2010 Q4 Code Updates

 Index
The Q4 coding updates were posted to the system on October 1, 2010.  There were a total of 15 ICDs removed from the system, 129 new ICDs added (which resulted in 22 new additions to the ICD Favorites List), and 10 new CPTs were added as well (all F Codes).   Administrators may wish to review the list of deleted and new codes for any further adjustments they would like to make to their Favorites lists.  Any ICDs rendered invalid by this update have been removed from the problem lists of any patients for whom they were recorded, and their replacement code will need to be added to those patients once again.  RVU values were also adjusted as necessary during this update.  As with all code updates, we recommend syncing any handheld devices to propagate the updates to all units.

Deleted ICDs
Code Description
307.0 Adult Onset Fluency Disorder
629.81 Recurrent Pregnancy Loss Without Current Pregnancy
646.30 Recurrent Pregnancy Loss, Unspecified As To Episode Of Care Or Not Applicable
646.31 Recurrent Pregnancy Loss, Delivered, With Or Without Mention Of Antepartum Condition
646.33 Recurrent Pregnancy Loss, Antepartum Condition Or Complication
724.02 Spinal Stenosis, Lumbar Region, Without Neurogenic Claudication
781.8 Neurologic Neglect Syndrome
V07.51 Use Of Selective Estrogen Receptor Modulators
V07.52 Use Of Aromatase Inhibitors
V07.59 Use Of Other Agents Affecting Estrogen Receptors And Estrogen Levels
V07.8 Other Specified Prophylactic Or Treatment Measure
V07.9 Unspecified Prophylactic Or Treatment Measure
V13.61 Personal History Of (Corrected) Hypospadias
V13.69 Personal History Of Other (Corrected) Congenital Malformations
V26.35 Encounter For Testing Of Male Partner Of Female With Recurrent Pregnancy Loss
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New ICDs
Code Description
237.73 Schwannomatosis
237.79 Other Neurofibromatosis
275.01 Hereditary Hemochromatosis
275.02 Hemochromatosis Due To Repeated Red Blood Cell Transfusions
275.03 Other Hemochromatosis
275.09 Other Disorders Of Iron Metabolism
276.61 Transfusion Associated Circulatory Overload
276.69 Other Fluid Overload
278.03 Obesity Hypoventilation Syndrome
287.41 Posttransfusion Purpura
287.49 Other Secondary Thrombocytopenia
315.35 Childhood Onset Fluency Disorder
447.7 Aortic Ectasia, Unspecified Site
447.71 Thoracic Aortic Ectasia
447.72 Abdominal Aortic Ectasia
447.73 Thoracoabdominal Aortic Ectasia
488.01 Influenza Due To Identified Avian Influenza Virus With Pneumonia
488.02 Influenza Due To Identified Avian Influenza Virus With Other Respiratory Manifestations
488.09 Influenza Due To Identified Avian Influenza Virus With Other Manifestations
488.11 Influenza Due To Identified Novel H1N1 Influenza Virus With Pneumonia
488.12 Influenza Due To Identified Novel H1N1 Influenza Virus With Other Respiratory Manifestations
488.19 Influenza Due To Identified Novel H1N1 Influenza Virus With Other Manifestations
560.32 Fecal Impaction
724.03 Spinal Stenosis, Lumbar Region, With Neurogenic Claudication
752.31 Agenesis Of Uterus
752.32 Hypoplasia Of Uterus
752.33 Unicornuate Uterus
752.34 Bicornuate Uterus
752.35 Septate Uterus
752.36 Arcuate Uterus
752.39 Other Anomalies Of Uterus
752.43 Cervical Agenesis
752.44 Cervical Duplication
752.45 Vaginal Agenesis
752.46 Transverse Vaginal Septum
752.47 Longitudinal Vaginal Septum
780.33 Post Traumatic Seizures
780.66 Febrile Nonhemolytic Transfusion Reaction
784.52 Fluency Disorder In Conditions Classified Elsewhere
784.92 Jaw Pain
786.3 Hemoptysis, Unspecified
786.31 Acute Idiopathic Pulmonary Hemorrhage In Infants [AIPHI]
