Urology Coding Alert

Take this quiz to see if you need to revisit the ICD-9 Updates Your practice should be using the updated ICD-9 Codes by now, but are you confident when using the new codes? Test your diagnosis coding know-how with these three questions, and then see if your answers match the expert's answers. Hint: You can find all the quiz answers in one of these past Urology Coding Alert articles: "Diagnosis Update: Reporting 599.7 for Hematuria? Not Anymore" from the 2008, Volume 10, No. 7 issue. "Don't Delay: Scratch 599.7 Off Your Diagnosis List for Good" from the 2008, Volume 10, No. 10 issue. Question 1: A urologist sees a patient with burning on urination, frequency, and urgency of urination. A microscopic examination of the urine reveals many white and red blood cells. The urologist suspects a UTI and orders a urine culture and quantitative colony count (87086). This culture indicates a large number of bacteria (over 100,000 organisms per ml). Having confirmed a significant UTI and wishing to know the organism(s) involved in causing the infection, the urologist then orders an identification of the bacteria (87088). What diagnosis codes would you associate with this patient's signs, symptoms, and final diagnosis? Question 2: Your physician removes a kidney tumor and documents that the tumor is a malignant carcinoid. Which diagnosis code should you report? A. 199.2 B. 209.24 C. 189.0 D. 593.9. Question 3: The urologist performs a complete workup on a patient and diagnoses: partial androgen insensitivity. What diagnosis code should you report? A. 259.5 B. 259.50 C. 259.51 D. 259.52. Check yourself: Take a look on page 94 of this issue to see if you've got a handle on the latest round of diagnosis coding changes.