Medicare Compliance & Reimbursement

Diagnosis Coding:

ICD-9 2011: Prepare for New Fluid Overload and Seizure Codes

Confirm documentation before you report the new morbid obesity codes. Come October 1, you must be ready to report the new and changed 2011 ICD-9 codes. Now that CMS has finalized the update, you can get a jump start on the changes. Add Detail to Fluid Overload Starting in October, you'll need to code with a higher degree of specificity when it comes to reporting fluid overload. 2010's 276.6 (Fluid overload) category will expand to include the following: 276.61 -- Transfusion associated circulatory overload 276.69 -- Other fluid overload. Transfusion-associated circulatory overload (TACO), a heart-related condition, "is a circulatory overload following transfusion of blood or blood components," said Mikhail Menis, PharmD, MS, of the FDA CBER, who presented the proposal for this change at the September 2009 ICD-9-CM Coordination and Maintenance Committee meeting. The patient may experience "acute respiratory distress, increased blood pressure, pulmonary edema secondary to congestive heart failure, positive fluid [...]
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