ICD-10: | Z20.3 |
---|---|
Short Description: | Contact with and (suspected) exposure to rabies |
Long Description: | Contact with and (suspected) exposure to rabies |
CPT Code | ICD-10 |
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90715 | S61011A |
90471 | S61011A |
The laboratory may know that it is conducting a test because of a patient’s accidental encounter with a coral snake (ICD-10 code T63.021), but in order to get paid for the test, the lab would be required to include the ICD-10 code for “toxic effect of venom of other snake, undetermined, initial encounter” (ICD-10 code T63.094A).
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Bats are increasingly implicated as important wildlife reservoirs for variants of rabies virus transmitted to humans. Recent data suggest that transmission of rabies virus can occur from minor, seemingly unimportant, or unrecognized bites from bats.
Rabid bats have been documented in all 49 continental states. Hawaii is rabies-free. Bats are increasingly implicated as important wildlife reservoirs for variants of rabies virus transmitted to humans. Recent data suggest that transmission of rabies virus can occur from minor, seemingly unimportant, or unrecognized bites from bats.
However, if in your clinical judgment the condition is caused by pollen, you need to document that judgment in the record and then assign code J30.1, “Allergic rhinitis due to pollen.”. Remember that ICD-10 does not prohibit you from using your clinical judgment, but your documentation must support your judgment.
For these conditions, ICD-10 uses two base code categories: J43 for emphysema and J44 for chronic obstructive pulmonary disease (COPD). All codes require a fourth digit. However, without additional testing, it is unlikely that a primary care physician can clearly differentiate emphysema from chronic bronchitis. Per the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health, “Most people who have COPD have both emphysema and chronic bronchitis. Thus, the general term ‘COPD’ is more accurate.” 1 In that case, J44.9, “COPD, unspecified,” should be used. (See “ Emphysema/COPD codes .”)
Ready for some good news? The common cold is still the common cold and has a simple, three-digit ICD-10 code: J00, “Acute nasopharyngitis.” ICD-10 even includes “common cold” in the description.
Infective rhinitis defaults to the “Acute nasopharyngitis” (common cold) J00 code, discussed earlier. However, chronic rhinitis gets its own code, J31.0. Vasomotor and allergic rhinitis also have their own code series (J30). (See “ Rhinitis and other codes related to the nose .”)
Classification of asthma is based on the NHLBI's “Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma” published in 2007. Coding is based on the classification level and the presence of an acute exacerbation or status asthmaticus. (See “ Asthma codes .”)
These codes include acute (with or without obstruction) and chronic codes, but there are no acute recurrent codes. The unspecified codes do not differentiate between the larynx and trachea but use the term “Supraglottitis.” (See “Larynx, trachea, and epiglottis codes .”)