Neurosurgery Coding Alert

ICD-10 Update:

Confirm Chronicity For Nontraumatic Subdural Hemorrhage

Make sure your surgeon documents acute, subacute, chronic.ICD-9 offers a single code for reporting a nontraumatic subdural hematoma, 432.1 (Subdural hematoma, nontraumatic). In 2014, when you implement ICD-10, you will have a choice of more than one code. Follow these fundamentals to improve your reporting of nontraumatic subdural hematoma in ICD-10.Verify the Age of the Hematoma ICD-10 necessitates that you determine how old the nontraumatic subdural hemorrhage is. Depending upon whether the hemorrhage is acute, subacute, or chronic, you will choose to report codes I62.01 (Nontraumatic acute subdural hemorrhage), I62.02 (Nontraumatic subacute subdural hemorrhage), or I62.03 (Nontraumatic chronic subdural hemorrhage). "It is nontraumatic subacute and chronic types of subdural hematoma that are typically amenable to treatment by burr hole drainage," says Gregory Przybylski, MD, director of neurosurgery, New Jersey Neuroscience Institute, JFK Medical Center, Edison. Your surgeon will determine the chronicity of the hemorrhage through history obtained from the patient [...]
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