Friday, March 23, 2012

ICD-10-CM: V10.05 Switches Places With Z85.030 for Personal History of Colon Neoplasm

ICD-9 Codes

Have you heard the latest news about the new code set's implementation date?

The ICD-10-CM implementation date has been publicly postponed and is no longer Oct. 1, 2013, as per a Feb. 16 statement released from the Dept. of Health and Human Services (HHS). Even though a new date hasn't been declared yet, you can take benefit of the extra time to make certain your practice has all of its arrangements in place for the new medical billing and coding along with the documentation requirements. Stay with your training with this look at how ICD-9 codes for history of malignant colon neoplasm are expected to change when ICD-10 hits.

With ICD-9-CM, you currently code personal history of colorectal cancer with ICD-9 code V10.05 (Personal history of malignant neoplasm of large intestine).

ICD-10-CM difference: The ICD-10-CM code set involves Z85.038 (Personal history of other malignant neoplasm of large intestine) in place of V10.05. Bearing the same descriptor, excluding the word "other" that is added in ICD-10-CM, you must regard Z85.038 the same way you do the ICD-9 code V10.05. The code definition for Z85.038 involves "other" to differentiate it from Z85.030 (Personal history of malignant carcinoid tumor of large intestine).

Documentation: As per ICD-10-CM, Z85.038 applies to conditions classifiable to code range C18 (Malignant neoplasm of colon), which includes:

  • C18.0 (Malignant neoplasm of cecum)
  • C18.1 (Malignant neoplasm of appendix)
  • C18.2 (Malignant neoplasm of ascending colon)
  • C18.3 (Malignant neoplasm of hepatic flexure)
  • C18.4 (Malignant neoplasm of transverse colon)
  • C18.5 (Malignant neoplasm of splenic flexure)
  • C18.6 (Malignant neoplasm of descending colon)
  • C18.7 (Malignant neoplasm of sigmoid colon)
  • C18.8 (Malignant neoplasm of overlapping sites of colon)
  • C18.9 (Malignant neoplasm of colon, unspecified)

Coding tips: ICD-9-CM official guidelines state that you must use history ICD-9 codes (such as V10.05) after a primary malignancy has been earlier excised or eradicated from its site and there is no additional treatment directed to that site and there is no indication of any prevailing primary malignancy.

ICD-10-CM official guidelines offer the same instruction for codes demonstrating history of malignant neoplasm.

Furthermore, a note with the Z85.- range maintains that code first any follow-up examination prior to treatment of malignant neoplasm (Z08)." Code Z08 (Encounter for follow-up examination after completed treatment for malignant neoplasm) involves medical surveillance following completed treatment.

Medical Billing and Coding Tip: Once ICD-10-CM goes into effect, you must apply the code set and official guidelines in effect for the date of service reported.