icd 9 code for ptt

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The PTT test is an in vitro laboratory test used to assess the intrinsic coagulation pathway and monitor heparin therapy. HCPCS Codes (Alphanumeric, CPT AMA) Code Description 85730 Thromboplastin time, partial (PTT); plasma or whole blood ICD-10-CM Codes Covered by Medicare Program

What is the ICD 10 code for PTT test?

Posttraumatic stress disorder. 2015. Billable Thru Sept 30/2015. Non-Billable On/After Oct 1/2015. ICD-9-CM 309.81 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 309.81 should only be used for claims with a date of service on or before September 30, 2015.

What is the ICD 9 code for posttraumatic stress disorder?

Original Consideration for Partial Thromboplastin Time (PTT) (Addition of ICD-9-CM V58.83, Encounter for therapeutic drug monitoring, as a covered indication) (CAG-00338N)

What is the ICD-9 code for partial thromboplastin time?

This memorandum serves the purpose of addressing a request for adding codes for pre-operative examinations to the prothrombin time (PT) national coverage determination (NCD) and partial thromboplastin time (PTT) NCD.

What does PTT stand for?

What diagnosis codes cover PTT?

The PTT NCD includes in the covered list of ICD-9-CM diagnostic codes code V72. 81 (Pre-operative cardiovascular examination,) code V72. 83 (Other specified pre-operative examination,) and code V72. 84 (Pre-operative examination, unspecified).

What ICD 10 will cover PTT?

1.

What is the ICD 10 code for elevated PTT?

R79. 1 - Abnormal coagulation profile | ICD-10-CM.

What is the CPT code for PTT?

020321: Prothrombin Time (PT) and Partial Thromboplastin Time (PTT) | Labcorp.

What is the ICd 9 code for PTT?

CMS has determined that ICD-9-CM diagnosis code V58.83, Encounter for therapeutic drug monitoring, flows from the existing narrative for conditions for which a PTT test is reasonable and necessary. We shall modify the list of “ICD-9-CM Codes Covered by Medicare Program” in the NCD for Partial Thromboplastin Time (PTT) by adding V58.83.

What is the ICd 9 code for partial thromboplastin time?

On July 24, 2006, CMS formally accepted a request for consideration to add ICD-9-CM code V58.83 to the covered indication code list for the Partial Thromboplastin Time NCD.

When was V58.83 added to the CMS?

On July 24, 2006, CMS opened a coding analysis item regarding the addition of V58.83, Encounter for therapeutic drug monitoring, as a covered indication for the Partial Thromboplastin Time (PTT) National Coverage Determination (NCD). We posted a tracking sheet to the Internet ( http://www.cms.hhs.gov/mcd/viewtrackingsheet.asp?id=193 ) and solicited public comment for 30 days on the appropriateness of adding code V58.83 to the list of covered codes for the PTT NCD.

Is ICd 9 a national coverage determination?

This coding analysis does not constitute a national coverage determination (NCD). It states the intent of the Centers for Medicare & Medicaid Services (CMS) to issue a change to the list of ICD-9-CM Codes Covered that are linked to one of the negotiated laboratory NCDs. This decision will be announced in an upcoming recurring update notification in accordance with CMS Pub 100-4, Chapter 16, Section 120.2 and will become effective as of the date listed in the transmittal that announces the revision.

What is a PTT?

A PTT may be used to assess patients with signs or symptoms of hemorrhage or thrombosis. For example: abnormal bleeding, hemorrhage or hematoma petechiae or other signs of thrombocytopenia that could be due to disseminated intravascular coagulation; swollen extremity with or without prior trauma.

What is PTT in coagulation?

A PTT may be useful in evaluating patients who have a history of a condition known to be associated with the risk of hemorrhage or thrombosis that is related to the intrinsic coagulation pathway. Such abnormalities may be genetic or acquired. For example: dysfibrinogenemia; afibrinogenemia (complete); acute or chronic liver dysfunction or failure, including Wilson's disease; hemophilia; liver disease and failure; infectious processes; bleeding disorders; disseminated intravascular coagulation; lupus erythematosus or other conditions associated with circulating inhibitors, e.g., Factor VIII Inhibitor, lupus-like anticoagulant, etc.; sepsis; von Willebrand's disease; arterial and venous thrombosis, including the evaluation of hypercoagulable states; clinical conditions associated with nephrosis or renal failure; other acquired and congenital coagulopathies as well as thrombotic states.

What is the purpose of PTT?

The PTT is most commonly used to quantitate the effect of therapeutic unfractionated heparin and to regulate its dosing. Except during transitions between heparin and warfarin therapy, in general both the PTT and PT are not necessary together to assess the effect of anticoagulation therapy. PT and PTT must be justified separately.

Is a thrombolytic test necessary?

Testing prior to any medical intervention associated with a risk of bleeding and thrombosis (other than thrombolytic therapy) will generally be considered medically necessary only where there are signs or symptoms of a bleeding or thrombotic abnormality or a personal history of bleeding, thrombosis or a condition associated with a coagulopathy. Hospital/clinic-specific policies, protocols, etc., in and of themselves, cannot alone justify coverage.

Is PTT necessary for warfarin?

The PTT is not useful in monitoring the effects of warfarin on a patient's coagulation routinely. However, a PTT may be ordered on a patient being treated with warfarin as heparin therapy is being discontinued. A PTT may also be indicated when the PT is markedly prolonged due to warfarin toxicity.

How long does post traumatic stress last?

There are various forms of post-traumatic stress disorder, depending on the time of onset and the duration of these stress symptoms. In the acute form, the duration of the symptoms is between 1 to 3 months. In the chronic form, symptoms last more than 3 months. With delayed onset, symptoms develop more than 6 months after the traumatic event.

Is post traumatic stress disorder real?

Post-traumatic stress disorder (ptsd) is a real illness. You can get ptsd after living through or seeing a traumatic event, such as war, a hurricane, rape, physical abuse or a bad accident. Ptsd makes you feel stressed and afraid after the danger is over. It affects your life and the people around you.

Test Includes

Activated partial thromboplastin time (aPTT); international normalized ratio (INR); prothrombin time (PT)

Special Instructions

This aPTT test is for screening purposes only and is not intended for therapeutic monitoring. Please refer to Heparin Anti-Xa [117101] and thrombin inhibitors, etc for aPTT testing. If the patient's hematocrit exceeds 55%, the volume of citrate in the collection tube must be adjusted. Refer Coagulation Collection Procedures for directions.

Expected Turnaround Time

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Container

Blue-top (sodium citrate) tube; do not open tube unless plasma is to be frozen.

Collection

Blood should be collected in a blue-top tube containing 3.2% buffered sodium citrate. 1 Evacuated collection tubes must be filled to completion to ensure a proper blood to anticoagulant ratio. 2,3 The sample should be mixed immediately by gentle inversion at least six times to ensure adequate mixing of the anticoagulant with the blood.

Storage Instructions

Specimens are stable at room temperature for 24 hours. If testing cannot be completed within 24 hours, specimens should be centrifuged for at least 10 minutes at 1500xg. Plasma should then be transferred to a LabCorp PP transpak frozen purple tube with screw cap (LabCorp N° 49482). Freeze immediately and maintain frozen until tested.

Patient Preparation

Draw specimen one hour before next dose of heparin if heparin is being given by intermittent injection. Do not draw from an arm with a heparin lock or heparinized catheter.

What is S06.9X8A?

