Home Health & Hospice Week

Diagnosis Coding:

Bone Up Now On 6 Major Changes to Home Care Coding

Avoid new coding pitfalls that could cost you case mix points. With the 122 new, deleted, or revised ICD-9 codes that took effect Oct. 1, make certain you're ready to tackle these changes that are impacting home care the most. 1. New Status Codes for Absence of Pancreas. New codes V88.11 (Acquired total absence of pancreas) and V88.12 (Acquired partial absence of pancreas) offer greater specificity. In turn, notes under new subcategory V88.1 (Acquired absence of pancreas) ask that you use an additional code to identify any associated insulin use (V58.67) or secondary diabetes mellitus (249.00-249.91), says certified coder Joan L. Usher with JLU Health Record Systems in Pembroke, Mass. 2. Hemochromatosis. Of several new codes under 275.0 (Disorders of iron metabolism), 275.02 (Hemochromatosis due to repeated red blood cell transfusions) has special interest for home care, says certified coder and attorney Lisa Selman-Holman of Selman-Holman & Associates and CoDR -- [...]
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