ICD 10 Coding Alert
Look for Major Expansion of Stye Codes in October
You must document the site if you want to collect under ICD-10.
A stye is an infection of the glands on the eyelid, and is often noticed by concerned parents who see a bump on their child’s eyelid. Some can cause pain in the patient, while others may be painless. A stye can often resolve on its own or by using home remedies, and in some cases, you may prescribe medication. But how to code this condition may throw you for a loop when ICD-10 goes into effect this fall, and your practice should take note of this somewhat dramatic change.
ICD-9 Coding Rules
In most cases under ICD-9, you report 373.11 (Hordeolum externum) when the practitioner diagnoses a patient with a stye.
ICD-10 Changes
After Oct. 1, 2014, your coding options will depend upon not only which eye (right or left) the pediatrician treated, but also which eyelid (upper or lower), expanding the stye section of ICD-10 out to the following seven codes:
Documentation
Practitioners should already be including the affected eye and eyelid in your documentation, but if you don’t do that, now is the time to start. This will help you select the most appropriate code as you attempt to capture the additional anatomical information that ICD-10 requires.
On your superbill, after “stye,” list the available options to prompt the physician to enter this information. A condensed system could include:
H00.01x (Hordeolum externum…)
CHOOSE ONE: LEFT EYE RIGHT EYE
CHOOSE ONE: LOWER LID UPPER LID
If the practitioner marks that the patient has a stye, he should also circle whether the left or right eye is affected, and whether the condition is present on the lower or upper lid.
ICD 10 Coding Alert
- News You Can Use:
Take the Heat Off Your ICD-10 Preparedness by Participating in CMS's 'End-to-End' Testing This Summer
The agency intends to select participants by April. You are already aware of the ICD-10 [...] - Coding Quiz:
Assess Your Orthopedic Coding Know-How With These 3 ICD-10 Questions
Tip: Remember to code to the highest level of specificity. Want to know if you’re [...] - Diagnosis spotlight:
K57 Expands To 10 Options For Accurate Diverticulitis Reporting
Hint: Choose from another additional four codes if anatomical location is not specified. When your [...] - Coding Quiz Answers:
Discover Whether You Made the Grade With These Expert-Approved Answers
Hint: These closed/open guidelines are the same — the displaced/nondisplaced guidelines are new. You’re most [...] - Family Practice:
Brace Yourself For More Than One Option For Reporting Acute Laryngitis in ICD-10
Don’t forget to take into account the number of conditions the code will represent. Although [...] - Pediatrics:
Look for Major Expansion of Stye Codes in October
You must document the site if you want to collect under ICD-10. A stye is [...] - Pathology:
Look for HPV Changes on October 1
Low risk gets its own code. When your lab reports positive results for human papilloma [...] - Reader Question:
Aftercare Code Supports Post-Bypass Scan
Question: Which diagnosis code should I report when a patient has had bypass surgery and [...] - Reader Question:
Expand Your Cystitis Thinking in October
Question: Will ICD-10 reporting for acute cystitis going to be difficult come October? California Subscriber [...]
