Errata for ICD-10-CM and ICD-10-PCS Coding Handbook 2014 with Answers

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Errata for ICD-10-CM and ICD-10-PCS Coding Handbook 2014 with Answers

Narrative changes appear in bold italicized text; deletions show as strikethrough text. 6/27/14

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9 ICD-10-PCS is divided into three sections: the Index, Tables, and List of Codes.

ICD-10-PCS is divided into three sections: the Index

and the Tables, and List of Codes. The complete list of ICD-10-PCS long and abbreviated code titles is

available online from the CMS Web site

(http://www.cms.gov/Medicare/Coding/ICD10/2014-ICD-10-PCS.html).

50 8. Nondisplaced abduction fracture anterior acetabulum, subsequent encounter with routine healing

8. Nondisplaced abduction fracture anterior

acetabulum acetabular column, subsequent encounter with routine healing

50 12. Hereditary retinal degeneration H35.9

12. Hereditary retinal degeneration H35.9 H35.50

61 M19.111 M19.111 M12.511

104 7. Endometrial ablation using hysteroscope 0U5B7ZZ

7. Endometrial ablation using hysteroscope 0U5B7ZZ

0U5B8ZZ

108 When the splint and braces are placed in inpatient settings (except for the rehabilitation setting), they are coded to “Immobilization,” Table 2X3 in the Placement Section.

When the splint and braces are placed in inpatient settings (except for the rehabilitation setting), they are coded to “Immobilization,” Table 2X3 2W3 in the Placement Section.

119 Radiation Oncology Section Radiation Oncology Therapy Section 140 T40.1x4A + R40.20 T40.1x4A T40.1x1A + R40.20

143 9. Chest pain, probably angina pectoris

9. Chest pain, probably angina pectoris (inpatient)

149 B90.8 + E35 Tuberculous calcification of adrenal gland

B90.8 + E35 + B90.8 Tuberculous calcification of adrenal gland

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156 20. Enterococcal septic shock due to acute postoperative peritonitis (surgery performed in previous admission) A41.81, T81.12xD, K65.9

20. Enterococcal septic shock due to acute postoperative peritonitis (surgery performed in previous during same admission) A41.81, T81.12xD,

T81.12xA, K65.9 K65.0

158 4. B20 L04.9 4. B20 L04.9

180 1. F05 J14 1. F05 J14 F05

180 6. Stress reaction, psychomotor 6. Acute sStress reaction, psychomotor 212 4. . . . G89.21, M54.5, M51.16,

3E0S33Z

4. . . . G89.21, S39.92xS, M54.5, M51.16, 3E0S33Z

231 3. Acute exacerbation chronic asthmatic bronchitis J44.1

3. Acute exacerbation chronic asthmatic bronchitis J44.1 J45.901

241 9. Chronic chemical bronchitis due to inhaled chlorine fumes J68.4

9. Chronic chemical bronchitis due to inhaled chlorine fumes T59.4x1S J68.4

241 14. Acute pulmonary insufficiency due to shock J80

14. Acute pulmonary insufficiency due to shock J80

J98.4

257 4. Hepatic coma with massive ascites secondary to Laennec's cirrhosis K72.91 K70.31

4. Alcoholic hHepatic coma with massive ascites secondary to Laennec's cirrhosis, alcohol dependence K72.91 K70.41, K70.31, F10.288

268 1. End-stage renal disease N18.6 1. End-stage renal disease N18.6 Z99.2 291 1. Varicose ulcer, lower right leg

with severe inflammation I83.219

1. Varicose ulcer, lower right leg with severe inflammation I83.219 I83.218 L97.919 292 14. Infected ingrown toenail, right

great toe L60.0

14. Infected ingrown toenail, right great toe L60.0

L03.031

301 If recombinant bone morphogenetic protein (a genetically engineered protein) is inserted to help create a bone graft substitute, assign code 3E0V3GB, Introduction of

recombinant bone morphogenetic protein into bones, percutaneous approach.

If recombinant bone morphogenetic protein (a genetically engineered protein) is inserted to help create a bone graft substitute, assign code 3E0V3GB, Introduction of recombinant bone morphogenetic protein into bones, percutaneous approach.

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309 12. . . . Arthrodesis C5-C6 anterior interbody fusion device with allograft C7 allograft with titanium plate and screws . . . 0RG104Z

12. . . . Arthrodesis C5-C6 anterior interbody fusion device with allograft C6-C7 allograft with titanium plate and screws . . . 0RG104Z 0RG10K0

346 If an expelled fetus has a period of gestation of more than 20 weeks but less than 37 weeks, it is considered an early delivery and a code from subcategory O60.1, Preterm labor with preterm delivery, is assigned.

