Modifier – as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbursement. Modifiers may add information or change the description according to the physician documentation to give more specificity for the service or procedure rendered. Appending of an appropriate modifier will effectively respond to…
The clinical examples that are provided here are limited to Office or Other Outpatient Services, Hospital Inpatient Services, Consultation, Emergency and Critical Care services. These clinical examples do not encompass the entire scope of medical practice. Inclusion or exclusion of any particular specialty group does not infer any judgment of importance or lack thereof; nor…
CPC sample question # 1 CPT 26123, CPT 26125, ICD-9-CM 728.6 CPT 26123 is used for reporting the Fasciectomy, with release of 1 single digit and CPT 26125 is for the additional dight. Diagnosis code 728.6 is used to report the Dupuytren’s contraction CPC sample question # 2 CPT 33208, ICD-9-CM 426.12 CPT 33208 is…
Definition of Disorders Of The Thyroid Gland Or Thyroid Hormones System: Disorders due to dysfunction of thyroid gland and regulation systems of thyroid hormone actions including dysfunction of the pituitary, hypothalamus, or thyroid hormone receptors. Hypothyroidism ICD 11 Code For Hypothyroidism 5A00 Hypothyroidism 5A00.0 Congenital hypothyroidism Definition of Congenital hypothyroidism: Hypothyroidism is a condition where…
Definitions of Certain Disorders Involving The Immune System: Disorders in which disturbed immune regulation plays an important part but which cannot be more precisely located elsewhere in the classification. Exclusions: Failure or rejection of transplanted organs or tissues (NE84) Monoclonal gammopathy of undetermined significance (2A83.0) Coded Elsewhere: Hereditary angioedema (4A00.14) Sarcoidosis Definitions of Sarcoidosis: Sarcoidosis…
Coded Elsewhere: Immunodeficiencies with predominantly antibody defects (4A01.0) Combined immunodeficiencies (4A01.1) Defects in the complement system (4A00.1) Diseases of immune dysregulation (4A01.2) Other well-defined immunodeficiency syndromes due to defects in adaptive immunity (4A01.3) Disorders of neutrophil number ICD 11 Codes For Disorders of neutrophil number 4B00 Disorders of neutrophil number Exclusions: Decreased white blood cell…
Definition of Allergic Or Hypersensitivity Conditions: Allergy is a hypersensitivity reaction initiated by a proven immunologic mechanisms. Hypersensitivity is defined as conditions clinically resembling allergy that cause objectively reproducible symptoms or signs, initiated by exposure to a defined stimulus at a dose tolerated by normal subjects. Coded Elsewhere: Eosinophilia (4B03) Hypersensitivity reactions of unspecified nature…
Coded Elsewhere: Schnitzler syndrome (EB03) Monogenic autoinflammatory syndromes Definition of Monogenic autoinflammatory syndromes: Monogenic hereditary autoinflammatory diseases characterised by apparently unprovoked generalised inflammation in the absence of infection or high titre autoantibodies. ICD 11 Codes For Monogenic autoinflammatory syndromes 4A60 Monogenic autoinflammatory syndromes 4A60.0 Familial Mediterranean fever Definition of Familial Mediterranean fever: FMF is an…
Coded Elsewhere: Rheumatoid arthritis (FA20) Lupus erythematosus Definition of Lupus erythematosus: An autoimmune non-organ specific inflammatory disease characterised by the presence of antibodies to DNA, RNA and other components of the nucleus. It has a very variable clinical presentation and course ranging from an acute fulminant life-threatening disorder with involvement of heart, central nervous system…
Primary immunodeficiencies due to disorders of innate immunity ICD 11 Codes For Primary immunodeficiencies due to disorders of innate immunity 4A00 Primary immunodeficiencies due to disorders of innate immunity Coded Elsewhere: Constitutional neutropaenia (4B00.00) 4A00.0 Functional neutrophil defects Inclusions: Congenital dysphagocytosis Coded Elsewhere: Haemolytic anaemia due to glucose-6-phosphate dehydrogenase deficiency (3A10.00) Papillon-Lefèvre syndrome (EC20.30) 4A00.00…
Congenital disorders of spleen Definition of Congenital disorders of spleen: Any condition caused by a failure of the spleen to correctly develop in the antenatal period. ICD 11 Codes For Congenital disorders of spleen 3B80 Congenital disorders of spleen Coded Elsewhere: Structural developmental anomalies of spleen (LB22) 3B80.0 Splenomegaly in storage diseases Definition of Splenomegaly…
Definition of Fibrinolytic Defects: A disease caused by determinants arising during the antenatal period, after birth or genetically inherited factors, affecting the fibrinolysis system which prevents blood clots from growing and becoming problematic. This disease is characterised by defects in the fibrinolysis system leading to coagulation of the blood. This disease may present with thrombosis….
Definition of Haemorrhagic Diseases Due To Acquired Coagulation Factor Defects: Any disease caused by determinants arising after birth. These diseases are characterised by abnormal coagulation of the blood. Exclusions: vitamin K deficiency of newborn (KA8F.0) Disseminated intravascular coagulation Definition of Disseminated intravascular coagulation: A disorder that is characterised by the systemic intravascular activation of the…