ICD-9-CM coding rules are set by the Cooperating Parties, a group that includes the American Hospital Association, the American Health Information Management Association, CMS, and the National Center for Health Statistics. In the AHA publication, Coding Clinic, they did a very nice job in the 4th quarter of 1999 of clarifying coding guidelines for long term care. They can be reached at 800-242-2626.
With the standardization required by HIPAA, it is becoming even more important that everyone know the coding rules for their own settings.
Rena
Subj: Re: New Onset CVAA couple of Questions for the group. I know we have discussed this before, but sometimes I just need reinforcement. Please and Thank you.
Date: 11/9/03 1:25:49 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
It is my understanding that if the CVA was treated in a hospital then 436 cannot be used in the SNF setting.....you would use the 438 ( Late effects of cerebrovascular disease) codes...438 requires 4 and/or 5th digits.
Yes, V codes may be used as primary codes. CMS has told the FI's to update their systems to accept V codes as primary.....use them and see if they work when billed as primary or call your FI to see if they now will accept them.
[EMAIL PROTECTED] wrote:
Can 436 Acute, but ill-defined, cerebrovascular disease be use as a Primary diagnosis to skill a resident under Medicare part A if there is actual skilled care being given?
Can V-Codes be used as a primary diagnosis if there is actual skilled care being delivered to the resident?
Thanks group
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Healthcare Consultant
