The patient did well post-operatively. However, he did experience pleural effusion and will participate in cardiac rehabilitation. He will take aspirin and Tylenol with Codeine, Lopressor (50 mg per day) and Colace as necessary. DISCHARGE DIAGNOSIS: • unstable angina • recent incomplete anterior wall myocardial infarction • Coronary atherosclerosis, three vessels • double bypass surgery WHAT ARE THE ICD-9 CODES FOR THIS ADMISSION? a. 414.01, 414.05, 410.12, 411.1, V45.81, 36.11, 36.15, 39.61, 37.22, 88.53, 88.57 b. 414.01, 414.05, 410.12, 411.1, V45.81, 36.12, 39.61, 37.22, 88.53, 88.57 c. 414.00, 414.05, 410.11, 411.1, V45.81, 36.11, 36.15, 39.61, 37.22, 38.53, 88.53, 88.57 d. 414.01, 414.05, 410.12, 411.1, 412, V45.81, 36.11, 36.15, 39.61, 37.22, 88.53, 88.57 The correct answer is a: 414.01, 414.05, 410.12, 411.1, V45.81, 36.11, 36.15, 39.61, 37.22, 88.53, 88.57 LET’S TRANSLATE THE ICD-9 CODES TO ICD-10: 414.01 = I25.110 – atherosclerotic heart disease of native coronary artery with unstable angina pectoris 414.05 = I25.790 – atherosclerosis of other coronary artery bypass graft with unstable angina pectoris 410.12 = I21.09 – sT elevation (sTemI) myocardial infarction involving other coronary artery of anterior wall 411.1 = identified with the use of I25.110 and I25.790 V45.81 = Z95.1 – presence of aortocoronary bypass graft 36.11 = 02100aW – bypass coronary artery one site from aorta with autologous arterial tissue open approach 36.15 = 02100a9 – bypass coronary artery, one site from left internal mammary with autologous arterial tissue open approach 39.61 = 5a1221Z – performance of cardiac output continuous 37.22 = 4a020N7 – measurement of cardiac sampling and pressure left heart, open approach 88.53 = B215YZZ – fluoroscopy of left heart using other contrast 88.57 = B201YZZ – plain radiography of multiple coronary arteries using other contrast ICD-10 The primary root operation is bypass, altering the route of passage of the contents of a tubular body part. The coronary artery bypass graft (CaBg) falls into this category. The other services are classified under the measuring and monitoring and imaging categories. discharge Summary #3 The patient is a 68-year-old female complaining of low back pain with radiculopathy extending down her right leg and into her foot. The pain has become progressively worse over the last year. The mrI revealed degenerative disc disease at L2-L3, L3-L4, and L4- L5. The patient also has stenosis and facet arthropathy at the same levels. The past medical history is significant for coronary artery disease, hypertension, and arthritis. The patient’s surgical history is significant for a CaBg three years ago. stents were placed four years ago. The patient was admitted for lumbar epidural steroid injections for her lumbar radiculopathy. WHAT ARE THE ICD-9 CODES FOR THIS ADMISSION? a. 722.52, 721.3, 724.02, 724.4, 414.00, 401.9, 03.92, 99.23, 88.91 b. 724.4, 414.00, 401.9, 03.92, 99.23, 88.91 c. 722.52, 721.3, 414.00, 401.9, 03.92, 99.23, 88.91 d. 722.52, 721.3, 414.00, 401.9, 03.91, 88.91 The correct answer is a: 722.52, 721.3, 724.02, 724.4, 414.00, 401.9, 03.92, 99.23, 88.91 LET’S TRANSLATE THE ICD-9 CODES TO ICD-10: 722.5 = m51.36 – other intervertebral disc degeneration, lumbar region 721.3 = m47.26 – other spondylosis with radiculopathy, lumbar region 414.00 = I25.10 – atherosclerotic heart disease of native coronary artery without angina pectoris 401.9 = I10 – hypertension 03.92 = 3e0s3NZ – introduction of analgesics, hypnotics, sedatives into epidural space, percutaneous approach 99.23 = 3e0u33Z – introduction of anti-inflammatory into joints, percutaneous approach 88.91 = ZNT39ZZZ – mrI of lumbar spine It will be important to conduct robust dual coding of services beginning january 2015. You also should determine which carriers THe jOurNaL OF THe HeaLTHCare BILLINg aNd maNagemeNT assOCIaTION 33
Billing_JanFeb15
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