Internal Medicine Coding Alert
Extend Fever Dx to 5th Digit, or Land in Hot Water
Question:
Michigan Subscriber
Answer: ICD-9 2009 does bring some changes to the fever code set, deleting 780.6 (Fever) and replacing it with four new, more specific fever codes.
If you file the claim for services your internist provides in September, report 780.6 and 787.01 (Nausea with vomiting) to represent the patient's presenting symptoms. This diagnosis coding will be correct for all encounters that occur through Sept. 30.
However, if you are filing the claim for services the physician provides on or after Oct. 1, report 787.01 and choose one of the following for the fever diagnosis:
• 780.60 -- Fever, unspecified
• 780.61 -- Fever presenting with conditions classified elsewhere
• 780.62 -- Postprocedural fever
• 780.63 -- Postvaccination fever.
-- Answers to
You Be the Coder and Reader Questions were reviewed by Bruce Rappoport, MD, CPC, CHCC, a board-certified internist and medical director of Broward Health's Best Choice Plus and Total Claims Administration in Fort Lauderdale, Fla.Internal Medicine Coding Alert
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