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Thread: Chiari I Malformation ICD-9 Code

  1. #1
    Join Date
    Apr 2007
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    36

    Default Chiari I Malformation ICD-9 Code

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    All I can come up with a dx code for Chiari I Malformation is 741.00. Does anyone have any other/better suggestions. This is on an 80 year old woman. Thanks for your input.

  2. #2
    Join Date
    Apr 2007
    Location
    Charleston, WV
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    244

    Default

    For Type I, use 348.4. 741.x and 742.x are for Type II, III and IV.

  3. #3
    Join Date
    Apr 2007
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    36

    Default

    Thank you! Can I ask how you got to the 348.4

  4. #4
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    Apr 2007
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    Stuart, Florida
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    Default

    If you look at the Index in your ICD-9-CM book under Malformation, go to Chiari. It lists for you type 1-4 and the respective codes. Always be sure to verify in the Tabular List. If you're unfamiliar with what Chiari Malformation type I is you may have to do some more research but I can tell you that gost is correct in his/her code selection. Hope this helps!
    Vanessa Mier, CPC

  5. #5
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    Apr 2007
    Location
    Charleston, WV
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    244

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    Quote Originally Posted by ohn0disaster View Post
    gost is correct in his/her code selection
    lol! I don't think I've ever been called a "he/she" before. It's "he."

    -Joseph.


  6. #6
    Join Date
    Apr 2007
    Location
    Stuart, Florida
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    Default

    I thought you were a he but I didn't want to be wrong! Trying to be PC and all! Haha.
    Vanessa Mier, CPC

  7. #7

    Default

    I agree with the Dx codes and this thread made me laugh!!

  8. #8

    Question Chiari syndrome NOS

    What if the doctor does not specify the type, should we go with the type 1 code or can we not code it at all? I do risk adjustment coding and I have no way to contact the provider.

  9. #9

    Default

    What if they do not list a type 1-4. Just says chiari malformation. Is there is a default or can you not code it without a type?

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