Otitis media, unspecified, bilateral. H66.93 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM H66.93 became effective on October 1, 2018.
Inflammation of the middle ear including the auditory ossicles and the eustachian tube. Inflammation of the middle ear. ICD-10-CM H66.90 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 152 Otitis media and uri with mcc. 153 Otitis media and uri without mcc.
H67.3 Otitis media in diseases classified elsewhere, bilateral. H67.9 Otitis media in diseases classified elsewhere, unspecified ear. H68 Eustachian salpingitis and obstruction. H68.0 Eustachian salpingitis. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
Rationale: Look in the ICD-10-CM Alphabetic Index for Otitis/media /chronic/with effusion (nonpurulent) which states see Otitis, media, nonsuppurative, chronic. Look for Otitis/media/nonsuppurative/chronic which directs you to H65.49-. A 6 th character of 3 specifies the condition is bilateral.
Chronic serous otitis media, bilateral H65. 23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM H65. 23 became effective on October 1, 2021.
ICD-10 Code for Suppurative otitis media, unspecified, right ear- H66. 41- Codify by AAPC.
ICD-10-CM Code for Acute actinic otitis externa H60. 51.
3213 for Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
ICD-10-CM Code for Otitis media, unspecified H66. 9.
9: Fever, unspecified.
The note in ICD-10 under codes B95-B97 states that 'these categories are provided for use as supplementary or additional codes to identify the infectious agent(s) in disease classified elsewhere', so you would not use B96. 81 as a primary diagnosis, but as an additional code with the disease listed first.
Our physicians have used IDC-10 code F07. 81 as the primary diagnosis for patients presenting with post concussion syndrome.
ICD-10 CM Guidelines, may be found at the following website: https://www.cdc.gov/nchs/icd/Comprehensive-Listing-of-ICD-10-CM-Files.htm.
Per the NCCI Policy Manual CPT codes describing cataract extraction (66830-66984) are mutually exclusive of one another. Only one code from this CPT code range may be reported for an eye. Therefore Medicare recovered payment for CPT code 66984.
E13, Other specified diabetes mellitus. Includes: Diabetes mellitus due to genetic defects of beta-cell function. Diabetes mellitus due to genetic defects in insulin action.
66982: Cataract surgery with insertion of intraocular lens, complex. 66983: Cataract surgery, intracapsular, with insertion of intraocular lens. 66984: Cataract surgery, extracapsular, with insertion of intraocular lens.
The 2022 edition of ICD-10-CM H66.90 became effective on October 1, 2021.
Clinical Information. A disorder characterized by inflammation (physiologic response to irritation), swelling and redness to the middle ear. An acute or chronic inflammatory process affecting the middle ear.
code for any associated perforated tympanic membrane ( H72.-)
The 2022 edition of ICD-10-CM H65.49 became effective on October 1, 2021.
Rationale: In the CPT® Index look for Retina/Repair/Detachment/with Vitrectomy referring you to 67108, 67113. Code 67113 is used for the repair of a giant tear of the retina, with vitrectomy, and endolaser photocoagulation. In the ICD-10-CM Alphabetical Index look for Detachment/retina/with retinal/break/giant referring you to H33.03-. In the Tabular List a 6th character 1 is reported for the right eye. In the ICD-10-CM External Cause of Injuries Index look for Struck (accidentally) by/ball (hit) (thrown)/baseball referring you to W21.03-. In the Tabular List seven characters are reported to complete the code. The 6th character is a placeholder X and the 7th character A is used to identify the initial encounter. Surgical management represents an initial encounter.
Rationale: In the CPT® Index look for Phacoemulsification/Removal/Extracapsular Cataract and you are directed to 66982 and 66984. Verify these codes in the numeric section. Code 66982 is for a complex procedure. There is nothing in the note indicating this is a complex procedure. The correct code is 66984 which includes the insertion of the intraocular lens. Modifier RT is used to indicate it is performed on the right eye.
RATIONALE: In the ICD-10-CM Alphabetic Index look for Neuroma/acoustic (nerve) D33.3. Although an acoustic neuroma is indexed to D33.3, the question indicates malignant which changes the way the diagnosis is reported. A note at the beginning of the Table of Neoplasms discusses classifications in the columns of the table, and advises, "the guidance in the index can be overridden if one of the descriptors is present." Because the pathologist stated this particular acoustic neuroma is malignant, the word malignant overrides the index entry. Look in the Table of Neoplasms for Neoplasm, neoplastic/acoustic nerve/Malignant Primary which directs you to C72.4-. Verify in the Tabular List and code C72.40 is reported because the laterality is not addressed. It's very important to study and understand the information provided in the guidelines and notes within the codebook. Be willing to look beyond the codes for the answers because the answers may be in the instructional notes and guidelines.
Electrocautery was used for hemostasis and further dissection. An iris scissors was used to dissect the soft tissues off of the mastoid region and the posterior ear. The concha was shut back and sutured in place with clear 4-0 nylon suture and in a horizontal mattress pattern.
RATIONALE: In the ICD-10-CM Alphabetic Index look for Diabetes, diabetic/type 1/with/retinopathy/non-proliferative/mild and directs you to E10.329. In the Tabular List, 7th character 2 is reported to indicate the left eye. This is a combination code that includes the diabetes and the complication of retinopathy. A separate code for retinopathy is not reported. Because macular edema is not indicated in the scenario, the default is without macular edema.
Excision of a pterygium is reported separately from other conjunctival disorders, with codes 65420 and 65426. Because this was a simple repair without a graft, 65420 is the correct code.
