Condition:1 | Phenylketonuria |
---|---|
Category:2 | Core |
SNOMED CT Code:3 | 7573000—Classical phenylketonuria UMLS CUI:4C0751434 |
ICD-9-CM Code:5 | 270.1—Phenylketonuria [PKU] |
ICD-10-CM Code:6 | E70.0—Classical phenylketonuria |
Question: What is the best way to code for a newborn phenylketonuria (PKU) screen performed in-office? Should we use 84030? And is Z13.228 the correct ICD-10 code to use to accompany the screen? Answer: You could use 84030 ( Phenylalanine [PKU], blood) to perform a newborn PKU screen.
Z13.228 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 Z13.228 became effective on October 1, 2018. This is the American ICD-10-CM version of Z13.228 - other international versions of ICD-10 Z13.228 may differ.
E70.0 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 E70.0 became effective on October 1, 2018. This is the American ICD-10-CM version of E70.0 - other international versions of ICD-10 E70.0 may differ.
ICD-10-CM Code Z13.228 Encounter for screening for other metabolic disorders. Z13.228 is a billable ICD code used to specify a diagnosis of encounter for screening for other metabolic disorders. A 'billable code' is detailed enough to be used to specify a medical diagnosis. POA Indicators on CMS form 4010A are as follows:
1 for Encounter for newborn, infant and child health examinations is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
9.
Code Z13. 89, encounter for screening for other disorder, is the ICD-10 code for depression screening.
Z13. 820 Encounter for screening for osteoporosis - ICD-10-CM Diagnosis Codes.
ICD-10 code Z01. 89 for Encounter for other specified special examinations is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
A screening colonoscopy should be reported with the following International Classification of Diseases, 10th edition (ICD-10) codes: Z12. 11: Encounter for screening for malignant neoplasm of the colon.
39 (Encounter for other screening for malignant neoplasm of breast). Z12. 39 is the correct code to use when employing any other breast cancer screening technique (besides mammogram) and is generally used with breast MRIs.
0 - 17 years inclusiveZ00. 129 is applicable to pediatric patients aged 0 - 17 years inclusive.
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
9: Disorder of bone density and structure, unspecified.
Medicare will always deny Z13. 820 if it is the primary or only diagnosis code.
ICD-10 CM code Z79. 83 should be reported for DXA testing while taking medicines for osteoporosis/osteopenia. ICD-10 CM code Z09 should be reported for an individual who has COMPLETED drug therapy for osteoporosis and is being monitored for response to therapy.
Z00. 00, Encounter for general adult medical examination without abnormal findings, Z00.
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
ICD-10-CM Code for Encounter for preprocedural laboratory examination Z01. 812.
APPENDIX CDiagnoses Currently Covered by Medicare for Serum TSH TestingICD-9-CM CodePersistent (P), Thyroid (T), or Short-term (S)?Diagnosis244.0–244.9TAcquired hypothyroidism245.0–245.9TThyroiditis246.0–246.9TOther disorders of thyroid250.00–250.93PDiabetes mellitus153 more rows
Phenylketonuria is an inherited disorder that increases levels of the amino acid phenylalanine in the blood. Infants with classic PKU appear normal until they are a few months old. The signs and symptoms of PKU vary from mild to severe, including seizures, delayed development, behavioral problems, and psychiatric disorders. Permanent intellectual disability can be prevented with a special low-phenylalanine diet. Phenylketonuria is caused by mutations in the PAH gene; it has an autosomal recessive pattern of inheritance.
UniProt Number— a unique identifier assigned to all proteins, including enzymes, hemoglobin subunits, and immunoglobulin chains. The UniProt database is maintained by the Universal Protein Resource, an international collaboration.
V77.3 is a legacy non-billable code used to specify a medical diagnosis of screening for phenylketonuria (pku). This code was replaced on September 30, 2015 by its ICD-10 equivalent.
Phenylketonuria (PKU) is a genetic disorder in which the body can't process part of a protein called phenylalanine (Phe). Phe is in almost all foods. If the Phe level gets too high, it can damage the brain and cause severe intellectual disability. All babies born in U.S. hospitals must now have a screening test for PKU. This makes it easier to diagnose and treat the problem early.
NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
The best treatment for PKU is a diet of low-protein foods. There are special formulas for newborns. For older children and adults, the diet includes many fruits and vegetables. It also includes some low-protein breads, pastas and cereals. Nutritional formulas provide the vitamins and minerals they can't get from their food.
Babies who get on this special diet soon after they are born develop normally. Many have no symptoms of PKU. It is important that they stay on the diet for the rest of their lives.
Z13.228 is a billable ICD code used to specify a diagnosis of encounter for screening for other metabolic disorders. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Z13.228 and a single ICD9 code, V77.99 is an approximate match for comparison and conversion purposes.
Diagnosis was present at time of inpatient admission. Yes. N. Diagnosis was not present at time of inpatient admission. No. U. Documentation insufficient to determine if the condition was present at the time of inpatient admission.