Pediatric Coding Alert
Rhinorrhea Dx Now Requires 5th Digit
Question: What diagnosis should I use for rhinorrhea?
New York Subscriber
Answer: Effective Oct. 1, 2006, you should report "rhinorrhea" with ICD-9 code 478.19 (Other diseases of nasal cavity and sinuses). This unspecified code describes "other diseases of nasal cavity and sinuses" including "rhinolith," according to the code's inclusion entry in the 2007 ICD-9-CM Manual.
Code 478.19 is a new code for ICD-9 2007. You previously would have coded rhinorrhea as 478.1. This code now requires a fifth digit of 1 for "nasal mucositis (ulcerative)" or 9 for "other diseases."
Tool: You can use ICD-9's tabular list to locate the appropriate code for rhinorrhea. On page 251 in "Volume 2" of the 2007 ICD-9-CM Physician Manual, you will find "Rhinorrhea 478.19."
Pediatric Coding Alert
- Get the Inside Scoop on Upcoming Circumcision Code Changes
Shocker: CPT 2007 ends your nerve block nonpayment woes When CPT 2007 takes effect Jan. [...] - YOU BE THE CODER:
Buddy Tape--E/M or Procedure?
Question: A patient breaks one of his toes (826.0, Fracture of one or more phalanges [...] - Reluctant to Charge for MD-Made Phone Calls? New Policy Will Make You Rethink Your Stance
Great news: The AAP supports payers reimbursing for 3 types of telephone care
If you choose [...] - Create a Call Pay Plan in 5 Easy Steps
These AAP-endorsed measures will help you charge phone services ethically without causing patient ill-will Before [...] - READER QUESTION:
Should You Give Referral on Overdues?
Question: A patient whom we have not seen since April and whose account is in [...] - READER QUESTION:
Rhinorrhea Dx Now Requires 5th Digit
Question: What diagnosis should I use for rhinorrhea?
New York Subscriber
Answer: Effective Oct. 1, 2006, you [...] - READER QUESTION:
Bill 99238-99239 When Face-to-Face Occurs
Question: A pediatrician coded a newborn's hospital charges as an admit, two subsequent days and [...] - READER QUESTION:
Use 4-5 Codes for HPV Vaccination
Question: How should I bill the administration of the second and third shot of Gardasil? [...] - Capture 3 New Pulmonary Services With Set Rehaul
Outlying hospitals: Make sure you add 94610 to your encounter sheet
Thanks to CPT 2007, you'll [...]
