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Oncology & Hematology Coding Alert

Don't Let 2010's Thrombosis Codes Derail Your Claims

Published on Mon Jun 01, 2009

Acute vs. chronic will be 1 key to your 2010 ICD-9 choice. Whether you code for a hematologist in a Coumadin clinic or treat cancer patients who develop thromboembolic disease as a side effect, be sure you catch the big changes coming down the pike for embolism and thrombosis coding. CMS is offering a sneak peak at the added, deleted, and revised codes youll need to know when ICD-9 2010 goes into effect Oct. 1, 2009. CMSs proposed Inpatient Prospective Payment System rule includes a list of the expected changes to ICD-9 2010 (http://edocket.access.gpo.gov/2009/pdf/E9-10458.pdf, page 409). Heres Why Phlebitis Documentation Is Elusive In 2009, your coding options are 451.0-451.9 (Phlebitis and thrombophlebitis) and 453.0-453.9 (Other venous embolism and thrombosis). Problem: Thrombophlebitis is a term that is now rarely used, due to the lack of clinical significance of phlebitis, according to Patrick Romano, MD, MPH, professor of medicine and pediatrics [...]
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