Oncology & Hematology Coding Alert

Choose among 3 options when the code set changes.When sickle cell anemia results in crisis, your coding needs to identify whether the physician diagnosed acute chest syndrome or splenic sequestration. Here's how the method of reporting the crisis differs between ICD-9-CM and ICD-10-CM.ICD-9-CM Code282.62, Hb-SS disease with crisisICD-10-CM CodesD57.00, Hb-SS disease with crisis, unspecifiedD57.01, Hb-SS disease with acute chest syndromeD57.02, Hb-SS disease with splenic sequestrationDiagnosis: Hb-SS is a sickle cell disease in which the patient has inherited a sickle cell gene ("S") from each parent. Sickle cell anemia is another name for this disease. ICD-9-CM coding rules: ICD-9-CM has one code for Hb-SS disease with crisis. It is appropriate for Hb-SS disease with vaso-occlusive pain and sickle-cell crisis NOS (not otherwise specified). Under ICD-9-CM, you use a separate code to indicate the type of crisis:289.52, Splenic sequestration517.3, Acute chest syndrome.ICD-10-CM changes: ICD-10-CM will allow you to report both the Hb-SS [...]