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Neurology & Pain Management Coding Alert

ICD-10 Update:

Don't Let Epilepsy Reporting Make You Feel Jittery

Published on Sun Nov 25, 2012

Ensure documentation for treatment response to support descriptors. ICD-10 can make your epilepsy coding even more complicated if you're foggy on the disease specifics. You potentially will be miscoding if you miss any part in the descriptors. Prepare now for correctly reporting status epilepticus, febrile convulsions, and post traumatic seizures when ICD-10 goes into effect. Confirm Response to Treatment for Status Epilepticus Under ICD-9, you have specific codes to report status epilepticus: 345.2 ( Petit mal status epileptic) and 345.3 (Grand mal status epileptic). Another code is 345.7x (Epilepsy partialis continua). "This is a form of partial status epilepticus with simple motor manifestations that are maintained for over 1 hour, with clonic activity restricted to 1 body part and recurring at fairly regular intervals," says Marvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, owner of MJH Consulting in Denver, CO. Your choice of codes depends on the intensity of [...]
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