Gastroenterology Coding Alert

Reader Questions:

Zero In on Your ICD-9 Rejections

Question: Why does 787.2 require a fifth digit? Since Oct. 1, 2007, my payers have rejected all the claims I've submitted electronically with 787.2.

Kentucky Subscriber

Answer: Your claims were rejected because 787.2 (Dysphagia) no longer exists. As of Oct. 1, you should be using ICD-9 2008's new codes for dysphagia:

• 787.20 -- Dysphagia, unspecified

• 787.21 -- Dysphagia, oral phase

• 787.22 -- Dysphagia, oropharyngeal phase

• 787.23 -- Dysphagia, pharyngeal phase

• 787.24 -- Dysphagia, pharyngoesophageal phase

• 787.29 -- Other dysphagia.

Watch out: More specific codes can create problems if your physicians' documentation doesn't match your new options. Make certain your physicians have a job aid listing the more specific codes. Also, you may want to send an e-mail or memo with the new codes and encourage better documentation.