AHA Coding Clinic® for ICD-9 - 2011 Issue 4; VOLUMES 1 & 2 NEW/REVISED CODES
Pseudobulbar Affect
Effective October 1, 2011 code 310.8 has been expanded to uniquely identify pseudobulbar affect (310.81) and other specified nonpsychotic mental disorders following organic brain damage (310.89). Prior to this change, pseudobulbar affect was indexed to code 310.8, Other specified nonpsychotic mental disorders following organic brain damage. Pseudobulbar affect (PBA) is a neurologic disorder which triggers involuntary frequent and uncontrollable outbursts of crying, laughing or both. PBA occurs secondary to neurologic disease or injury and has been reported to occur in patients with amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), stroke and traumatic brain injury (TBI)...
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Article Overview
This article covers an ICD-9-CM coding change effective October 1, 2011 involving pseudobulbar affect and related nonpsychotic mental disorders following organic brain damage. It also gives a broad clinical overview of pseudobulbar affect, the kinds of neurologic conditions it may follow, and the general coding context for related diagnoses. The article is intended for coders and clinical documentation users who need to understand the updated classification and its surrounding guidance.
Why This Topic Matters
The update changes how this neurologic condition is identified in ICD-9-CM and clarifies its relationship to other diagnoses in the same category. That makes the article relevant for anyone reviewing diagnosis coding, documentation, or sequencing in neurologic and injury-related cases.
Article Sections
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Effective October 1, 2011 coding update
Introduces the classification change and the affected diagnosis category. Summarizes the scope of the update at a high level.
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Pseudobulbar affect overview
Describes the condition in general clinical terms and notes the types of neurologic diseases or injuries with which it may be associated. Also discusses broad issues that may affect recognition and documentation.
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ICD-9-CM category listing and revisions
Presents the surrounding ICD-9-CM category structure and the revised terms associated with the affected section. Includes the broader classification context referenced in the article.
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Coding example
Provides a brief scenario involving a patient with a neurologic injury and symptoms consistent with the article topic. Shows the general type of sequencing discussion addressed in the article.
What You Will Learn
- How the article situates pseudobulbar affect within an ICD-9-CM update
- What broad clinical features are associated with pseudobulbar affect
- Which types of neurologic conditions are mentioned in connection with the topic
- What general coding context is discussed for related diagnoses and sequencing
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation staff
- Revenue cycle professionals
- Health information management professionals
Codes Discussed
Code Ranges Discussed
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