ICD-10 Codes for Long-term Therapies | |
---|---|
Code | Long-term (current) use of |
Z79.84 | oral hypoglycemic drugs |
Z79.891 | opiate analgesic |
Z79.899 | other drug therapy |
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Title XVIII of the Social Security Act section 1862 (a) (1) (A). This section allows coverage and payment of those services that are considered to be medically reasonable and necessary.
The term heavy metal testing is historically used to describe elements such as lead, arsenic, mercury, cadmium, and chromium. In general, all of the heavy metals in inorganic form cause GI irritation, resulting in nausea, vomiting, abdominal pain and diarrhea.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Heavy Metal Testing.
The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in the related determination.#N#Aluminum
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
Z77.018 is a billable diagnosis code used to specify a medical diagnosis of contact with and (suspected) exposure to other hazardous metals. The code Z77.018 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code Z77.018 might also be used to specify conditions or terms like exposure to hazardous metal or exposure to mercury.#N#The code Z77.018 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include
To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.
Metals such as lead and mercury. The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them.
Screening is testing for disease or disease precursors in seemingly well individuals so early detection and treatment can be provided for those who test positive for the disease (e.g., a screening mammogram is intended to detect breast cancer early, so it can be treated before it becomes more serious or widespread). Screening differs from diagnostic examination, in which testing occurs in a patient with signs and symptoms to rule out or confirm a suspected diagnosis. If a test is to qualify as a screening, the patient must be asymptomatic for the condition being tested.#N#ICD-10-CM provides Z codes to identify screening as the reason for a test or exam, using the following broad categories:#N#Z11 Encounter for screening for infectious and parasitic diseases#N#Z12 Encounter for screening for malignant neoplasms#N#Z13 Encounter for screening for other diseases and disorders#N#Except: Z13.9 Encounter for screening, unspecified#N#Z36 Encounter for antenatal screening of mother#N#Within each category, individual codes identify specific screening services (e.g., Z13.6 Encounter for screening for cardiovascular disorders ).#N#The Z code indicates that a screening exam is planned. A screening code may be the first-listed code if the reason for the visit is specifically the screening exam. A screening Z code also may be used as an additional code if the screening is done during an office visit for other problems. A procedure code is required to confirm the screening was performed.#N#Example 1: A 60-year-old male patient presents to the outpatient radiology department for a lower gastrointestinal (GI) examination. The physician’s order documented lower GI screening. The radiology report notes intestinal infectious disease in lower GI. The first listed diagnosis is Z13.811 Encounter for screening for lower gastrointestinal disorder, with an additional diagnosis of Z11.0 Encounter for screening for intestinal infectious diseases.#N#A screening code is not necessary if the screening is inherent to a routine examination, such as Pap smear done during a routine pelvic examination.#N#If a condition is discovered during the screening, you may assign the code for the condition as an additional diagnosis. For example, a 75-year-old female patient presents to the radiology department for a left side mammogram. The doctor’s order documented breast cancer screening and dense breast on the left side. Proper coding is Z12.31 Encounter for screening mammogram for malignant neoplasm of breast and R92.2 Inconclusive mammogram.
The Z code indicates that a screening exam is planned. A screening code may be the first-listed code if the reason for the visit is specifically the screening exam. A screening Z code also may be used as an additional code if the screening is done during an office visit for other problems. A procedure code is required to confirm ...
Sivaraj Ramesh, CPC, CEMC, CCS, is a team manager in healthcare quality – digital operations for Cognizant Technology Solutions. He has a professional degree in physical therapy, a master’s degree in psychology, and has completed Lean Six Sigma Black Belt. Ramesh has more than 11 years of experience in the management, medical coding, auditing, and revenue cycle sectors, and in coder and auditor calibration, new training module program creation, with multispecialty expertise in radiology, evaluation and management, and surgery. He is a member of the Chennai, India, local chapter.