S06.9X8A Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter S06.9X9A Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter S07.0XXA Crushing injury of face, initial encounter S07.1XXA Crushing injury of skull, initial encounter S07.8XXA Crushing injury of other parts of head, initial encounter S07.9XXA Crushing injury of head, part unspecified, initial encounter S09.0XXA Injury of blood vessels of head, not elsewhere classified, initial encounter S10.0XXA Contusion of throat, initial encounter S10.83XA Contusion of other specified part of neck, initial encounter S10.93XA Contusion of unspecified part of neck, initial encounter S12.000A Unspecified displaced fracture of first cervical vertebra, initial encounter for closed fracture S12.000B Unspecified displaced fracture of first cervical vertebra, initial encounter for open fracture S12.001A Unspecified nondisplaced fracture of first cervical vertebra, initial encounter for closed fracture S12.001B Unspecified nondisplaced fracture of first cervical vertebra, initial encounter for open fracture S12.01XA Stable burst fracture of first cervical vertebra, initial encounter for closed fracture S12.01XB Stable burst fracture of first cervical vertebra, initial encounter for open fracture S12.02XA Unstable burst fracture of first cervical vertebra, initial encounter for closed fracture S12.02XB Unstable burst fracture of first cervical vertebra, initial encounter for open fracture S12.030A Displaced posterior arch fracture of first cervical vertebra, initial encounter for closed fracture S12.030B Displaced posterior arch fracture of first cervical vertebra, initial encounter for open fracture S12.031A Nondisplaced posterior arch fracture of first cervical vertebra, initial encounter for closed fracture S12.031B Nondisplaced posterior arch fracture of first cervical vertebra, initial encounter for open fracture S12.040A Displaced lateral mass fracture of first cervical vertebra, initial encounter for closed fracture S12.040B Displaced lateral mass fracture of first cervical vertebra, initial encounter for open fracture S12.041A Nondisplaced lateral mass fracture of first cervical vertebra, initial encounter for closed fracture S12.041B Nondisplaced lateral mass fracture of first cervical vertebra, initial encounter for open fracture S12.090A Other displaced fracture of first cervical vertebra, initial encounter for closed fracture S12.090B Other displaced fracture of first cervical vertebra, initial encounter for open fracture

What is a D69.51?

D69.51 Posttransfusion purpura D69.59 Other secondary thrombocytopenia D69.6 Thrombocytopenia, unspecified D69.8 Other specified hemorrhagic conditions D69.9 Hemorrhagic condition, unspecified D75.1 Secondary polycythemia D78.01 Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen D78.02 Intraoperative hemorrhage and hematoma of the spleen complicating other procedure D78.21 Postprocedural hemorrhage of the spleen following a procedure on the spleen D78.22 Postprocedural hemorrhage of the spleen following other procedure D78.31 Postprocedural hematoma of the spleen following a procedure on the spleen D78.32 Postprocedural hematoma of the spleen following other procedure D86.0 Sarcoidosis of lung D86.1 Sarcoidosis of lymph nodes D86.2 Sarcoidosis of lung with sarcoidosis of lymph nodes D86.3 Sarcoidosis of skin D86.81 Sarcoid meningitis D86.82 Multiple cranial nerve palsies in sarcoidosis D86.83 Sarcoid iridocyclitis D86.84 Sarcoid pyelonephritis D86.85 Sarcoid myocarditis D86.86 Sarcoid arthropathy D86.87 Sarcoid myositis D86.89 Sarcoidosis of other sites D86.9 Sarcoidosis, unspecified D89.0 Polyclonal hypergammaglobulinemia D89.1 Cryoglobulinemia D89.2 Hypergammaglobulinemia, unspecified E07.89 Other specified disorders of thyroid E08.21 Diabetes mellitus due to underlying condition with diabetic nephropathy E08.22 Diabetes mellitus due to underlying condition with diabetic chronic kidney disease E08.29 Diabetes mellitus due to underlying condition with other diabetic kidney complication

Is PTT necessary for warfarin?

1. The PTT is not useful in monitoring the effects of war farin on a patient’s coagulation routinely. However, a PTT may be ordered on a patient being treated with warfarin as heparin therapy is being discontinued. A PTT may also be indicated when the PT is markedly prolonged due to warfarin toxicity.

What does Z03.- mean?

encounter for examination for suspected conditions, proven not to exist (Z03.-)

What is a Z code?

Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y99 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:

Is thrombolytic therapy necessary?

thrombolytic therapy) will generally be considered medically necessary only where there are signs or symptoms of a bleeding or thrombotic abnormality or a personal history of bleeding, thrombosis or a condition associated with a coagulopathy. Hospital/clinic-specific policies, protocols, etc., in and of themselves, cannot alone justify coverage.

Does v72.84 cover PTT?

As far as I remmember v72.84 will cover PT/PTT.

Can you use a DX code on a patient?

You cannot use a dx code the patient does not have so you will need to evaluate the value of theis test for the physician, if the patient's condition they are having the surgery for justifies performing the test then use that dx code otherwise either do not order the test or let the patient know up front that it is not covered and have them sign an ABN and then bill the patient, or do the test and write the charge off when it returns as non paid due to LCD.