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Issue #18 - December 14, 2011
AAPC ICD-10 Newsletter


Featured Article
In the News
Coding Snapshot
ICD-10 Strategies
ICD-10 Resource


Anatomy & Pathophysiology Online

2012 Implementation Boot Camps

Upcoming Boot Camps :
New Orleans, LA 1/19
Houston, TX 1/19
Long Island, NY 1/26
St. Louis, MO 1/26


This e-Newsletter offers the most up-to-date and essential news and information about the transition to ICD-10. If you would prefer not to receive these monthly updates, you can change your email preferences in your account.


For all of our Z73.1 friends, Happy Holidays. Hope your Z56.3 allows you to enjoy them!

Grandma got W55.39XA over by a reindeer Y93.01 home from Y92.019 Christmas Eve. You can say there’s no such thing as Santa, but as for me and Grandpa we F22.

She'd been F10.129 and we'd begged her not to go. But she'd Z91.128 so she W18.49xA, Y92.014 into the snow.

When they found her Christmas mornin', at the Y92.096, there were S00.03XA on her forehead and incriminatin' S30.0XXA on her back.

Grandma got W55.39XA over by a reindeer Y93.01 home from Y92.019 Christmas Eve. You can say there’s no such thing as Santa, but as for me and Grandpa we F22.

Now we're all so proud of Grandpa, he's been F43.20. See him in there watchin' football, F10.129 beer and Z72.6 with cousin Belle.

It's not Christmas without Grandma. All the family's F43.21. And we just can't help F43.9: Should we open up her gifts or send them back?

Grandma got W55.39xA over by a reindeer Y93.01 home from Y92.019 Christmas Eve. You can say there’s no such thing as Santa, but as for me and Grandpa we F22.


2012 ICD-10-CM Codes Released
CMS logoRecently released by the Centers for Medicare & Medicaid Services (CMS), these 2012 ICD-10-CM files contain code descriptions in tabular order, code tables and indices, duplicate codes found in both ICD-9-CM and ICD-10-CM, and addenda for 2012.


Patient presents today for asthma recheck. She states she is coughing occasionally, and remains short of breath. Her symptoms are present more than two days a week, but not daily. She has been using her rescue inhaler about every other day with nighttime wakening due to her asthma about 3 times a month. She states that her asthma is causing minor limitations to her normal activity as sometimes she has to slow down her activity as she gets tired due to shortness of breath and wheezing. She had a PFT today and chest X-ray. Patient is a former 1 pack per day cigarette smoker for 5 years.
PHYSICAL EXAM: Patient not in acute respiratory distress. Vitals taken and recorded. O2 sats at 96% on room air. HEENT: NCAT. CHEST: Bilateral air entry equal. No rhonchi. No wheezes on auscultation. However, on forceful expiration, I could hear rhonchi and wheezing, more on the left lung. CARDIO: First and second heart sounds normal. EXTREMITIES: No CCE.

ASSESSMENT/PLAN: Mild persistent asthma with acute exacerbation. Plan is to see her back in 4 days to assess her asthma symptoms and step up or step down her asthma medications depending on her symptoms.

ICD-10-CM Codes:
J45.31 Mild persistent asthma with (acute) exacerbation
Z87.891 Personal history of nicotine dependence

Rationale: In ICD-10-CM, asthma is coded according to the type of asthma and if there is acute exacerbation or status asthmaticus. Category J45 contains the asthma codes. The subcategories are as follows: J45.2- mild intermittent, J45.3- mild persistent, J45.4- moderate persistent, J45.5- severe persistent, and J45.9- other and unspecified asthma. There is a notation above the category that also states to use an additional code to identify exposure to environmental tobacco smoke, exposure to tobacco smoke in the perinatal period, history of tobacco use, occupational exposure to environmental tobacco smoke, tobacco dependence, or tobacco use.

ICD-10 Implementation Strategies

In this section, we share strategies to help your practice successfully implement ICD-10-CM. Please remember to track your progress in your ICD-10 Implementation Tracker on AAPC's website.

5010 Preparation
The deadline for 5010 implementation is less than a month away. Final preparations should be underway. Continued testing may still be underway with any last-minute necessary changes or updates being made. You should be checking with your payers, clearinghouses, billing services, or computer system to ensure everything is on track.


ICD-10 Code ConverterThe 2012 updates have been released for ICD-10-CM and AAPC has updated the ICD-10 code translator. The translator allows you to compare ICD-9-CM codes to ICD-10-CM codes, and vice versa. It is a useful tool to help understand the impact of ICD-10-CM to your particular specialty.

The ICD-10 Connect e-Newsletter is offered as a benefit to AAPC members and we hope you find the information useful. If you'd rather not receive future issues of ICD-10 Connect, please log in to your account and change your email preferences.

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