THE CODING EDGE® ARCHIVES

Table of Contents

Procedure Practice 12/15/99 - Feature Article 12/15/99
   

Procedure Practice 12/15/99:
Coding Recommendations

  
Listed below are the ICD-9-CM diagnosis and procedure codes as well as the CPT-4 procedure codes that we think properly classify the treatment described. Please note that modifiers, used only for physician billing purposes, have not been assigned to the CPT-4 codes. If you disagree with our suggestions or have other comments, please send an e-mail to  codingedge@lagunamedsys.com.
   

Suggested Codes and Rationale
   

Diagnosis Codes

This patient was admitted for an embolic stroke of the middle cerebral artery. Additional diagnoses include benign hypertension, bilateral internal carotid artery stenosis, reactive depression, peripheral vascular disease and atrial fibrillation. At the time of discharge the patient had ongoing dysphasia due to her stroke.
  

ICD-9-CM Code(s)  
Tabular List Narrative		  
Alphabetic Index Heading
434.11 Cerebral embolism with cerebral infarction Embolism, brain
427.31 Atrial fibrillation Fibrillation, atrial
433.30** Occlusion and stenosis of precerebral arteries, multiple and bilateral, without mention of cerebral infarct Narrowing, artery, carotid, bilateral
300.4 Neurotic depression Depression, reactive
443.9 Peripheral vascular disease, unspecified Disease, peripheral, vascular
401.1 Benign essential hypertension Hypertension, benign
784.5 Other speech disturbance Dysphasia
** The presence of a cerebral infarction with carotid artery stenosis does not imply that the infarction is due to the carotid disease. If the relationship between the carotid disease and the infarct is unclear in the medical record, query the physician

  

Procedure Practice 12/15/99 - Feature Article 12/15/99
   

Bibliography - References:
ICD-9-CM Coding Clinic, 4th qtr 1998, 4th qtr 1997, American Hospital Association, Chicago, IL
St. Anthony’s Illustrated ICD-9-CM Code Book, c.1999 St. Anthony Publishing, Reston, VA		 Notice: This part of our web site was prepared to assist in understanding and maintaining good coding skills. For proper use of this feature, reference must be made to official coding guidelines when necessary. The information here presented is only to be used as a supplement to those guidelines. Laguna Medical Systems, Inc., makes no representations or guarantees as to amounts that will be paid by Medicare or other third party payers.

 

Please be aware that the Coding Edge® Archive pages are NOT retroactively updated
to reflect possible coding rules and regulation changes made after the publishing date.