Pain Management Coding Alert
Prepare for Expanded Diagnosis Choices for RSD in 2015
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Plus: Don’t miss the name change in the index.
When selecting a diagnosis for reflex sympathetic dystrophy (RSD), you currently have four ICD-9 options based on the affected site. That will change when ICD-10 becomes effective in October 2015, when you’ll have more specific site choices to report as well as switch to updated terminology.
ICD-9 coding: Diagnoses for RSD belong to the 337.2x code family, with the fifth digit noting the anatomic site. They are:
ICD-10 differences: Your providers will need to be more specific in their documentation once you begin coding under ICD-10. Notes of “upper” or “lower” won’t be enough to pinpoint the best code at that point – you’ll also need to know “right,” “left,” or “bilateral.” The new range of choices will be:
Note that ICD-10 also lists the condition under its other name: complex regional pain syndrome, or CRPS. CRPS Type I is the current worldwide term for this condition, replacing the old name of RSD (CRSP Type II represents causalgia). “This is a good example of one of the ICD-10 improvements: updated medical terminology and classification of diseases,” says Marvel Hammer, RN, CPC, CCS-P, ACS-PM, CPCO, owner of MJH Consulting in Denver, Co.
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