Using SAS® to Analyze ICD-9 and ICD-10 Diagnosis Codes Found in Administrative Health-Care Data Author Kathy Fraeman Subject Administrative health-care data including insurance claims data, electronic medical records (EMR) data, and hospitalization data contains standardized diagnosis codes to identify diseases and other medical conditions.
A SAS format catalog, which adds 161,360 ICD-9 and ICD-10 diagnosis and procedure code descriptions to administrative data, would greatly benefit all users and encourage new uses of administrative data by reducing the need for large ICD-9 and ICD-10 look-up manuals.
The tool includes four elements: ICD-9-CM diagnosis codes, ICD-9-CM code labels, Chronic/non-Chronic assignments, and Body System assignments. Comma-delimited translation file that maps ICD-9-CM diagnosis codes into the Chronic Condition Indicator and into body systems.
For example, ICD-9 diagnosis codes representing malignancies include all codes beginning with “140” through “208”, and “2091” through “2093” with any characters following the beginning codes:
Persons encountering health services in other specified circumstancesZ76. 89 is a valid ICD-10-CM diagnosis code meaning 'Persons encountering health services in other specified circumstances'. It is also suitable for: Persons encountering health services NOS.
History of falling81 - History of falling 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.
Z76. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Code G89. 29 (Other chronic pain) is assigned as a secondary diagnosis. Category G89 contains codes for acute (G89. 11) and chronic (G89.
ICD-10 code: Z76. 9 Person encountering health services in unspecified circumstances.
SDOH are the conditions in the environments where people are born, live, learn, work, play, and age. SDOH-related Z codes ranging from Z55-Z65 are the ICD-10-CM encounter reason codes used to document SDOH data (e.g., housing, food insecurity, transportation, etc.).
Insurance companies pay for services based on diagnosis and procedure codes contained in medical documentation and submitted in claims, but Z-codes for social determinants of health don't trigger such payments, and this means "there's not a reason for providers to use them," Donovan says.
Acute and Chronic Conditions If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level, code both and sequence the acute (subacute) code first.
There is no specific guideline that says how to code acute or chronic based on time, the main guideline about acute and chronic is, when you have a condition specified as both, acute on chronic, the acute code will go first followed by the chronic code.
A disease or condition that usually lasts for 3 months or longer and may get worse over time. Chronic diseases tend to occur in older adults and can usually be controlled but not cured. The most common types of chronic disease are cancer, heart disease, stroke, diabetes, and arthritis.
Non-chronic conditions include conditions such as infections, pregnancy, many neonatal conditions, non-specific symptoms, and injuries. To obtain the entire listing of all conditions view the downloadable file which contains a listing of all ICD-9-CM codes and their assignment to chronic or nonchronic.
Carcinomas in situ are considered chronic except for skin and cervix. Neoplasms of uncertain behavior are considered non-chronic except neurofibromatosis. The body system indicator is based upon the chapters of the ICD-9-CM codebook. This indicator may be useful as a means of counting the number of body systems;