Primary Care Coding Alert

You Be the Coder:

Is There an ICD-9 Code for Swine Flu?

Question: A college student traveling through Texas two days prior returned home with fever of 102.4 F, cough, sore throat, and fatigue. Concerned, the patient sees an FP. A lab test confirms that the patient has swine flu. What diagnosis should I use for this case? New York Subscriber Answer: You should use the ICD-9 code for influenza that will apply to this case. Since the patient has respiratory symptoms, report 487.1 (Influenza with other respiratory manifestations). Presently, ICD -9 does not have a specific code for H1N1 influenza (for example, "swine flu"). ICD-9 guidelines call for you to code the diagnosis known at the end of the encounter. In this instance, only influenza is applicable since swine flu is a form of influenza (H1N1 Influenza A). Influenzal respiratory infection (cough) and influenzal pharyngitis (sore throat) all fall under 487.1. Even for confirmed cases of swine flu, you will still [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Primary Care Coding Alert

View All