RE: List of ICD-10 CC & MCC Codes (ADDITIONS from FY 2014)

jschoonhovenjschoonhoven
edited May 2016 in CDI Talk Archive
On that same thought, I pulled out the ICD-9 index to see what terms fall under "persistent" currently.
Question for the group:
Persistent Pulmonary Hypertension is an MCC. Is anyone using this? I see it is the same code as Persistent Fetal Pulm Htn, but it indexes without the 'Fetal' too.
Anyone?

Janice Schoonhoven RN, MSN, CCDS
Clinical Documentation Integrity
Manager- PeaceHealth Oregon West Network

Comments

  • jlightfoot@marshallmedical.orgjlightfoot@marshallmedical.org
    edited May 2016
    Nice find!! We have many very sick pt's with "pulmonary hypertension".
    Our physicians aren't currently using that verbiage, but of course I can
    educate them! Always something new to follow up on in CDI world; can't
    wait to research this one a little more. You just made my day!!! Thank
    you!


    Jillian Lightfoot RN
    Clinical Documentation Team
    Marshall Medical Center
    Placerville, CA 95667
    (530) 626-2770 Ext. 6203
    jlightfoot@marshallmedical.org





  • ssalinasssalinas
    edited May 2016
    I think the code 747.83 is for newborns or congenital conditions.

    From AHA Coding Handbook, published by AHA
    PERINATAL PERIOD

    Most conditions originating in the perinatal period are transitory in nature. However, others persist throughout life, and some may not manifest themselves until much later in life.

    Such conditions are classified to Chapter 15, no matter how old the patient may be.

    From Coding Clinic 4th Qtr 2002
    Persistent Fetal Circulation
    Effective October 1, 2002, code 747.83, Persistent fetal circulation, has been created to uniquely identify this condition. Prior to the creation of this code, this condition was an inclusion term under code 747.89, Other specified anomalies of circulatory system, other.

    Persistent fetal circulation, also known as persistent pulmonary hypertension or primary pulmonary hypertension of newborn, is a distinct and very serious condition. It is considered one of the more frequent causes of newborn mortality. It results when a stressed newborn reverts to fetal type circulation during the first days following birth. Common causes are asphyxia, meconium aspiration syndrome, acidosis, sepsis and developmental immaturity.


    Sharon Salinas, CCS
    Barlow Respiratory Hospital
    2000 Stadium Way, Los Angeles CA 90026
    Tel: 213-250-4200 ext 3336
    ssalinas@barlow2000.org


  • jschoonhovenjschoonhoven
    edited May 2016
    Thanks for the thoughtful reply. Getting the feedback is why I put this out.
    We use JA Thomas software here. When I found this condition I typed it into the search in that software. What I noticed was that it did not have a qualifier for fetal, but it did pull up a neonatal DRG.

    At that point I went to Optum ICD-9-CM book for this year and looked it up. An abbreviated version of what I found is:

    Persistence, persistent (congenital)
    Fetal
    Pulmonary hypertension 747.83

    Pulmonary hypertension 747.83

    What I am attempting to show there is that 1) congenital is a nonessential modifier and 2) the term falls under the heading of fetal AND stands alone.

    Thoughts?

    Janice Schoonhoven RN, MSN, CCDS
    Clinical Documentation Integrity
    Manager- PeaceHealth Oregon West Network


  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    This may be true but I think that 'persistent' pulm hypertension refers to the type typically seen in infants. I don't think MD's would use that term for chronic pulm HTN.
    At least this is my understanding.....

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404


  • julie.cruz-sjejulie.cruz-sje
    edited May 2016
    When I run Persistent Pulmonary HTN in the Encoder, it takes me to Fetal. If you try to circumvent the Fetal part, there is a note in the Header portion that states "Medicare/TRICARE Code Editor considers this a newborn diagnosis (age 0)......I'm not so sure we can capture this as an MCC in an adult patient. Thoughts?

    Julie Cruz RN, CDS

    Clinical Documentation Specialist
    St. Joseph Health
    2700 Dolbeer St
    Eureka, CA 95501
    wk: 707-445-8121 ext. 7550
    cell: 707-267-0973

  • jlightfoot@marshallmedical.orgjlightfoot@marshallmedical.org
    edited May 2016
    I'd like to give a shout out and thank you to Dr Gold for the message
    regarding this topic; your detailed response saved me significant
    research time and effort. I'm sorry I missed the call!!

    I'll share the bottom line: The coding diagnosis of "persistent
    pulmonary hypertension" is ONLY appropriate for NEONATES!!! This
    diagnosis should NOT be coded in the adult population.

    Our group of professionals and the information readily shared is
    awesome!

    Have a great day everyone!


    Jillian Lightfoot RN
    Clinical Documentation Team
    Marshall Medical Center
    Placerville, CA 95667
    (530) 626-2770 Ext. 6203
    jlightfoot@marshallmedical.org




  • jschoonhovenjschoonhoven
    edited May 2016
    OK then, I think that's settled!
    Thanks to all :-)

    Janice Schoonhoven RN, MSN, CCDS
    Clinical Documentation Integrity
    Manager- PeaceHealth Oregon West Network


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