Health Information Management

Tip: Classifications changing in ICD-10-CM

APCs Insider, May 1, 2015

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Not all classifications remain the same in ICD-10-CM. Hemoptysis (coughing up blood or blood-stained sputum) is not routinely associated with pneumonia. However, when coders look up "pneumonia" in the ICD-9-CM Alphabetic Index, the term is followed by several lines of nonessential modifiers.
In ICD-9-CM, coders will not report hemoptysis separately because "hemorrhagic" is one of those nonessential modifiers.
In ICD-10-CM, hemorrhagic is no longer part of the list of nonessential modifiers for pneumonia, so coders can code hemoptysis separately if it is present. Coders will report the appropriate pneumonia code first, followed by R04.2 (hemoptysis) as an additional code, if present.
This tip is adapted from “Start resolving ICD-10-CM questions" in the May issue of Briefings on APCs.

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