Improve your coding accuracy, save time and code with confidence!

Completely updated for 2011 to help you find the optimal codes for your claims the first time – every time!

` NEW! Hospice section and hospice icons. This section contains tips and strategies for coding hospice cases and avoiding denials of your claims. Hospice icons also appear in the Tabular List to help coders identify non-cancer terminal diagnoses.

` NEW! ICD-10 codes matched listed in the Tabular List to the corresponding ICD-9 code to help you become familiar with this new code set, scheduled to take effect in 2013.

` NEW! An introduction to using Procedure Codes, now required by OASIS-C. Learn how to find and assign procedure codes in OASIS M1012.

` NEW! The latest guidance for answering the OASIS-C diagnosis-related items, including the two new items, M1012 (inpatient procedure) and M1016 (regimen change), and the coding matrix that includes M1020 (primary), M1022 (secondary) and M1024 (case mix). It also includes Appendix D guidance (previously known as Attachment D).

` UPDATED! More than 200 home health coding scenarios that are easier than ever to use and are now included with their corresponding chapter. Learn how to use the codes by working through patient scenarios.

` UPDATED! Nearly 1,000 tips specific to home health that guide you, raise red flags and help you code correctly to stay in compliance and gain accurate reimbursement.

“I like the DecisionHealth ICD-9-CM Diagnosis Coding Manual because it’s like having all the resources at your fingertips … You have coding tips from Coding Clinic, CMS, ICD-9 conventions, guidelines and examples for every chapter.”

– Pallavi Sheth, HCS-D, Compliance Manager Englewood Hospital Home Health & Hospice Services

NEW Features for 2011!327.34 Circadian rhythm sleep disorder,free-running type327.35 Circadian rhythm sleep disorder, jetlag type

327.36 Circadian rhythm sleep disorder, shiftwork type327.37 Circadian rhythm sleep disorder inconditions classified elsewhereCode first underlying condition327.39 Other circadian rhythm sleepdisorder

327.4 Organic parasomniaalcohol induced parasomnia(291.82)drug induced parasomnia(292.85)parasomnia not due to aknown physiologicalconditions (307.47)327.40 Organic parasomnia, unspecified327.41 Confusional arousals327.42 REM sleep behavior disorder327.43 Recurrent isolated sleep paralysis327.44 Parasomnia in conditions classifiedelsewhere

Code first underlying condition327.49 Other organic parasomnia327.5 Organic sleep related movementdisordersrestless legs syndrome(333.94)sleep related movementdisorder NOS (780.58)327.51 Periodic limb movement disorderPeriodic limb movement sleep disorder327.52 Sleep related leg cramps327.53 Sleep related bruxism327.59 Other organic sleep related movementdisorders

327.8 Other organic sleep disordersHereditary and degenerative diseases of thecentral nervous system (330-337)hepatolenticular degeneration (275.1)multiple sclerosis (340)other demyelinating diseases of central nervoussystem (341.0-341.9)330 Cerebral degenerations usually manifest inchildhood

Use additional code to identify associatedmental retardation Category 330 codes are used toreport conditions due to diseases usually (but notalways) manifesting during childhood. Category 330 codes add points tothe clinical domain as Neuro 1 diagnoses.330.0 Leukodystrophy

Krabbe's diseaseLeukodystrophy:NOSgloboid cellmetachromaticsudanophilicPelizaeus-Merzbacher diseaseSulfatide lipidosis Leukodystrophy is a geneticdisorder that affects the brain, spinal cord,and peripheral nerves. It generally appears inearly childhood and grows agressively worse.330.1 Cerebral lipidosesAmaurotic (familial) idiocyDisease:

BattenJansky-BielschowskyKufs'Spielmeyer-VogtTay-SachsGangliosidosis Cerebral lipidoses aregenetic, degenerative disorders in which anabnormal amount of lipids (fats) accumulatein the brain and/or spinal cord. This causes arare, fatal degeneration of the nervoussystem.

330.2 Cerebral degeneration in generalizedlipidosesCode first underlying disease, as:Fabry's disease (272.7)Gaucher's disease (272.7)Niemann-Pick disease (272.7)sphingolipidosis (272.7)330.3 Cerebral degeneration of childhood inother diseases classified elsewhereCode first underlying disease, as:Hunter's disease (277.5)mucopolysaccharidosis (277.5)330.8 Other specified cerebral degenerations inchildhood

Alpers' disease or gray-matter degenerationInfantile necrotizing encephalomyelopathyLeigh's diseaseSubacute necrotizing encephalopathy orencephalomyelopathy330.9 Unspecified cerebral degeneration in childhood331 Other cerebral degenerationsUse additional code, where applicable, toidentify dementia:with behavioral disturbance (294.11)without behavioral disturbance (294.10) Add dementia code 294.1x whendementia is documented with any of theconditions coded with 331.331.0 Alzheimer's disease

Medical review edit 5THCC,for claims with a primary diagnosis of 331.0and a length of stay greater than 60 days,CAHABA, 12/01/2005 Code 331.0 adds points to theclinical domain as a Psych 2 diagnosis.Alzheimer's is considered a physicalcondition and if dementia is present, anadditional code from 294.1x is added.I-10: G30.9 Alzheimer’s disease unspecified

Chapter 6

320 - 389

CHAPTER 6: DISEASES OF THE NERVOUS SYSTEM AND SENSE ORGANS327.34 - 331.0

New Revised Primary Secondary Primary/Secondary Case-mix Supply booster Hospice non-cancer Dx

FY 2011 Complete Home Health ICD-9-CM Diagnosis Coding Manual

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