The new codes are for describing the infusion of tixagevimab and cilgavimab monoclonal antibody (code XW023X7), and the infusion of other new technology monoclonal antibody (code XW023Y7).
Why ICD-10 codes are important
ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.
ICD-10 code R47. 9 for Unspecified speech disturbances is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-10 code F80. 4 for Speech and language development delay due to hearing loss is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
2. F80. 2 — Mixed receptive-expressive language disorder.
01 - Aphasia is a sample topic from the ICD-10-CM. To view other topics, please log in or purchase a subscription. ICD-10-CM 2022 Coding Guide™ from Unbound Medicine.
ICD-10 code: F88 Other disorders of psychological development.
F82: Specific developmental disorder of motor function.
CPT Code 92521: Evaluation of Speech Fluency This is one of the most important medical codes for speech therapists. It refers to the evaluation of speech fluency, specifically speech fluency disorders such as stuttering, cluttering, etc.
Developmental expressive language disorder is a condition in which a child has lower than normal ability in vocabulary, saying complex sentences, and remembering words. However, a child with this disorder may have the normal language skills needed to understand verbal or written communication.
R47. 01 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 R47.
I69. 320 - Aphasia following cerebral infarction | ICD-10-CM.
Expressive aphasia. This is also called Broca's or nonfluent aphasia. People with this pattern of aphasia may understand what other people say better than they can speak. People with this pattern of aphasia struggle to get words out, speak in very short sentences and omit words.
ICD-10-CM Code for Aphasia following cerebral infarction I69. 320.
The 2022 edition of ICD-10-CM Z99.11 became effective on October 1, 2021.
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Although there is no universally accepted definition of the word “transgender,” here are some terms you should know when coding patients with gender dysphoria: Bigendered — Individuals who identify as both or alternatively male and female, as no gender, or as a gender outside the male or female binary. Crossdresser — Individuals who dress in clothing associated with the opposite sex — for reasons that include a need to express femininity or masculinity, artistic expression, performance, or erotic pleasure — but do not identify as that gender.
For payers to cover gender reassignment, like all other procedures, medical necessity needs to be proven. There must be evidence of a strong and persistent cross-gender identification (e.g., the individual is insistent on being the other sex).
Gender dysphoria is manifested in a variety of ways, including a strong desire to be treated as the other gender or to be rid of sex characteristics, or a strong conviction that the patient has feelings and reactions typical of the other gender. For a person to be diagnosed with gender dysphoria, there must be a marked difference between the individual’s expressed/experienced gender and the gender others would assign to him or her, and it must continue for at least six months.
Although there is no specific procedure code for people diagnosed with gender dysphoria who are choosing to transition, there are two CPT® codes that pertain to intersex surgery: 55970 Intersex surgery; male to female 55980 Intersex surgery; female to male Codes 55970 and 55980 apply to surgery for newborns with ambiguous genitalia, as well. Although not a comprehensive list, here are common procedures performed during gender transition surgery: Vaginectomy (FTM) – Look to codes such as 58275 Vaginal hysterectomy, with total or partial vaginectomy, 57111 Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy), etc. Urethroplasty (MTF and FTM) – Look to applicable CPT® codes 53410 – 53430. Phalloplasty (FTM) – 55899 Unlisted surgery of the male genital system, for metoidioplasty and phalloplasty Scrotoplasty (MTF) – 55175 Scrotoplasty; simple and 55180 Scrotoplasty; complicated Penectomy (MTF) – 54125 Amputation of penis; complete Vaginoplasty (MTF) – 57335 Vaginoplasty for intersex state Labiaplasty (MTF) – 56625 Vulvectomy simple; complete Clitoroplasty (MTF) – 56805 Clitoroplasty for intersex state There are also surgical procedures associated with intersex surgery that payers typically consider to be cosmetic: Abdominoplasty – 15830 Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Blepharoplasty – 15822 Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery) Otoplasty – 69300 Otoplasty, protruding ear, with or without size reduction Rhinoplasty – 30410 Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip Genioplasty – 21120 Genioplasty; augmentation (autograft, allograft, prosthetic material) Rhytidectomy – 15828 Rhytidectomy; cheek, chin, and neck.
Remember when coding and reporting patient services for gender dysphoria always recognize and respect the process of transitioning gender. These individuals have an exceptionally high suicide rate and require unique healthcare needs. The patient has the right to confidentiality.
Although gender dysphoria has been around throughout history, transgender surgery only began in the early 1900s. Here is a time line of its progress in the medical field: