Oncology & Hematology Coding Alert

ICD-10-CM:

V66.7 Meets Its Match With Z51.5

The new code set has its own V66.7, but its definition may surprise you.Coding for palliative care under ICD-10-CM will be similar to coding under ICD-9-CM, but there are some subtleties you need to watch for. These tips will help you prepare for potential sequencing and miscoding trouble spots.ICD-9-CM CodeV66.7, Encounter for palliative careICD-10-CM CodesZ51.5, Encounter for palliative careICD-9-CM coding rules: Notes with ICD-9-CM code V66.7 state it's appropriate for end-of-life care, hospice care, and terminal care. There is also an instruction to "Code first underlying disease."ICD-10-CM changes: ICD-10-CM has a similar instruction to "Code also condition requiring care." According to ICD-10-CM official guidelines, the "code also" note does not provide sequencing instructions. "The sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter," ICD-10-CM instructs. When the new code set is implemented, watch payer policies for specific instructions.Documentation: To [...]
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