Fiscal Year 2008 ICD-9-CM Update Audio Seminar/Webinar September 18, and September 20, 2007 Practical Tools for Seminar Learning © Copyright 2007 American Health Information Management Association. All rights reserved. Disclaimer The American Health Information Management Association makes no representation or guarantee with respect to the contents herein and specifically disclaims any implied guarantee of suitability for any specific purpose. AHIMA has no liability or responsibility to any person or entity with respect to any loss or damage caused by the use of this audio seminar, including but not limited to any loss of revenue, interruption of service, loss of business, or indirect damages resulting from the use of this program. AHIMA makes no guarantee that the use of this program will prevent differences of opinion or disputes with Medicare or other third party payers as to the amount that will be paid to providers of service. As a provider of continuing education, the American Health Information Management Association (AHIMA) must assure balance, independence, objectivity and scientific rigor in all of its endeavors. AHIMA is solely responsible for control of program objectives and content and the selection of presenters. All speakers and planning committee members are expected to disclose to the audience: (1) any significant financial interest or other relationships with the manufacturer(s) or provider(s) of any commercial product(s) or services(s) discussed in an educational presentation; (2) any significant financial interest or other relationship with any companies providing commercial support for the activity; and (3) if the presentation will include discussion of investigational or unlabeled uses of a product. The intent of this requirement is not to prevent a speaker with commercial affiliations from presenting, but rather to provide the participants with information from which they may make their own judgments. AHIMA 2007 Audio Seminar Series i Faculty Lizabeth Fisher, RHIA Ms. Fisher is a medical systems specialist at the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC) in Hyattsville, MD. NCHS is responsible for maintenance of Volumes 1 and 2 of ICD-9-CM as well as development and preparation for implementation of ICD-10-CM. Ms. Fisher has over 25 years experience in the HIM field. Mady Hue, RHIA, CCS Ms. Hue is a health insurance specialist in the division of acute care, hospital and ambulatory policy group, Center for Medicare Management, at the Centers for Medicare and Medicaid Services (CMS) in Baltimore, MD. CMS maintains the Procedure Volume, both tabular and index, of ICD-9-CM. Ms. Hue has over 15 years experience in the HIM field. AHIMA 2007 Audio Seminar Series ii Table of Contents Disclaimer .....................................................................................................................i Faculty .........................................................................................................................ii Seminar Goals................................................................................................................ 1 ICD-9-CM Maintenance Cycle .......................................................................................... 1 Diagnosis Code Changes Summary.............................................................................................................. 3 Infectious and Parasitic Diseases ..................................................................................... 3 Neoplasms ................................................................................................................... 5 Endocrine, Nutritional and Metabolic Diseases and Immunity Disorders............................... 6 Neurology Hearing Loss......................................................................................................... 7 Mytotonic Disorders............................................................................................... 9 Floppy Iris Syndrome............................................................................................. 9 Case Study ..........................................................................................................10 Cardiovascular Chronic total occlusion..........................................................................................11 Septic embolism...................................................................................................12 Case Study ..........................................................................................................13 Respiratory – Avian influenza .........................................................................................13 Digestive System – Anal sphincter tear............................................................................14 Pregnancy, Childbirth, and the Puerperium......................................................................14 Intraepithelia Neoplasia ........................................................................................15 Musculoskeletal System Osteonecrosis of jaw ............................................................................................15 Other disorders of bone and cartilage ....................................................................16 Signs and Symptoms Dysphasia............................................................................................................16 Malignant ascites..................................................................................................17 Injury and Poisoning .....................................................................................................17 V Codes ..................................................................................................................18 Case Study ..........................................................................................................20 E Codes and the Federal Register ...................................................................................21 Other Coding Changes...................................................................................................22 Resources/References ...................................................................................................24 Procedure Codes...........................................................................................................24 Blood Brain Barrier ........................................................................................................25 Intra-operative Neurophysiologic Monitoring (IOM) ..........................................................27 Intracranial Monitoring .........................................................................................28 Operations on Other Endocrine Glands............................................................................29 Thymus...............................................................................................................30 Excision of Lung............................................................................................................31 Thorascoscopic Lung Procedures ....................................................................................31 Other Operations of Lung......................................................................................33 Operations on Chest Wall, Pleura, Mediastinum and Diaphragm ........................................33 Liver Biopsy ..................................................................................................................34 Female Pelvic Prolapse Repair ........................................................................................34 AHIMA 2007 Audio Seminar Series Table of Contents Vaginal Construction and Reconstruction Other Repair of Vagina .........................................................................................35 Other Operations on Vagina and Cul-de-sac............................................................36 Spinal Motion Preservation Procedures............................................................................36 Intra-Operative Fluorescence Vascular Angiography .........................................................38 Intra-Operative Electron Radiation Therapy .....................................................................38 Other Significant Addenda Changes ................................................................................39 Resources ..................................................................................................................40 Appendix ..................................................................................................................23 CE Certificate Instructions AHIMA 2007 Audio Seminar Series Fiscal Year 2008 ICD-9-CM Update Notes/Comments/Questions Goals Review ICD-9-CM maintenance process Highlight October 1, 2007 diagnosis and procedure code changes Give examples of code use Provide further resources 1 ICD-9-CM Maintenance Cycle ICD-9-CM Coordination and Maintenance Committee • Joint chair by NCHS and CMS • Open public meetings twice per year • Proposals and summaries posted online Public comment periods following meetings Changes published in Federal Register • Proposed Rule - May • Final Rule – August Complete addenda posted 2 AHIMA 2007 Audio Seminar Series 1 Fiscal Year 2008 ICD-9-CM Update Notes/Comments/Questions http://bookstore.gpo.gov/ 3 Highlights of ICD-9-CM Diagnosis Code Changes 4 AHIMA