82 Observation and evaluation for suspected exposure to anthrax
V71.83 Observation and evaluation for suspected exposure to other biological agent
E Codes
E885.0 Fall from (nonmotorized) scooter
E955.7 Suicide and self-inflected injury by paintball gun
E979.0-E979.9 Terrorism = You can use this code in the ED, and some cases will warrant it, but use it with caution because the situation may be better described by another code, usually a prior one. = Mentioned in the article on p. 20. No star = You can use this code in the ED, maybe even frequently. Take advantage of the cases that come up.