ED Coding and Reimbursement Alert

ICD-9/ICD-10

ICD-10 implementation is coming in 2013 and it's not too early to learn what those changes will mean for your commonly-coded diagnoses. Your coding for epistaxis repair encounters will change dramatically in 2013, when ICD-10 will become a coding reality.

For example, let's say the the physician performs simple nosebleed repair in 2013. Notes indicate the physician's final diagnosis is epistaxis and essential hypertension.

Check out the difference in diagnosis coding for this 30901 (Control nasal hemorrhage, anterior, simple [limited cautery and/or packing] any method]) claim:

Current code: 784.7 (Symptoms involving head and neck; epistaxis)

ICD-10 change: R04.0 (Epistaxis)

Current code: 401.9 (Essential hypertension, unspecified)

ICD-10 change: I10 (Essential [primary] hypertension).