Home Health ICD-9/ICD-10 Alert

·         M1020a: 428.0 (Congestive heart failure, unspecified); 

·         M1022b: 362.50 (Macular degeneration [senile], unspecified);

·         M1022c: 369.22 (Better eye: severe impairment; lesser eye: severe impairment);

·         M1022d: 401.9 (Essential hypertension, unspecified); and

·         M1022e: V15.88 (History of fall).

Your patient’s CHF is the primary diagnosis in this scenario because the focus of care is for medication teaching/management of his new cardiac medications.

The patient’s vision impairment, which the physician documents as caused by macular degeneration, is impacting the patient’s ability to manage his medications and has an impact on his plan of care (POC). So you’ll code for these conditions next. Your macular degeneration code for this patient is 362.50, an unspecified code, because you don’t have any details about the cause or type. And 369.22 is the appropriate code for severe visual impairment in both eyes.

Next, list codes for your patient’s HTN and history of falls to indicate that these conditions also impact the care you will provide.