Nancy, this is from my local carrier's website: http://www.umd.nycpic.com/lcd.html
Each listing tells which ICD codes are valid for each procedure. There is probably a similar document for your carrier, and although the link is broken the page also refers to a national policy. Mike Nancy Anthracite wrote: > I read Bhaskar's request quickly and just assumed immediately it was ICD-9 > and > ICD-10 he was doing. Now I see what they may have in mind. Maybe it is > matching the diagnostic codes that justify the CPT codes. > > If that is what they want, they should just ask the insurance companies or > maybe Medicare to cough them up. They are more than happy to deny payment > because they don't match, but I have not been able to find a listing of what > will be OK and what won't. After all, it would be harder to deny payment if > they did that because we would goof less when requesting lab tests and the > like. > > On Wednesday 14 June 2006 19:07, James Abbott wrote: > --- "K.S. Bhaskar" <[EMAIL PROTECTED]> wrote: > >>His project is to create a cross reference index > > > between ICD-9 codes and CPT codes. > > > I know you are just the messenger, an we shouldn't > shoot you ;) However, I see this as a strange project > to undertake (depending on who else is on the team > with your son). ICD-9 codes are used to classify > causes of death. They have been modified to the > ICD-9-CM codes to be used for coding (and clinical) > purposes. Either way, it's an index of diseases or > conditions of the body. CPT codes are used to > describe procedures. It isn't like comparing apples > and oranges. It's like comparing apples and methods > of cooking! > > It may be different for some specialties. I'm a > family practice doc. A small number of codes have a > one-to-one mapping. Cerumen impaction (ICD9) and > cerumen removal (CPT) is an example. Other codes have > a one-to-many relationship. Therapeutic injection > (CPT code) is used to inject steroids (say for poison > ivy (ICD9) or asthma (ICD9)), depo provera (for birth > control), B12 (for B12 deficiency), vitamin K (for > prophylaxis or elevated INR), etc, etc. There are > probably over 100 different ICD9 codes I could say > that one CPT code could be used for. > > I have had to learn a fair bit about different medical > ontologies this last year. I wish I had one of the > papers with me (I'm currently traveling). The > overarching thing I have learned has been that all the > different systems are different because they serve a > different purpose. SNOMED, PKC, MEDCIN and ICD-9-CM > (just a few examples) all have different ways of > organizing and structuring data, because they were > meant to serve different purposes. I bring this up > because it would be interesting to know what purpose > the NIST has in trying to pair up the CPT codes and > the ICD-9 codes. I can easily see the links being > set-up differently depending on what they wanted to do > with that data afterwards. You can finds lots of > 'relationships' that aren't useful to most folks. > > I hope they have a fairly clear purpose in mind for > mapping the two together. > > Having now said all of that, a good product for > mapping two fairly different systems together would be > L&Cs LinkFactory. Here's their web page: > http://www.landcglobal.com/pages/linkfactory.php . I > haven't used it myself, but I know that it has been > used by the folks trying to map the different systems > in AHLTA. Depending on their goal it may be a good > way to manage their links. > > James Abbott, M.D > > > __________________________________________________ > Do You Yahoo!? > Tired of spam? Yahoo! Mail has the best spam protection around > http://mail.yahoo.com > > > _______________________________________________ > Hardhats-members mailing list > Hardhats-members@lists.sourceforge.net > https://lists.sourceforge.net/lists/listinfo/hardhats-members > _______________________________________________ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
