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2012 Coding Update CDP User’s Meeting January 2012

2012 Coding Update CDP User’s Meeting January 2012 . Cynthia H. Robinson DPH/Administration & Financial Management Local Health Operations . ICD-9 Revisions 2012 Effective 10/1/2011 . 010.0- Has been updated to: 010.00 - Primary tuberculous complex, unspecified examination

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2012 Coding Update CDP User’s Meeting January 2012

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  1. 2012 Coding Update CDP User’s MeetingJanuary 2012 Cynthia H. Robinson DPH/Administration & Financial Management Local Health Operations

  2. ICD-9 Revisions 2012 Effective 10/1/2011 • 010.0- Has been updated to: 010.00 - Primary tuberculous complex, unspecified examination 010.01 - Primary tuberculous complex, bacteriological or histological examination not done 010.02 - Primary tuberculous complex, bacteriological or histological examination results unknown (at present) 010.03 - Primary tuberculous complex, tubercle bacilli found (in sputum) by microscopy

  3. ICD-9 Revisions 2012 Effective 10/1/2011 010.04 - Primary tuberculous complex, tubercle bacilli not found (in sputum) by microscopy, but found by bacterial culture010.05 - Primary tuberculous complex, tubercle bacilli not found by bacteriological examination, but tuberculosis confirmed histologically010.06 - Primary tuberculous complex, tubercle bacilli not found by bacteriological or histological examination, but tuberculosis confirmed by other methods (inoculation of animals)

  4. ICD-9 Revisions 2012 Effective 10/1/2011 • 795.5- has been updated to : 795.51 - Nonspecific reaction to tuberculin skin test without active tuberculosis Abnormal result of Mantoux test; PPD positive; Tuberculin (skin test) positive; Tuberculin (skin test) reactor 795.52 - Nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis Nonspecific reaction to QuantiFERON-TB test (QFT) without active tuberculosis

  5. ICD-9 Revisions 2012 Effective 10/1/2011 Please email Localhealth.helpdesk@ky.govfor a complete listing of all ICD-9 changes effective 10/1/2011.

  6. ICD – 10 IT IS COMING…. It will be effective: OCTOBER 1, 2013

  7. ICD -10 IT IS COMING…2013 Examples of ICD-9 converted to ICD-10: ICD-9:ICD-10: 269.9- Unspecified nutritional deficiency E639 Same Description V15.82 Personal History of Tobacco Use Z87.891 Personal history of nicotine dependence 784.0- Headache Facial pain; Pain in head NOS R51 Same Description V06.9- Need for prophylactic vaccination Z23 Encounter for immunization with unspecified combined vaccine V20.2- Routine infant or child health checkZ00.129Encntr for routine child health Developmental testing or infant or child; exam w/o abnormal findings Health check for child over 28 days old; Immunizations appropriate for age; Routine vision and hearing testing

  8. CPT Coding Changes 2012 • 11975 – Deleted – To Report insertion of non-biodegradable drug delivery implant for contraception use 11981 • 11981 – Insertion, non-biodegradable drug delivery implant

  9. CPT Coding Changes 2012 • 11976 – Revised – Removal, implantable contraceptive capsules • 11982 – Removal, non-biodegradable drug delivery implant

  10. CPT Coding Changes 2012 • 11977 – Deleted – To Report removal of implantable contraception capsules with subsequent insertion of non-biodegradable drug delivery implant, use 11976 &11981 • 11983 – Removal with reinsertion, non-biodegradable drug delivery implant

  11. PEF Changes for January 2012

  12. Immunization Components In an effort to reduce confusion on Immunization Components, LHO has added the number of components contained in each Immunization to the outside of the vaccine. For example:

  13. Diagnose codes for Ky Women’s Cancer Screening Program (KWCSP) LHO wanted to make it easier to provide the correct diagnose codes for this program. We have added the codes the program would like to see listed for this procedure to the PEF in order to assist in correct coding.

  14. Multi-vitaminsDefinitions W0506 – Multi-vitamin FIRST BOTTLE – 3 month supply – Payment from Program W0506FR – Multi-vitamin – Additional bottles FREE – thru Local Funds --- W0506CH – Charge to the patient

  15. Contraceptives This where I have replaced the previous deleted codes with the new correct codes. 11981 – Insertion 11982 – Removal 11983 – Removal with reinsertion.

  16. Questions LHO Website Location: http://chfs.ky.gov/dph/info/lhd/lhob.htm LHO Help Desk Email: Localhealth.helpdesk@ky.gov

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