Just a quick tip an irritated Neurologist once suggested to me, keep a binder with the following:
ICD-10 Diagnosis Code Sequencing Principal or First Listed Certain diagnosis codes in ICD-10-CM are not accepted as a principal or first listed diagnosis. Coding conventions defined in the ICD-10 manual describe these scenarios. The term “principal diagnosis” is used on inpatient facility claims and “first listed
–Indicates that code identified in the note and code where the note appears cannot be reported together because the 2 conditions cannot occur together Example: E10 Type 1 Diabetes mellitus Excludes1: diabetes mellitus due to underlying condition (E08.-) drug or chemical induced diabetes mellitus (E09.-) gestational diabetes (O24.4-)
ICD-10 code R55 for Syncope and collapse is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Syncope is in the ICD-10 coding system coded as R55. 9 (syncope and collapse).
R55 - Syncope and collapse | ICD-10-CM.
ICD-9-CM Diagnosis Code 780.2 : Syncope and collapse.
OverviewAutonomic Nervous System (ANS)The ANS automatically controls many functions of the body, such as breathing, blood pressure, heart rate and bladder control. ... Vasovagal syncope (also called cardio-neurogenic syncope)Situational syncope.Postural syncope (also called postural hypotension)Neurologic syncope.More items...•
Syncope is a temporary loss of consciousness usually related to insufficient blood flow to the brain. It's also called fainting or "passing out."
The practitioner selects the codes TBI Not Otherwise Specified (NOS) with loss of consciousness of 30 minutes or less, initial encounter (S06. 9X1A) and the codes the for memory loss NOS (R41.
Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter. S06. 9X9A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Assign R55 Syncope and collapse for neurocardiogenic syncope. [Effective 07 Jun 2017, ICD-10-AM/ACHI/ACS 9th Ed.]
ICD-10-CM R40. 20 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 080 Nontraumatic stupor and coma with mcc. 081 Nontraumatic stupor and coma without mcc.
82 Altered mental status, unspecified.
In such case, if the rule/condition is confirmed in the final impression we can code it as Primary dx, but if the rule/out condition is not confirmed then we have to report suspected or rule/out diagnosis ICD 10 code Z03. 89 as primary dx. For Newborn, you can use category Z05 code for any rule out condition.
As of October 2015, ICD-9 codes are no longer used for medical coding. Instead, use this equivalent ICD-10-CM code, which is an exact match to ICD-9 code 780.2:
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
780.2 is a legacy non-billable code used to specify a medical diagnosis of syncope and collapse. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
References found for the code 780.2 in the Index of Diseases and Injuries:
Fainting is a temporary loss of consciousness. If you're about to faint, you'll feel dizzy, lightheaded, or nauseous. Your field of vision may "white out" or "black out." Your skin may be cold and clammy. You lose muscle control at the same time, and may fall down.
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.