Health Information Management

Coding Shone's syndrome with subaortic stenosis and coarctation

HIM-HIPAA Insider, April 14, 2009

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Q: How should I code Shone’s syndrome with subaortic stenosis and coarctation? Should I report code 746.84 for Shone’s syndrome and code 396.2 (mitral valve insufficiency and aortic valve stenosis) for the subaortic stenosis and coarctation?

A: The code for Shone’s syndrome in the tabular index of the 2009 ICD-9 Manual state, "Use an additional code for associated anomalies, such as coarctation of aorta (code 747.10), congenital mitral stenosis (code 746.5), and subaortic stenosis (code 746.81)." In the alphabetic index, you’ll find "stenosis, subaortic," which includes code 746.81. When searching for "coarctation, aorta," you’ll find code 747.10. Therefore, assign codes 746.81 and 747.10 for subaortic stenosis and coarctation, respectively.

Editor’s note: Sandy Sillman, RHIT, PAHM, DRG coordinator at Henry Ford Health System in Detroit, answered this question, which originally appeared in the April issue of Briefings on Coding Compliance Strategies.



Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

    The HIM Director's Guide to ICD-10
  • The HIM Director's Guide to ICD-10

    ICD-10 is the biggest change for the HIM industry since the implementation of DRGs in the 1980s. HIM directors must take...

  • ICD-10 Trainer

    ICD-10 Trainer provides the latest news and updates related to ICD-10 regulations, and tips from HCPro experts and faculty...

  • Cardiac Anatomy and Physiology

    Cardiac coding under ICD-10-CM will require a deeper knowledge of anatomy and physiology. Code descriptions will be...

  • Coding and You

    Coding and You is written specifically to help non-coders; medical assistants, lab technicians, compliance professionals...

  • Coder Productivity in Today’s Environment

    Insufficient staffing and lack of resources continue to plague HIM departments while they also cope with a move to...

Most Popular