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900 codes

  1. Default 900 codes
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    Do ALL ICD-9-CM 900 codes require E codes?

  2. #2
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    In my experience, I would say yes.

  3. #3
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    I agree I do not think I have used all or even read all of the 900 codes but every one that I have used required an E code. Do you have a specific issue?

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
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    I dont think all of them require E code. Let say for example Dx 998.32 Disruption of external operation (surgical) wound. Why would it require E code?

  5. #5
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    you need the E code to say whether this was a complication of the surgery or not due to the surgical event.

    Debra A. Mitchell, MSPH, CPC-H

  6. #6
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    Quote Originally Posted by mitchellde View Post
    you need the E code to say whether this was a complication of the surgery or not due to the surgical event.
    the code description is already stating that it is a disruption of surgical wound.

  7. #7
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    yes but there are 2 e codes for this one says it was due to a misadventure during surgery and the other says there was no misadventure during surgery, it is kind of an important issue.

    Debra A. Mitchell, MSPH, CPC-H

  8. #8
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    So just curious cause I never thought of it before, what E code would you use with a 900 code for either Mechanical complication of an IUD (intrauterine device) or Infection due to IUD(Intrauterine device). I have always used the 900 codes, but never thought of looking for an E code to go with them.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  9. #9
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    It would depend on the documentation can you be more specific?

    Debra A. Mitchell, MSPH, CPC-H

  10. #10
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    Quote Originally Posted by mitchellde View Post
    It would depend on the documentation can you be more specific?
    Here is an example that popped up in the OBGyn discussion thread:

    "Pt's IUD is laying sideways in the uterine cavity and one end is embedded into the right lower endometrium.

    Diagnoses: 1. Abnormal position of intrauterine device
    2. Pelvic pain, acute

    Procedure: Hysteroscopy and removal of mal-positioned IUD. (Done as outpt at hosp)

    This is what I want to code:
    996.32 and 625.9 with procedure code 58562.

    I do not want to add 58301 because I think that is accounted for in 58562. Would it hurt if I also added V25.12 as another diagnosis? "

    I advised this coder to add the V25.12 to the other two codes and not to bill the 58301 as it is included in the 58562. What do you think?
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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