Urology Coding Alert
ICD-9 Codes for 2002 Affect Billing of Prostate Disorders
These common problems required their own diagnosis codes. There is also a new note explanation what a "complicated'' wound is. For example, a post-surgical wound that has major infection or delayed healing takes a fourth digit. If the cause was infection, the physician must specify the type of infection.
Prostate disorders: Code 602.3 (dysplasia of prostate) includes prostatic intraepithelial neoplasm I (PIN I) and prostatic intraepithelial neoplasm II (PIN II). It excludes prostatic intraepithelial neoplasm III (PIN III), which is coded 233.4 (carcinoma in situ; prostate).
Male genital organs: Code 608.82 is for hematospermia and 608.87 for retrograde ejaculation.
Note: Code 608.8 (other specified disorders of male genital organs) now requires a fifth digit.
A note has been added to 870-897: The description "complicated" used in the fourth-digit subdivisions includes those with mention of delayed healing, delayed treatment, foreign body or infection. Also added: Use additional code to identify infection. Urologists would be most likely to use 876.x (open wound of back), 878.x (open wound of genital organs [external], including traumatic amputation) and selected codes in the 879.x series (open wound of other and unspecified sites, except limbs).
Personal history: There is a new code for personal history of malignant neoplasm; renal pelvis (V10.53). Renal pelvis is now deleted from V10.52 ( kidney). This is a category change, but the specificity of diagnosis has not been changed.
Urology Coding Alert
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