Rationale: Look in the ICD-10-CM Alphabetic Index for Otitis/media/suppurative which directs you to H66.4-. In the Tabular List a 5 th character is required to identify the laterality.
Rationale: In the CPT® Index look for Tympanostomy/General Anesthesia directing you to 69436 , then verify the code in the numeric section. Code 69436 is the correct code to report because a small incision is made in the tympanum, the fluid in the middle ear is suctioned, and an insertion of a small ventilating tube is placed into the opening of the tympanum under general anesthesia. Modifier RT is appended to indicate the side of the body the procedure was performed. In the ICD-10-CM Alphabetical Index look for Otitis/media/chronic/serous which states see Otitis, media, nonsuppurative, chronic, serous. Look for Otitis/media/nonsuppurative/chronic/serous directing you to H65.2. The Tabular List indicates a 5th character is needed to show laterality. 5 th character 1 is for the right ear.
Rationale: In the CPT® Index look for Chemodenervation/Facial Muscle 64612, 64615. Code 64612 is used for chemodenervation of muscles that are innervated by the facial nerve for conditions such as blepharospasm. Modifier RT is appended to the CPT® code to indicate the procedure is performed on the right eye. Botulinum toxin is the substance most commonly used for chemodenervation of muscle tissue innervated by the facial nerve. In the ICD-10-CM Alphabetic Index look for Blepharospasm directs you to G24.5. Verification in the Tabular List confirms code selection.
Rationale: This is a repair of blepharoptosis. In the CPT® Index, look for Blepharoptosis/Repair directs you to code range 67901-67909. The codes are selected based on the approach and technique. After verifying in the numeric section, code 67908 is the correct code.
Rationale: In the CPT® Index look for Hearing Aid/Implants/Bone Conduction/Implantation. You are referred to 69710. Review the code to verify accuracy. In the ICD-10-CM Alphabetical Index look for Loss (of)/hearing which states see also Deafness. Look for Deafness/mixed conductive and sensorineural/unilateral. You are referred to H90.7-. Review the code in the Tabular List to verify accuracy and 5 th character 1 is for right ear.
Rationale: Code 67312 represents strabismus surgery on two (2) horizontal muscles. In the CPT® Index look for Strabismus/Repair/Two Horizontal Muscles. In the numeric section below code 67316, there is a parenthetical note with instructions to use code 67335 in addition to codes 67311-67334 when adjustable sutures are used for primary procedure reflecting number of muscles operated on. Code 67335 is an add-on code and exempt from multiple procedures modifier 51. This is located in the CPT® Index by looking for Strabismus/Repair/Adjustable Sutures.
Rationale: In the CPT® Index look for Iridotomy/by Laser Surgery directing you to 66761. Code 66761 describes the use of laser surgery to perform an iridotomy for glaucoma. Modifier 50 would be used to identify the procedure is performed on both eyes. In ICD-10-CM Alphabetic Index look for Glaucoma/angle-closure (primary)/chronic directs you to code H40.22- . The 6 thcharacter is 3 to indicate both eyes. The 7 th character 2 to indicate the stage, moderate. Verify code selection in the Tabular List.
Rationale: Look in the ICD-10-CM Alphabetic Index for Otitis/media/suppurative which directs you to H66.4-. In the Tabular List a 5 th character is required to identify the laterality.
Because there is a bilateral code for this condition only one code is reported for both ears (refer to ICD-10-CM guideline I.B.13).
Rationale: In the HCPCS Level II Index look for Hearing aid/Binaural/Digital/BTE referring you to V5261. The purpose of the visit is the fitting of the hearing aid. Look in the ICD-10-CM Alphabetic Index for Fitting (and adjustment) (of)/hearing aid directing you to Z46.1. The condition necessitating the hearing aid is bilateral sensory hearing loss. In the Alphabetic Index, look for Deafness/sensorineural/bilateral which directs you to H90.3. Verification in the Tabular List confirms code selection.
Rationale: In the ICD-10-CM Alphabetic Index look for Vertigo/auditory telling you to see Vertigo, aural. Vertigo/aural which guides you to code H81.31-. In the Tabular List 6 th character 3 is selected because the condition is bilateral. The Meniere's disease is a possible diagnosis and is not reported. Per ICD-10-CM guideline I.B.5 signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes. Dizziness, nausea and vomiting are symptoms of the vertigo and are not reported separately. Verify code selection in the Tabular List.
A bilateral code can be used to report the type of glaucoma and the stage of glaucoma.
Rationale: In the CPT® Index look for Hearing Aid/Implants/Bone Conduction/Implantation. You are referred to 69710. Review the code to verify accuracy. In the ICD-10-CM Alphabetical Index look for Loss (of)/hearing which states see also Deafness. Look for Deafness/mixed conductive and sensorineural/unilateral. You are referred to H90.7-. Review the code in the Tabular List to verify accuracy and 5 th character 1 is for right ear.
Rationale: In the CPT® Index look for Tympanostomy/General Anesthesia directing you to 69436 , then verify the code in the numeric section. Code 69436 is the correct code to report because a small incision is made in the tympanum, the fluid in the middle ear is suctioned, and an insertion of a small ventilating tube is placed into the opening of the tympanum under general anesthesia. Modifier RT is appended to indicate the side of the body the procedure was performed. In the ICD-10-CM Alphabetical Index look for Otitis/media/chronic/serous which states see Otitis, media, nonsuppurative, chronic, serous. Look for Otitis/media/nonsuppurative/chronic/serous directing you to H65.2. The Tabular List indicates a 5th character is needed to show laterality. 5 th character 1 is for the right ear.