Home Health & Hospice

Check out the ICD-9 Coding Changes

Homecare Insider, July 13, 2009

Every year, the Centers for Disease Control and Prevention update the ICD-9-CM.  Here’s a quick look at some of the changes that will have an impact on home health care providers.

There will be new case-mix diagnoses, which include the following:  
• Merkel cell carcinoma by site (209.3)
• Anntineoplastic chemotherapy-induced anemia (285.3)
• Temporal sclerosis (348.81)
• Dysarthria (438.13)
• Fluency disorder (438.14)

There will be an expansion of codes for venous embolism and thrombosis (453).  The new codes will more clearly define superficial venous thrombosis of the lower extremities and deep vein thrombosis of the major veins in the thorax and upper extremities.

The update includes more than 30 new and revised V codes and 165 new E codes.  It’s likely that only one of these, speech-language therapy (V57.3), will have an impact on homecare documentation.  There are also some new codes to describe voice disturbances (784.4) and changes in wording for acute renal failure (584).

What should your agency do about these coding changes?
Download the new, revised, and invalid codes.
• Study the updates to identify the impact on your agency’s coding practices.  
• Register for a special audio conference on August 4, “Fall 2009 Update:  ICD-9-CM, Diagnosis Coding, and HHABN.”  Click here for more information.