Starting in October, you could have a whole new way to look at Pap smear aftercare, hepatitis, and several other conditions. The National Center for Health Statistics sent a host of proposed ICD-9 diagnosis codes to the Centers for Medicare & Medicaid Services and expects the final list of new ICD-9s to be published in the Federal Register within two weeks, says Amy Blum, medical classification specialist with the NCHS. The new codes also help to identify women who have undergone circumcision, which may impact pregnancy and delivery. Pregnancy test codes would be expanded to include unconfirmed and negative results. A code for nonspecific findings on examination of blood would include a sub-code for elevated C-reactive protein. And the proposal would modify 622.1, Dysplasia of cervix, to add several disorders to the description of the code, including human papilloma-virus. It would also make several revisions to the descriptions for the codes involving abnormal Pap smears. Blum said that last October's ICD-9 included new aftercare codes to avoid overcounting injuries and to address the fact that earlier aftercare codes didn't give enough information on things like the site of a fracture or the fact that an injury was still healing. Editor's note: The new proposal is at http://www.cdc.gov/nchs/data/icd9/agendaapril03.pdf.
Part of the Centers for Disease Control and Prevention, the NCHS is responsible for creating the codes and diagnoses portion of the ICD-9-CM, Blum says. Then it's up to CMS to decide what to cover and how to classify the codes for reimbursement purposes.
Many of the proposed new ICD-9 codes were unveiled at a Coordination and Maintenance Committee meeting April 3. If CMS approves the proposals, the codes that will be broken out into more specific codes include: