AHA Coding Clinic® for ICD-9 - 2011 Issue 4
V Code Update
Contact/Exposure A new code (V87.02) has been created to describe patients who have been in contact with or suspected exposure to uranium. Uranium is radioactive and contact or exposure can cause chemical and radiological toxicity. The major effect is kidney toxicity, which is caused by breathing air contaminated by uranium particles or by eating food containing uranium. Very high uranium intake (approximately 50-150 mg) can lead to acute kidney failure and death. At lower intake levels (about 25-40 mg) damage can be detected by the presence of protein and dead cells in the urine. History (of) There are...
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Article Overview
This article summarizes a set of V code additions and expansions affecting several broad areas of ICD-9-CM coding, including exposure history, personal and family history, aftercare, joint status, pregnancy-related counseling, and behavioral problems. It is useful for coders, CDI staff, and clinical documentation teams who need to track what changed and where the new categories fit within the code system.
Why This Topic Matters
The updates affect how common encounters and documented histories are categorized, so they are relevant to accurate recordkeeping, code maintenance, and identifying when new V codes apply within the affected clinical areas.
Article Sections
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Contact/Exposure
Introduces an update within exposure-related coding and describes the general clinical context for the new category.
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History (of)
Covers additions and expansions within personal and family history coding across several clinical areas.
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Aftercare
Describes an added aftercare category related to post-procedure follow-up and staged care involving joint prosthesis removal and replacement.
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Status
Reviews newly created status codes related to joint absence and long-term medication use.
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Counseling and Obstetrics and Related Conditions
Addresses pregnancy-related counseling updates involving prior pregnancy history and assessment of fetal viability.
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Miscellaneous
Summarizes an expansion in behavioral problem coding and the addition of new related categories.
What You Will Learn
- How the article organizes the updated V code topics into major clinical categories.
- Which areas of documentation were expanded or newly created in this code update.
- What kinds of encounter types and histories are addressed by the update.
- How the article frames changes affecting pregnancy-related and behavioral documentation.
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement staff
- Health information management professionals
- Billing and reimbursement staff
Codes Discussed
Code Ranges Discussed
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