Urology Coding Alert

Check the answers to see where you need to focus your education How did you fare on the diagnosis update quiz? Find out below. Answer 1: Here are the diagnosis codes that apply to the signs, symptoms, and final diagnosis for this patient: • burning on urination (dysuria): ICD-9 788.1 • frequency: ICD-9 788.41 • urgency: ICD-9 788.63 • microscopic hematuria: 599.72 • UTI: 599.0 (Urinary tract infection, site not specified). ICD-9 2009 deleted 599.7 (Hematuria), which includes “Hematuria (benign), (essential).” Instead, you should be using three new, more specific ICD-9 codes: 599.70 (Hematuria, unspecified), 599.71 (Gross hematuria), and 599.72 (Microscopic hematuria). Answer 2: B. You should report 209.24 (Malignant carcinoid tumor of the kidney). This year’s ICD-9 update includes two new codes: 209.24 and 209.64 (Benign carcinoid tumor of the kidney). Answer 3: D. The Oct. 1, 2008, ICD-9 update deleted 259.5 (Androgen insensitivity syndrome), replacing it with three [...]