2018/2019 ICD-10-CM Diagnosis Code R46.4. Slowness and poor responsiveness. R46.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Illiteracy and low-level literacy. Z55.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z55.0 became effective on October 1, 2018. This is the American ICD-10-CM version of Z55.0 - other international versions of ICD-10 Z55.0 may differ.
Low income. Z59.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z59.6 became effective on October 1, 2019.
Z01.84 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 Z01.84 became effective on October 1, 2021. This is the American ICD-10-CM version of Z01.84 - other international versions of ICD-10 Z01.84 may differ. A type 1 excludes note is a pure excludes.
ICD-10 code: R46. 4 Slowness and poor responsiveness.
ICD-10 code R68. 89 for Other general symptoms and signs is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-9 Code Transition: 780.79 Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
ICD-10 code T50. 905A for Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
ICD-10 code Z00. 01 for Encounter for general adult medical examination with abnormal findings is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
R68. 89 is a VALID/BILLABLE ICD10 code, i.e it is valid for submission for HIPAA-covered transactions. R68. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
R53. 81: “R” codes are the family of codes related to "Symptoms, signs and other abnormal findings" - a bit of a catch-all category for "conditions not otherwise specified". R53. 81 is defined as chronic debility not specific to another diagnosis.
R53. 83 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10 code R51 for Headache is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Diagnosis Codes Never to be Used as Primary Diagnosis With the adoption of ICD-10, CMS designated that certain Supplementary Classification of External Causes of Injury, Poisoning, Morbidity (E000-E999 in the ICD-9 code set) and Manifestation ICD-10 Diagnosis codes cannot be used as the primary diagnosis on claims.
R41. 82 Altered mental status, unspecified - ICD-10-CM Diagnosis Codes.
ICD-10 code T88. 7 for Unspecified adverse effect of drug or medicament is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Type 1 Excludes Help. A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R46.4.
Slowness and poor responsiveness 1 R46.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM R46.4 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of R46.4 - other international versions of ICD-10 R46.4 may differ.
Please see other professional guidance for the correct use of this code when evaluating Medicare-eligible recipients. 92626 and 92627 are codes that reflect the evaluation of a child’s ability to use residual hearing with an auditory implant, such as a cochlear implant.
CPT has defined acoustic reflex threshold testing ( 92568 and 92550) as including both ipsilateral and contralateral acoustic reflex threshold measurements. There is not a CPT code available for acoustic reflex screening. Only the tympanometry code ( 92567) would be allowed in this instance.
The AEP code for thresthold estimation ( 92652) is the most appropriate code for billing ASSR at this time.
Documentation of the test session should include the efforts made to obtain test results; some clinicians may document a time notation in the patient’s medical record as an estimate of the time and effort involved when limited audiologic information is obtained.
Generally, these codes should not be used in addition to pure tone audiometry, air only (92552) or air and bone donduction audiometry (92553) to indicate a method of testing.
92579 (VRA) and 92582 (CPA) are codes that describe specific, independent pediatric test procedures. These codes are currently valued as stand-alone procedure codes and are not "add-on" or modifier codes.
Evaluation results can be used as a diagnostic foundation that leads to a customized intervention program for that child. 92626 and 92627 cannot be used as counseling codes or services unrelated to pre- or post-implant auditory function evaluation.
The purpose of the information provided above by the American Academy of Audiology Coding and Reimbursement Committee is strictly for educational guidance to audiologists. Action taken with respect to the information provided is an individual choice.
The purpose of the information provided above by the American Academy of Audiology Coding and Reimbursement Committee is strictly for educational guidance to audiologists. Action taken with respect to the information provided is an individual choice. The American Academy of Audiology hereby disclaims any responsibility for the consequences of any action (s) taken by any individual (s) as a result of using the information provided, and reader agrees not to take action against, or seek to hold, or hold liable, the American Academy of Audiology for the reader’s use of the information provided. As used herein, the “American Academy of Audiology” shall be defined to include its directors, officers, employees, volunteers, members, and agents.
The 92653 procedure serves to identify a primary neurologic concern, of which hearing loss may or may not be a secondary concern. It is not appropriate to report 92653 in conjunction with other AEP codes (92651 and 92652), as these procedures are distinct and separate in their descriptions and professional work.
Typically, AEP responses to broadband stimuli are obtained at moderate to high levels and at a lower intensity level. The higher levels are used to evaluate the neural integrity of the AEP response (e.g., to rule out auditory neuropathy, sensory or permanent conductive hearing loss).
As clinicians begin reporting these new CPT codes on January 1, 2021, it is expected that case-specific questions may arise. Members are encouraged to contact the Academy’s Coding and Reimbursement Committee at [email protected] for more information. Additional educational resources from the Academy to support continued learning will be forthcoming.