As you all know, ICD-9 2011 will go into effect on October 1, 2010. So if you have patients who get blood transfusions, gear up for some key changes to your diagnosis coding choices later this year. CMS has provided proposed updates for ICD-9 2011, and transfusion-reaction codes are everywhere.
Broaden your iron overload options
Right now, under ICD 2010, if you need to code hemochromatosis, you will need to code 275.0. But when ICD-9 2011 goes into effect, you will have more specific options to code hemochromatosis. This time ICD-9 intends to make 275.0 invalid and replace it with the following: 275.01, 275.02, 275.03, and 275.09.
When the ICD-9 2011 becomes official, you will have to pay close attention to any notes with the codes to ensure you're pairing your case to the right ICD-9 option for your Oncology practice. ICD-9 2011 also intends to expand the current 276.6 to include 276.61 and 276.69. Another proposal would expand 287.4 to include the 287.41 and 287.49. This change would allow precise reporting of posttransfusion purpura (PTP), which normally arises five to 12 days after transfusion of blood components. What's more, the addition of 999.83 has been proposed; this would have placed it under 999.8. However, the proposed rule lists 780.66 placing FNHTR under 780.6.
Apart from all these, a slew of other potential new transfusion-reaction codes add specificity to reporting incompatibility reaction type and timing (acute or delayed).
Acute: Acute hemolytic transfusion reaction (AHTR) is accelerated destruction of red blood cells less than 24 hours after transfusion. The proposed codes which specify acute are 999.62, 999.72, 999.77, and 999.84.
Delayed: On the other hand, delayed hemolytic transfusion reaction (DHTR) refers to "accelerated destruction of red blood cells which normally manifests 24 hours to 28 days after a transfusion." The proposed codes include 999.63, 999.73, 999.78, and 999.85.
So with more than 130 proposed new codes, there are chances you will need to use at least some of them for your patients. As such, you need to stay informed of all the ICD-9 2011 code changes. One way of doing so from the comforts of your office or meeting room is an audio conference. On signing up for such a conference, you also stand to acquire CEUs.
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