If an expelled fetus has a period of gestation of more than 20 weeks but less than 37 weeks, it is considered an early delivery and a code from subcategory O60.1, Preterm labor with preterm delivery, is assigned.

356 6. Electively induced abortion with liveborn, 21 weeks O60.12x0 Z37.0 Z3A.21

6. Electively induced abortion with liveborn, 21 weeks

Z33.2 O60.12x0 Z37.0 Z3A.21

373 Maternal Conditions Affecting the Fetus or Newborn . . . Unless there is an adverse effect, no code from this series is assigned.

Maternal Conditions Affecting the Fetus or Newborn . . . Unless there is an adverse effect, no code from this series is assigned.

373 A newborn is admitted following cesarean delivery and diagnosed with hypermagnesemia. The provider documents that the infant had

developed hypermagnesemia due to the mother’s treatment with

magnesium sulfate for pregnancy-related eclampsia prior to delivery. Assign codes P74.4, Other transitory electrolyte disturbances of newborn, and P04.1, Newborn (suspected to be) affected by other maternal medication.

A newborn is admitted following cesarean delivery and diagnosed with hypermagnesemia. The provider documents that the infant had developed

hypermagnesemia due to the mother’s treatment with magnesium sulfate for pregnancy-related eclampsia prior to delivery. Assign codes P74.4, P71.8, Other transitory neonatal disorders of calcium and

magnesium metabolism electrolyte disturbances of

newborn, and P04.1, Newborn (suspected to be) affected by other maternal medication.

378 19. Newborn twins, #1 delivered in parking lot of hospital, #2 delivered after admission of mother; #1 Z38.30, #2 Z38.4

19. Newborn twins delivered vaginally, #1 delivered in parking lot of hospital, #2 delivered after admission of mother; #1 Z38.30, #2 Z38.4 #1 Z38.4, #2 Z38.30

396 For the procedure, assign code 0W9D30Z, Drainage of pericardial cavity with drainage device, percutaneous approach.

For the procedure, assign code 0W9D30Z, 0W9D3ZZ, Drainage of pericardial cavity with drainage device, percutaneous approach.

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402 2. Hemiplegia on right (dominant side) due to old cerebral thrombosis

2. Hemiplegia on right (dominant side) due to old cerebral thrombosis with infarction

402 3. . . . (patient suffered cerebral embolism one year ago . . . )

3. . . . (patient suffered cerebral embolism with

infarction one year ago . . . )

402 8. I69.265 8. I69.265 I69.065

403 Uncontrolled hypertension usually refers to an existing state of

hypertension that is under control by therapy.

Uncontrolled Controlled hypertension usually refers to an existing state of hypertension that is under control by therapy.

411 1. . . . Hemorrhoidectomy . . . 1. . . . Hemorrhoidectomy (via open excision of

hemorrhoids) . . . L97.929

428 7. . . . T82.121A 0JWT0PZ 7. . . . T82.121A T82.191A 0JWT0PZ 437 8. . . . T82.598A . . . 8. . . . T82.598A T82.118A . . . 458 The oncologist listed

chemotherapy-induced pancytopenia in his diagnostic statement. Assign code D61.810, Antineoplastic

chemotherapy induced

pancytopenia, as the first-listed diagnosis. Assign code C50.412, Malignant neoplasm of upper-outer quadrant of left female breast, as an additional diagnosis.

The oncologist listed chemotherapy-induced

pancytopenia in his diagnostic statement. Assign code D61.810, Antineoplastic chemotherapy induced pancytopenia, as the first-listed diagnosis. Assign code C50.412, Malignant neoplasm of upper-outer quadrant of left female breast, as an additional diagnosis. Code

T45.1x5A, Adverse effect of antineoplastic and immunosuppresive drugs, initial encounter, may also be assigned.

467 16. . . . C56.9 . . . 16. . . . C56.9 . . . C80.1 475 If a patient is a student but is injured

while performing an activity for income, use seventh character “2,” work-related activity. A work-related activity is any activity for which payment or income is received.

If a patient is a student but is injured while performing an activity for income, use seventh character “2,” work-related activity. A work-work-related activity is any activity for which payment or income is received.

