Results 1 to 3 of 3

Question: ICD-9 code discrepancy

  1. #1
    Question Question: ICD-9 code discrepancy
    Medical Coding Books
    My name is Marla Kelly, I am a CPC from Oklahoma. I think my clearinghouse which I submit electronic claims to and I have found a discrepancy with a code.

    I am trying to code 305.10.

    In the ICD-9 book the code is listed as 305.1 with a 5 and a circle around it in front of the code, which indicates a 5th digit is required. When going to the little box where one can choose the 5th digit it states; "The following fifth-digit subclassification is for use with codes 305.0, 305.2-305.9"

    Does this code require a 5th digit or is it a typo in the ICD-9 book? We are just needing some clarification to avoid a coding error or fraud.

    Thanks for any input on this matter.

    Happy New Year

    Marla Kelly CPC

  2. #2
    305.1 does not require a fifth digit.

    I know it looks confusing in the ICD-9 but if you'll note all the other 305 subcodes have (0-3) under them but 305.1 does not.
    I think there is a previous discussion about this code in an earlier thread.

    Julie, CPC

  3. #3
    Garden State Chapter, Cherry Hill, NJ
    Default 305.1
    Julie is correct, 305.1 is a complete code. While 305.0, 305.2, 305.3, 305.4, 305.5, 305.6, 305.7, 305.8 and 305.9 all require fifth digits, this lonely little code (305.1) does not. It is the only one in this code range that is complete at 4 digits.

    Happy New Year!

Similar Threads

  1. ICD-9-cm discrepancy
    By cmoser3635 in forum Diagnosis Coding
    Replies: 2
    Last Post: 03-10-2015, 08:27 PM
  2. icd-9 px code question
    By Bhobbs in forum Critical Access Hospitals (CAH)
    Replies: 1
    Last Post: 11-15-2012, 07:58 AM
  3. New pt office code discrepancy
    By renifejn in forum E/M
    Replies: 3
    Last Post: 10-24-2008, 07:15 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.