icd 9 code for lead testing

With documentation indicating lead screening and nothing further, the only code available is z13.89. you would not use the z77.011 unless there was definite documentation of a possible lead exposure or contact. you would not use R78.71 unless there was documentation that there has been a previous lead level detected. if there is a documented exposure then it is not a screening. most screening for this type of chemical is not covered.

Full Answer

What is the ICD 10 code for lead testing?

lead Our practice does lead testing for 12 months and 24 months of age, but if the child has not had them done at that age we do two test before they turn 5 years old. We use the cpt code 83655 for the lead testing and 36416 for the finger stick draw with a ICD-10 code R78.71.

What is the ICD 9 code for screening for diagnosis?

Short description: SCREEN FOR CONDITION NOS. ICD-9-CM V82.9 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V82.9 should only be used for claims with a date of service on or before September 30, 2015.

What is the CPT code for lead and finger stick testing?

We use the cpt code 83655 for the lead testing and 36416 for the finger stick draw with a ICD-10 code R78.71. None are getting paid. Anyone else having this problem?

What are the indications for screening for lead poisoning?

Importantly, recent emigration from or residency in areas where ambient lead contamination is high is considered an indication for screening 45.

What is the ICD-10 code for lead screening?

DOM covers CPT code 83655 (lead testing) outside of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) or wellness benefit for all beneficiaries when billed with a QW modifier. The ICD-10 code for contact with and (suspected) exposure to lead is Z77. 011.

What is the ICD-10 code for elevated lead level?

ICD-10-CM Code for Abnormal lead level in blood R78. 71.

What is the Z code for exposure to lead?

Z77.011Contact with and (suspected) exposure to lead Z77. 011 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 Z77. 011 became effective on October 1, 2021.

What is diagnosis code Z71 9?

Counseling, unspecifiedICD-10 code Z71. 9 for Counseling, unspecified is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the CPT code for lead testing?

We use the cpt code 83655 for the lead testing and 36416 for the finger stick draw with a ICD-10 code R78.

What does encounter for screening for other disorder mean?

Encounter for screening for other diseases and disorders Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.

What is the OSHA standard for lead?

The NIOSH Recommended Exposure Limit (REL) for lead is a Time Weighted Average of 50 micrograms per cubic meter of air (µg/m3) over 8-hours. The required (OSHA) Permissible Exposure Limit (PEL) for lead is also no greater than 50 µg/m3 averaged over an 8-hour period.

What is OSHA lead STD?

The lead standards establish a permissible exposure limit (PEL) of 50 μg/m3 of lead over an eight-hour time-weighted-average for all employees covered. The standards also set an action level of 30 μg/m3, at which an employer must begin specific compliance activities, including blood lead testing for exposed workers.

What does OSHA require if employees may be exposed to lead?

Your employer is required to provide an information and training program for all employees exposed to lead above the action level or who may suffer skin or eye irritation from lead compounds such as lead arsenate or lead azide.

Is Z71 9 billable?

Z71. 9 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 Z71. 9 became effective on October 1, 2021.

When should you use the code v71 09?

09 for Observation of other suspected mental condition is a medical classification as listed by WHO under the range -PERSONS WITHOUT REPORTED DIAGNOSIS ENCOUNTERED DURING EXAMINATION AND INVESTIGATION.

What is a category code?

Category codes are user defined codes to which you can assign a title and a value. The title appears on the appropriate screen next to the field in which you type the code.

What is the lead level in a blood test?

The Centers for Disease Control and Prevention defines lead poisoning as a blood lead level of 10 mg/dL.

How often should lead levels be tested?

According to OSHA (1995), the blood lead level of all employees who are exposed to inorganic lead above 30 ug/m(3) for more than 30 days per year is to be determined at least every 6 months. The frequency is increased to every 2 months for employees whose last blood lead level was between 40 ug/100 g whole blood. For employees who are removed from exposure to lead due to an elevated blood lead, a new blood lead level must be measured monthly.

How much lead should be removed from a lead-exposed person?

Kosnett et al (2007) summarized a body of published literature that establishes the potential for hypertension, effects on renal function, cognitive dysfunction, and adverse female reproductive outcome in adults with whole-blood lead concentrations less than 40 microg/dL. Based on this literature, and these researchers' collective experience in evaluating lead-exposed adults, they recommended that individuals be removed from occupational lead exposure if a single blood lead concentration exceeds 30 microg/dL or if 2 successive blood lead concentrations measured over a 4-week interval are greatet than or equal to 20 microg/dL. Removal of individuals from lead exposure should be considered to avoid long-term risk to health if exposure control measures over an extended period do not decrease blood lead concentrations to less than 10 microg/dL or if selected medical conditions exist that would increase the risk of continued exposure. Recommended medical surveillance for all lead-exposed workers should include quarterly blood lead measurements for individuals with blood lead concentrations between 10 and 19 microg/dL, and sem-iannual blood lead measurements when sustained blood lead concentrations are les than 10 microg/dL. It is advisable for pregnant women to avoid occupational or avocational lead exposure that would result in blood lead concentrations greater than 5 microg/dL. Chelation may have an adjunctive role in the medical management of highly exposed adults with symptomatic lead intoxication but is not recommended for asymptomatic individuals with low blood lead concentrations.

Why does Aetna consider lead in urine experimental and investigational?

