2012 Coding Update CDP Users 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 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

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 culture 010. 05 - Primary tuberculous complex, tubercle bacilli not found by bacteriological examination, but tuberculosis confirmed histologically 010. 06 - Primary tuberculous complex, tubercle bacilli not found by bacteriological or histological examination, but tuberculosis confirmed by other methods (inoculation of animals)

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) reactor 795. 52 - Nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis Nonspecific reaction to Quanti. FERON-TB test (QFT) without active tuberculosis

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

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

ICD -10 IT IS COMING… 2013 Examples of ICD-9 converted to ICD-10: ICD-9: 269. 9 - Unspecified nutritional deficiency ICD-10: V 15. 82 Personal History of Tobacco Use E 639 Same Description Z 87. 891 Personal history of 784. 0 - Headache Facial pain; Pain in head NOS R 51 Same Description V 06. 9 - Need for prophylactic vaccination with unspecified combined vaccine V 20. 2 - Routine infant or child health check Developmental testing or infant or child; Health check for child over 28 days old; Immunizations appropriate for age; Routine vision and hearing testing nicotine dependence Z 23 Encounter for immunization Z 00. 129 Encntr for routine child health exam w/o abnormal findings

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

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

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, nonbiodegradable drug delivery implant

PEF Changes for January 2012

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:

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.

Multi-vitamins Definitions W 0506 – Multivitamin FIRST BOTTLE – 3 month supply – Payment from Program W 0506 FR – Multivitamin – Additional bottles FREE – thru Local Funds --W 0506 CH – Charge to the patient

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

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