Tune in to this monthly online coding column from Melanie Endicott to learn about challenging areas and documentation opportunities for ICD-10-CM/PCS.
The Ebola virus is front page news everywhere you turn. Tracking of the Ebola outbreak in the United States with coded data is imprecise due to the lack of a specific code for Ebola in ICD-9-CM. This is yet another reason that the ICD-10-CM/PCS code sets need to be implemented on October 1, 2015.
The below table shows the codes for Ebola virus in ICD-9 vs. ICD-10.
It’s important for coders to recognize the integral signs and symptoms of Ebola. Here is the list from the Centers for Disease Control and Prevention (CDC):
- Severe headache
- Muscle pain
- Abdominal pain
- Unexplained hemorrhage
The Coalition for ICD-10, which is a broad-based healthcare industry advocacy group united in the support of the US adoption of ICD-10, created a very informative infographic to illustrate the need for ICD-10 for reporting outbreaks such as Ebola.
Another big healthcare topic in the media this fall is Enterovirus D68 (EV-D68). This year there have been 1,112 confirmed cases of EV-D68 in 47 states and the District of Columbia between mid-August and November, according to the CDC. EV-D68 is affecting children with asthma most severely, and it has been detected in specimens from nine children who died. Once again, the codes describing Enterovirus are subpar in ICD-9-CM and will see much greater enhancements for reporting in ICD-10-CM. See the below table for a comparison of the codes in ICD-9-CM and ICD-10-CM.