Aetna considers measurement of lead in bone, hair, teeth, or urine experimental and investigational because the effectiveness of these approaches has not been established.

What is lead working with?

Working with lead or living with someone who does—women who work in or who have family members who work in an industry that uses lead (e.g., lead production, battery manufacturing, paint manufacturing, ship building, ammunition production, or plastic manufacturing).

What happens if you get lead poisoning?

When lead-based paint peels and chips off of older walls, it can be inhaled and cause permanent damage to a young child's nervous system. Recurrent exposure to even small amounts of lead may result in lead poisoning since lead can accumulate in the body. Neurobehavioral abnormalities of mild lead poisoning may manifest as lowered IQ scores, decreased attention span, impaired hearing, speech and other developmental delays; however, most children of pre-school age with mild lead poisoning are asymptomatic. The probability of developing encephalopathy, the most serious complication of lead poisoning, increases as the exposure to lead and blood level of lead rises. Encephalopathy may be preceded by abdominal pain, headaches, vomiting, and constipation. The Centers for Disease Control and Prevention defines lead poisoning as a blood lead level of 10 mg/dL. As sustained blood levels rise above 10 to 15 mg/dL, young children under age 6 years are at progressively increasing risk not only for future neurobehavioral and cognitive problems, but also for development of recurrent symptomatic episodes of physical manifestations of lead poisoning.

Does Aetna test for lead?

Aetna considers blood lead testing (measurement of blood lead level) medically necessary for diagnosis of persons with signs and symptoms of lead poisoning (e.g., lowered IQ scores, decreased attention span, impaired hearing, speech and other developmental delays, abdominal pain, headaches, vomiting, and constipation).

How old do you have to be to be tested for lead?

All refugee infants and children 0-16 years of age should be evaluated for lead exposure with a blood lead test. Older refugee adolescents should be tested if there is a high suspicion or clinical signs/symptoms of lead exposure, or if currently pregnant or lactating.

How long after EBLL can you test for lead?

Within 3–6 months after initial testing, a blood lead test should be repeated for all refugee infants and children ≤6 years of age, regardless of initial screening BLL result. Repeat testing is also recommended for refugee children and adolescents 7-16 years of age who had EBLL at initial screening. Repeat testing is also warranted in adolescents >16 years of age with specific risk factors (e.g., sibling with EBLL, environmental risk factors). Additional information on case management and follow-up of EBLL is available in Managing Elevated Blood Lead Levels among Young Children: Recommendations from the Advisory Committee on Childhood Lead Poisoning Prevention

Why are children at risk for lead exposure?

Mobile infants and young children are particularly at risk for lead exposure given their tendency to mouth objects, and often have increased contact with dust, dirt, and surfaces potentially contaminated with lead 4. This tendency for mouthing, as well as ingesting non-nutritive substances (pica) contaminated with lead, is exacerbated by the lead’s sweet taste. Infants and young children are predisposed to increased BLL at lower exposure levels because they have a greater ratio of body surface area to mass than adults 4, 25. Malnourished children may also be at an increased risk for EBLL, likely through increased intestinal lead absorption mediated by micronutrient deficiencies such as iron, calcium, or zinc 26 – 27. In one analysis of lead exposures in children <2 years of age (n=642) in a Thai refugee camp, moderate-to-severe anemia (hemoglobin <10 g/dL) was associated with EBLL, and lead acid car batteries and traditional remedies were the most important sources of exposure 6. Mouthing of cosmetic products was also a suspected contributor 6. Certain subpopulations of women are also at increased risk for lead exposure; these include refugees and other recent immigrants. In one study, foreign-born pregnant women in the United States were 8.2 times more likely than non-foreign-born women to have EBLLs 28. Among the groups studied, women from Bangladesh, Mexico, and Pakistan had the highest BLLs 28.

What are the risk factors for EBLL?

Common risk factors for EBLL in pregnant women and girls include pica behaviors, occupational exposure, use of traditional remedies or supplements, cosmetics manufactured overseas, use of traditional lead-glazed pottery, and nutritional status (e.g., low body mass index [BMI]) 43.

What is a history of lead exposure?

A history of lead exposure includes questions about signs and symptoms (e.g., developmental history), behaviors (e.g., pica), and potential exposures such as use of cosmetics (purchased overseas), ceramics, spices, foods, tobaccos, or remedies 17 – 18, 24.

Do refugees have to be screened for lead?

Because refugees generally have lived in areas where ambient lead exposure is high, it is recommended that all newly arriving pregnant or breastfeeding women be screened for lead exposure at the domestic medical screening with a blood test.

Is lead poisoning harmful to pregnant women?

Lead exposure (and associated toxicity) remains a public health concern for certain groups of women of childbearing age (15–44 years), developing fetuses, and nursing infants 43. Lead toxicity in pregnant women has been associated with an increased risk of spontaneous abortion, gestational hypertension, abnormal fetal neurodevelopment, and low birthweight. Additionally, strong evidence shows that prenatal lead exposure impairs children’s neurodevelopment, placing them at increased risk for developmental delay, reduced IQ, and behavioral problems 43. Because more than 90% of lead is stored in bone, it is thought that long-term exposure in women may cause lead to accumulate in bone and be released during times of higher metabolism, such as pregnancy and lactation, potentially placing the fetus or nursing infant at risk of exposure 43.