Pediatric Coding Alert

New and revised ICD9 Codes for 2002 in several categories, such as sore throats, bronchitis and asthma, tooth disorders, gastrointestinal, skin and neonatal, will be of interest to pediatricians. CMS announced that the new codes may be used on medical claims as early as Oct. 1, 2001, and become mandatory Jan. 2, 2002.
 
The following is a list of new and revised diagnosis codes that will be used commonly in pediatrics. A complete list of changes is available online at www.hcfa.gov/pubforms/transmit/AB0191.pdf.
 
Note: Revised terminology is bold. Eliminated verbiage is struck out.
Sore Throats
 
For obstructed and unobstructed sore throats, there are five new codes:
 
464.00 acute laryngitis without mention of obstruction
 
464.01 ... with obstruction
 
464.5 supraglottitis, unspecified
 
464.50 ... without mention of obstruction
 
464.51 ... with obstruction.
Bronchitis and Asthma

Revised codes:
 
476.1 chronic laryngotracheitis, excludes laryngitis and tracheitis, acute or unspecified (464.00-464.51)
 
478.79 other diseases of larynx, not elsewhere classified, excludes ulcerative laryngitis (464.00-464.01)
 
491.21 obstructive chronic bronchitis with acute exacerbation excludes chronic obstructive asthma with acute exacerbation (493.22)
 
493's fifth-digit subclassification "0" without mention of status asthmaticus or acute exacerbation or unspecified
 
493.2 chronic obstructive asthma excludes acute bronchitis (466.0).
Tooth Disorders

Revised codes:
 
520.0 disorders of tooth development and eruption; anodontia, excludes acquired absence of teeth (525.10-525.19)
 
520.6 disturbances in tooth eruption, excludes exfoliation of teeth (attributable to disease of surrounding tissues) (525.0-525.19)
 
525.1 loss of teeth due to trauma, extraction, or periodontal disease; acquired absence of teeth Revised code title, excludes acquired absence of teeth which is defined by 525.10, and changed "accident" to "trauma."
New codes:
 
521.00 dental caries, unspecified
 
521.01 dental caries limited to enamel
 
521.02 dental caries extending into dentine
 
521.03 dental caries extending into pulp
 
521.04 arrested dental caries
 
521.05 odontoclasia; infantile melanodontia; melanodontoclasia; excludes internal and external resorption of teeth (521.4)
 
521.09 other dental caries
 
525.10 acquired absence of teeth, unspecified
 
525.11 loss of teeth due to trauma
 
525.12 loss of teeth due to periodontal disease
 
525.13 loss of teeth due to caries
 
525.19 other loss of teeth.
Gastrointestinal

Revised code:
 
558.9 other and unspecified noninfectious gastroenteritis and colitis; diarrhea, dietetic or noninfectious  Now excludes diarrhea, dietetic or noninfectious.
New codes:
 
530.12 acute esophagitis
 
564.00 constipation, unspecified
 
564.01 slow transit constipation
 
564.02 outlet dysfunction constipation
 
564.09 other constipation.

Skin
Revised codes:
 
690 erythematosquamous dermatosis, excludes seborrheic keratosis (702.11-702.19)
 
692.7 contact dermatitis and other eczema; due to solar radiation, excludes sunburn due to other ultraviolet radiation exposure (692.82)
 
692.71 sunburn, first degree sunburn and sunburn NOS
 
692.72 acute dermatitis due to solar radiation, excludes sunburn (692.71, 692.76-692.77)
 
706.3 seborrhea, excludes seborrheic: dermatitis (690.10), keratosis (702.11-702.19).
New codes:
 
692.76 sunburn of second degree
 
692.77 ... third degree.
Fractures, Dislocations

Revised codes:
 
733.1 pathologic fracture, excludes stress fracture (733.93-733.95).
New codes:
 
733.93 stress fracture of tibia or fibula
 
733.94 ... the metatarsals
 
733.95 ... other bone.
Neonatal

Revised codes:
 
767.0 subdural and cerebral hemorrhage, [...]