decisionhealth Newsletters, Part B News - 2011 Issue 5 (May)
Dermatologists, ophthalmologists would be affected by CMS’s proposed ICD-9 changes
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Article Overview
This article explains proposed CMS ICD-9-CM changes and highlights how they would affect several specialties, including dermatology, ophthalmology, cardiology, orthopedics, gastroenterology, pediatrics, and OB/GYN. It is useful for coders, billers, and clinical practices trying to understand the scope of the update, the types of diagnosis categories involved, and the organizations and timelines associated with the proposed changes.
Why This Topic Matters
The proposed update includes many new, revised, and deleted diagnosis codes across multiple specialties, so practices need to know which clinical areas may be impacted and when the changes would take effect.
Article Sections
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Overview of proposed ICD-9-CM changes
A summary of the scope, timing, and general impact of the proposed update. It introduces the specialties and broad diagnosis areas discussed in the article.
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Dermatology/skin cancer
Discussion of proposed changes affecting skin cancer classification and related reporting needs for dermatology and laboratory settings.
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Ophthalmology/glaucoma
Coverage of proposed glaucoma-related updates, including added staging and related eye-care classification topics.
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Glaucoma risk levels
A separate look at proposed changes related to glaucoma risk categorization and borderline findings.
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Glaucoma family history
Proposed family-history coding updates related to eye disease and glaucoma.
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Gastroenterology changes
Proposed updates for complications associated with gastric banding and other bariatric procedures.
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Cardiology/embolisms
Proposed additions and revisions related to arterial embolisms and other circulatory abnormalities.
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More cardiology changes
Additional proposed cardiovascular diagnosis updates involving pulmonary artery and pulmonary circulation anomalies.
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Orthopedic changes
Proposed orthopedic V-code updates involving acquired absence of joints and related circumstances.
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Orthopedic aftercare
A related proposed aftercare update tied to joint prosthesis explantation and subsequent care.
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Pelvic fractures
Proposed fracture coding changes for multiple pelvic fractures in different encounter types.
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Less common diagnoses for primary care
A brief transition section introducing additional proposed ICD-9-CM changes that may affect primary care and pediatric settings.
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E. coli
Proposed updates for specific Shiga-toxin-producing E. coli infection categories and related pediatric concerns.
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OB/GYN
Proposed updates for complications involving implanted vaginal mesh and related genitourinary materials.
What You Will Learn
- Which medical specialties are most affected by the proposed ICD-9-CM update
- What broad categories of diagnosis changes are included in the proposal
- How the article organizes the proposed updates by specialty area
- What general timing and implementation context surrounds the changes
- Which organizations and committees are associated with the proposed update process
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Practice managers
- Clinicians
- Specialty practice administrators
Codes Discussed
Code Ranges Discussed
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