786.39 Other Hemoptysis
787.6 Full Incontinence Of Feces
787.61 Incomplete Defecation
787.62 Fecal Smearing
787.63 Fecal Urgency
799.51 Attention Or Concentration Deficit
799.52 Cognitive Communication Deficit
799.53 Visuospatial Deficit
799.54 Psychomotor Deficit
799.55 Frontal Lobe And Executive Function Deficit
799.59 Other Signs And Symptoms Involving Cognition
970.81 Poisoning By Cocaine
970.89 Poisoning By Other Central Nervous System Stimulants
999.6 ABO Incompatibility Reaction, Unspecified
999.61 ABO Incompatibility With Hemolytic Transfusion Reaction Not Specified As Acute Or Delayed
999.62 ABO Incompatibility With Acute Hemolytic Transfusion Reaction
999.63 ABO Incompatibility With Delayed Hemolytic Transfusion Reaction
999.69 Other ABO Incompatibility Reaction
999.7 Rh Incompatibility Reaction, Unspecified
999.71 Rh Incompatibility With Hemolytic Transfusion Reaction Not Specified As Acute Or Delayed
999.72 Rh Incompatibility With Acute Hemolytic Transfusion Reaction
999.73 Rh Incompatibility With Delayed Hemolytic Transfusion Reaction
999.74 Other Rh Incompatibility Reaction
999.75 Non-ABO Incompatibility Reaction, Unspecified
999.76 Non-ABO Incompatibility With Hemolytic Transfusion Reaction Not Specified As Acute Or Delayed
999.77 Non-ABO Incompatibility With Acute Hemolytic Transfusion Reaction
999.78 Non-ABO Incompatibility With Delayed Hemolytic Transfusion Reaction
999.79 Other Non-ABO Incompatibility Reaction
999.8 Transfusion Reaction, Unspecified
999.83 Hemolytic Transfusion Reaction, Incompatibility Unspecified
999.84 Acute Hemolytic Transfusion Reaction, Incompatibility Unspecified
999.85 Delayed Hemolytic Transfusion Reaction, Incompatibility Unspecified
V11.4  Personal History Of Combat And Operational Stress Reaction
V13.23 Personal History Of Vaginal Dysplasia
V13.24 Personal History Of Vulvar Dysplasia
V13.62 Personal History Of Other (Corrected) Congenital Malformations Of Genitourinary System
V13.63 Personal History Of (Corrected) Congenital Malformations Of Nervous System
V13.64 Personal History Of (Corrected) Congenital Malformations Of Eye, Ear, Face And Neck
V13.65 Personal History Of (Corrected) Congenital Malformations Of Heart And Circulatory System
V13.66 Personal History Of (Corrected) Congenital Malformations Of Respiratory System
V13.67 Personal History Of (Corrected) Congenital Malformations Of Digestive System
V13.68 Personal History Of (Corrected) Congenital Malformations Of Integument, Limbs, And Musculoskeletal
V15.53 Personal History Of Retained Foreign Body Fully Removed
V25.11 Encounter For Insertion Of Intrauterine Contraceptive Device
V25.12 Encounter For Removal Of Intrauterine Contraceptive Device
V25.13 Encounter For Removal And Reinsertion Of Intrauterine Contraceptive Device
V49.86 Do Not Resuscitate Status
V49.87 Physical Restraints Status
V62.85 Homicidal Ideation
V85.41 Body Mass Index 40.0-44.9, Adult
V85.42 Body Mass Index 45.0-49.9, Adult
V85.43 Body Mass Index 50.0-59.9, Adult
V85.44 Body Mass Index 60.0-69.9, Adult
V85.45 Body Mass Index 70 And Over, Adult
V88.11 Acquired Total Absence Of Pancreas
V88.12 Acquired Partial Absence Of Pancreas
V90.01 Retained Depleted Uranium Fragments
V90.09 Other Retained Radioactive Fragments
V90.10 Retained Metal Fragments, Unspecified
V90.11 Retained Magnetic Metal Fragments
V90.12 Retained Nonmagnetic Metal Fragments
V90.2  Retained Plastic Fragments
V90.31 Retained Animal Quills Or Spines
V90.32 Retained Tooth
V90.33 Retained Wood Fragments
V90.39 Other Retained Organic Fragments
V90.81 Retained Glass Fragments
V90.83 Retained Stone Or Crystalline Fragments
