Diseases and procedures are hitting the news.
Last week, the Food and Drug Administration (FDA) announced that 35 people had reported seizures (R56.9) after using electronic cigarettes (F17.290). The seizures were considered adverse events and involved children and young adults. Seizures are possible side effects of nicotine poisoning (T65.221-). The agency is requesting consumers to report any issues with e-cigarettes. Seizures have been reported by people who vaped for the first time and regular users.
In reviewing the coding, it was interesting that there is no adverse reaction code for nicotine. The code above is for accidental poisoning.
The United States declared the elimination of measles in 2000, but almost 400 cases have been reported from Jan. 1-March 28, across 15 states. There are currently six outbreaks happening in the United States, which include Rockland County, N.Y.; New York City, Washington state, Santa Cruz County, Calif.,; the state of New Jersey, and Butte County, Calif.. These outbreaks have been attributed to travelers bringing the disease from foreign countries. The people who contracted measles were unvaccinated.
A story from Sacramento, Calif. was published regarding 200 people who were exposed to measles, as a child in the emergency room of a local hospital was diagnosed with the disease. The patient was initially thought to have the flu, but was later diagnosed with measles. The ICD-10-CM code for encounter for vaccination is Z23.
The Centers for Disease Control and Prevention (CDC) has announced the makeup of the 2019-2020 flu tri-valent vaccine, which will cover:
The quad-valent will add coverage for B/Phuket/3073/2013-like (Yamagata lineage).
The CDC had a delay in selecting the H3N3 vaccine component. It is not known if the delay will impact the timing or availability.
When coding this condition, it is important to remember that associated manifestations such as pneumonia, other respiratory conditions, and gastrointestinal issues will change the code.
For the past five years, public health researchers have been trying to identify the responsible virus that causes acute flaccid myelitis (AFM). The researchers need to understand the triggers and how it works in order to develop a vaccine. Currently, it is believed that non-polio enteroviruses (EV-D68) are the culprits. It is particularly troubling that this virus occurs every other year – 2014, 2016, 2018 – and the rate of occurrence is rising. The researchers are now looking at spinal fluid for the virus antibodies rather than the virus. They are also reviewing AFM patients’ genetic histories to understand why some children are susceptible. The goal is to be prepared to diagnose and treat the disease in case it returns in 2020.
There was not a proposed code for AFM in March, but perhaps in September, a proposed code will be submitted.
Mick Jagger underwent transcatheter aortic valve replacement, TAVR, on April 4. The femoral artery was used to access his aortic valve. His tour will now begin in July rather than this month, as initially planned. Due to the minimally invasive procedure, he’ll be dancing in the streets after a short recovery time.
The ICD-10-PCS code is dependent on the type of material used to replace the valve. PCS includes autologous material, zooplastic, synthetic material, and nonautologous material.
Correction: This article has been corrected: the code for vaping should be F17.290 rather than F17.219
Programming Note:
Listen to Laurie Johnson report this story live today during Talk Ten Tuesday, 10-10:30 a.m.
Resources:
https://www.cdc.gov/flu/about/season/flu-season-2019-2020.htm
https://www.popsci.com/virus-acute-flaccid-myelitis-paralysis
Recent changes to the minimum data set (MDS) assessment and recent audit activity targeting skilled nursing facilities (SNFs) appear to be an emerging issue. As
When Angela Comfort adjusts her headset and microphone as she prepares to cohost Talk Ten Tuesdays this morning, one might forgive her as she momentarily
Please log in to your account to comment on this article.
Unlock the keys to bridging the clinical-finance disconnect by transforming your approach to revenue cycle collaboration for superior patient care and financial prosperity!
Join Dr. Ronald Hirsch as he delves into the pivotal connection between case management, utilization review, and hospital revenue cycles, unveiling strategies to enhance communication and align goals effectively. Discover how to overcome hidden challenges hindering seamless collaboration and gain insights imperative for success
During this webcast Dr. Hirsch will breakdown the CMS-4201-F rule and the new federal regulations, how and when they will apply to Medicare Advantages plans.
The CMS Two-Midnight Rule and short-stay audits are here to stay, impacting inpatient and outpatient admissions, ASC procedures, and Medicare Parts C & D. New for 2024, the Two-Midnight Rule applies to Medicare Advantage patients, requiring differentiation between Medicare plans affecting Case Managers, Utilization Review, and operational processes and knowledge of a vital distinction between these patients that influences post-discharge medical reviews and compliance risk. Join Michael G. Calahan for a comprehensive webcast covering federal laws for all admission processes. Gain the knowledge needed to navigate audits effectively and optimize patient access points, personnel, and compliance strategies. Learn Two-Midnight Rule essentials, Medicare Advantage implications, and compliance best practices. Discover operational insights for short-stay admissions, outpatient observation, and the ever-changing Inpatient-Only Listing.
A massive task lies ahead! Now’s the time to start preparing your case management and utilization review teams for successful implementation of changes contained in the 2024 IPPS, OPPS and MPFS rules.
Uncover effective techniques to foster provider understanding of CDI, empower CDISs and coders to customize their queries for enhanced effectiveness, and learn to engage adult learners, leveraging their experiences for superior learning outcomes. Elevate your CDI expertise, leading to fewer coding errors, reduced claim denials, and minimized audit issues.
This exclusive ICD10monitor webcast series will help you acquire the critical knowledge you need to completely and accurately assign ICD-10-PCS and CPT® codes for spinal fusion and other common spinal procedures.
This exclusive ICD10monitor webcast is intended to elevate and streamline outpatient coding for spinal procedures. Our expert presenter, Kim Felix, RHIA, CCS., will provide clear, detailed explanations covering spinal anatomy, spinal procedures, and correct CPT coding practices.
During this exclusive ICD10monitor webcast, inpatient coders will gain a profound understanding of prevalent spinal procedures. They’ll delve into the intricate anatomy, grasp the purpose and method behind these procedures, uncover essential elements within physician documentation, and receive expert guidance, step by step, on constructing accurate ICD-10-PCS codes. It’s the key to enhancing their expertise and ensuring coding precision.
Copyright © 2023 ICD10monitor. Powered by MedLearn Media.
