which ICD-9 code to choose

vdyer

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Hi everyone, wanted to get some input, please. Regarding seizures, we have a few of us using the code 780.39 and then a few of us are using 345.90. When the MD only writes seizures on the note, which is the proper code to use? These codes are both suggestive of seizures, although 345.90 states recurrent seizures. Your expertise is appreciated! Thank you!
 

dmaec

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unless they specifically state a type of seisure - I stick with 780.39. when they're more specific, I'm more specific :) often, I'll ask them to clarify exactly what they mean, what type... BUT, again - if no clarification or specificity is available - 780.39 is what it gets...
 

Savanna@1998

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Icd-9

To use anything other than 780.39 the physician would need to identify a specific type of seizure. The ICD-9 guidelines is helpful if you need authorative backing.
 

blonde01

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So refractory seizures would get a diagnosis of 345.90
No. If it the seizure disorder is unspecified but is stated to be refractory then I would use 345.91.

345.91 Unspecified epilepsy with intractable epilepsy


pharmacoresistant (pharmacologically resistant)

poorly controlled

refractory (medically)

treatment resistant
 
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