V90.89 Other Specified Retained Foreign Body
V90.9  Retained Foreign Body, Unspecified Material
V91.00 Twin Gestation, Unspecified Number Of Placenta, Unspecified Number Of Amniotic Sacs
V91.01 Twin Gestation, Monochorionic/Monoamniotic (One Placenta, One Amniotic Sac)
V91.02 Twin Gestation, Monochorionic/Diamniotic (One Placenta, Two Amniotic Sacs)
V91.03 Twin Gestation, Dichorionic/Diamniotic (Two Placentae, Two Amniotic Sacs)
V91.09 Twin Gestation, Unable To Determine Number Of Placenta And Number Of Amniotic Sacs
V91.10 Triplet Gestation, Unspecified Number Of Placenta And Unspecified Number Of Amniotic Sacs
V91.11 Triplet Gestation, With Two Or More Monochorionic Fetuses
V91.12 Triplet Gestation, With Two Or More Monoamniotic Fetuses
V91.19 Triplet Gestation, Unable To Determine Number Of Placenta And Number Of Amniotic Sacs
V91.20 Quadruplet Gestation, Unspecified Number Of Placenta And Unspecified Number Of Amniotic Sacs
V91.21 Quadruplet Gestation, With Two Or More Monochorionic Fetuses
V91.22 Quadruplet Gestation, With Two Or More Monoamniotic Fetuses
V91.29 Quadruplet Gestation, Unable To Determine Number Of Placenta And Number Of Amniotic Sacs
V91.90 Other Specified Multiple Gestation, Unspec Number Of Placenta And Unspec Number Of Amniotic Sacs
V91.91 Other Specified Multiple Gestation, With Two Or More Monochorionic Fetuses
V91.92 Other Specified Multiple Gestation, With Two Or More Monoamniotic Fetuses
V91.99 Other Specified Multiple Gestation, Unable To Det Number Of Placenta And Number Of Amniotic Sacs
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ICD Favorites Additions
Code Description
237.79  Other Neurofibromatosis
275.01  Hereditary Hemochromatosis
275.02  Hemochromatosis Due To Repeated Red Blood Cell Transfusions
275.03  Other Hemochromatosis
275.09  Other Disorders Of Iron Metabolism
276.61  Transfusion Associated Circulatory Overload
276.69  Other Fluid Overload
287.49  Other Secondary Thrombocytopenia
488.01  Influenza Due To Identified Avian Influenza Virus With Pneumonia
488.02  Influenza Due To Identified Avian Influenza Virus With Other Respiratory Manifestations
488.09  Influenza Due To Identified Avian Influenza Virus With Other Manifestations
488.11  Influenza Due To Identified Novel H1N1 Influenza Virus With Pneumonia
488.12  Influenza Due To Identified Novel H1N1 Influenza Virus With Other Respiratory Manifestations
488.19  Influenza Due To Identified Novel H1N1 Influenza Virus With Other Manifestations
560.32  Fecal Impaction
724.03  Spinal Stenosis, Lumbar Region, With Neurogenic Claudication
786.30  Hemoptysis, Unspecified
786.39  Other Hemoptysis
787.60  Full Incontinence Of Feces
970.81  Poisoning By Cocaine
970.89  Poisoning By Other Central Nervous System Stimulants
V49.86  Do Not Resuscitate Status
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New CPTs
Code Description
1400F Parkinson’s disease diagnosis reviewed
3700F Psychiatric disorders or disturbances assessed
3720F Cognitive impairment or dysfunction assessed
4324F Patient (or caregiver) queried about Parkinson’s disease medication related motor complications
4325F Medical and surgical treatment options reviewed with patient (or caregiver)
4326F Patient (or caregiver) queried about symptoms of autonomic dysfunction
4328F Patient (or caregiver) queried about sleep disturbances
4400F Rehabilitative therapy options discussed with patient (or caregiver)
6080F Patient (or caregiver) queried about falls
6090F Patient (or caregiver) counseled about safety issues appropriate to patient’s stage of disease
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