477 4. Anoxic brain damage . . . patient was accidentally struck . . . V03.90xS

4. Anoxic brain damage . . . patient was in traffic

accident accidentally and struck . . . V03.90xS V03.10xS

488 7. . . . S42.432A 7. S42.432A S42.452A 488 9. . . . S82.832B 9. . . . S82.832B S82.402B

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491 9. . . . 0NB10ZZ 0NB20ZZ . . . 9. . . . 0NB10ZZ 0NB20ZZ . . .

498 3. Radiation cataract 3. Radiation cataract due to excessive exposure to

microwave radiation

501 5. . . . V28.4xxA 5. . . . V28.4xxA Y92.411 501 7. . . . M21.732 7. . . . M21.732 M21.734 501 9. . . . S06.337A 9. . . . S06.337A S06.2x7A 502 12. . . . S52.601D 12. . . . S52.601D W09.8xxD 509 2. . . . Y92.099 2. . . . Y92.099 Y92.009 509 3. . . . firefighter 3. . . . paid firefighter 509 5. . . . T21.23xD 5. . . . T21.23xD T21.24xD 509 5. . . . X02.0xxD 5. . . . X02.0xxD X06.2xxD 510 7. . . . T21.33xA 7. . . . T21.33xA T21.34xA 510 10. . . . S70.312A 10. . . . S70.312A T24.012A 523 4. . . . G21.8 4. . . . G21.8 G21.2 537 3. . . . T821.90A 3. . . . T821.90A T82.190A 552 19. . . . Z3A.025 19. . . . Z3A.025 Z3A.25 553 23. . . . infarction of the

inferoposterior wall

23. . . . infarction of the inferoposterior inferolateral wall

554 25. . . . Bilateral multiple-channel implants were inserted.

25. . . . Bilateral multiple-channel implants were inserted via open approach.

554 27. . . . 0QS6XZZ Reposition right upper femur, external approach

27. . . . 0QS6XZZ 0QS8XZZ Reposition right femoral

shaft upper femur, external approach

555 29. . . . The gastroepiploic artery was used to bypass the circumflex.

29. . . . The gastroepiploic artery was used as a

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555 29. . . . 5A1223Z Performance of cardiac pacing, continuous (intraoperative pacemaker) . . . Codes are assigned for the cardiopulmonary bypass and the intraoperative pacemaker.

29. . . . 5A1223Z Performance of cardiac pacing, continuous (intraoperative pacemaker) . . .

Codes are A code is assigned for the cardiopulmonary bypass and the intraoperative pacemaker. No separate

code is assigned for the intraoperative pacemaker as intraoperative pacing is considered integral to bypass surgery.

557 35. . . . I50.9 Heart failure, unspecified . . . Pulmonary edema and pleural effusion with heart condition or heart failure is classified to heart failure . . .

35. . . . I50.9 I50.1 Left ventricular Heart failure, unspecified . . . Pulmonary edema and pleural effusion with heart condition or heart failure is classified to left

ventricular heart failure . . .

558 37. . . . E11.29 37. . . . E11.29 E11.22 559 41. . . . Y92.39 Other specified sports

and athletic area as the place of occurrence of the external cause.

41. . . . Y92.39 Y92.34 Other specified sports and athletic area Swimming pool (public) as the place of occurrence of the external cause.

559 42. . . . G30.9 Alzheimer’s disease, unspecified

42. . . . G30.9 G30.1 Alzheimer’s disease, unspecified

with late onset

597 3. . . . After a transfusion of two units of packed red blood cells into the central vein . . .

3. . . . After a transfusion of two units of packed red blood cells into the central vein (open approach) . . .

598 6. . . . K29.01 Acute gastritis with bleeding . . .

6. . . . K29.01 Acute gastritis with bleeding . . .

T45.515A Adverse effect of anticoagulants, initial encounter . . .

599 3. . . . external neurolysis 3. . . . external (percutaneous) neurolysis 632 9. . . . Septic joint, right knee 9. . . . Septic joint, bacterial, right knee 651 1. Z38.69 Other multiple liveborn

infant, delivered by cesarean

1. Z38.69 Z38.62 Triplet Other multiple liveborn infant, delivered by cesarean

668 6. . . . N89.9 Noninflammatory disorder of vagina, unspecified . . . The Index provides direction to “see Disease of specified organ or site for Mass, specified organ NEC,” which leads to code N89.9.

6. . . . [insert before correction to existing answer:]

Z01.411 Encounter for gynecological examination (general)(routine)with abnormal findings

N89.9 N89.8 Other specified Nnoninflammatory disorders of vagina, unspecified . . . The Index provides direction to “see Disease of specified organ or site for Mass, specified organ NEC,” which leads to code N89.9.

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