February 8, 2016

Zika: We Have a Code, and Other Updates

By

EDITOR’S NOTE: President Barack Obama is asking Congress for more than $1.8 billion in emergency funding to combat the Zika virus here and abroad it was announced yesterday, 

We have a code!

The Zika virus has continued to generate national headlines. During this past week, it was announced that Zika can be transmitted through sexual contact as well as infected mosquitos.

Eleven states have reported travel-associated Zika virus cases, meaning that the virus was contracted while traveling in the known countries in which the virus is active. There have been no reported active virus transmissions in the U.S., according to the Centers for Disease Control (CDC) website.    

On Friday, Feb. 5, the American Health Information Management Association (AHIMA) sent an email to its membership regarding the coding of the virus. It was recommended that A92.8 (Other specified mosquito-borne viral fevers) be assigned, as we reported earlier. The AHIMA alert went on to note that additional information will be posted on the CDC website when available.

Local Coverage Determinations

Some other updates regarding ICD-10 include that some of the Medicare Administrative Contractors (MACs) are discontinuing their ICD-10 local coverage determination (LCD) email boxes. Palmetto has provided the advice that any further coverage issues identified would be reported in the emails established for Part A and Part B policies. This change is another indication that the implementation to ICD-10 has been considered a success, or at a minimum, complete.

From another perspective, the First Coast Claims website does not have any updates regarding missing ICD-10-CM codes from LCDs or NCDs on colorectal cancer screening, prostate screening, and mammography. These issues are still reported as open. First Coast has processed the claims that were related to J0717 (certolizumab pegol, 1 mg) with the addition of ICD-10-CM codes for arthropathic psoriasis. CGS has posted information on its website regarding the incorrectly denied claims as well, noting that these claims will be reprocessed by the end of February 2016.  

The Workgroup for Electronic Data Interchange (WEDI) has maintained an issues list for ICD-10 implementation. The number of issues is decreasing, with one issue reported in February and three issues reported in January 2016. Three issues are coding-related while the fourth issue is an interpretation issue, as classified on the website. There were 608 issues reported prior to Jan. 1, 2016. 

We will look forward to providing more updates about the code set after the Coordination and Maintenance Meeting in March 2016. 

About the Author

Laurie Johnson, MS, RHIA, FAHIMA is the director of health information management (HIM) consulting services for Panacea Health Solutions Inc. She has conducted ICD-10 education sessions and documentation reviews for multiple organizations. Laurie also anchors the News Desk on Talk-Ten-Tuesdays. Prior to working for Panacea, Laurie worked for Peak Health Solutions and Optum.

Laurie Johnson, MS, RHIA, CPC-H, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer

Laurie M. Johnson, MS, RHIA, FAHIMA is currently a senior healthcare consultant for Revenue Cycle Solutions based in Pittsburgh, Pa. Laurie is an AHIMA approved ICD-10-CM/PCS Trainer. She has more than 35 years of experience in health information management and specializes in coding and related functions. She has been a featured speaker in over 40 conferences and will be speaking at 2017 AHIMA Coding Community Meeting in Los Angeles, Ca. Laurie has been a frequent guest on Talk Ten Tuesdays.

Related Stories

  • ICD-11 is Coming – Take Time to Adjust
    The new classification is designed as a database and has up to 13 dimensions. The World Health Organization (WHO) will be releasing the 11th Revision to the International Classification of Diseases, or ICD-11, this May. The WHO and many of…
  • “Assumptive” Coding for Heart Disease – A Coder’s Perspective
    Official guidance on ICD-10-CM coding raises questions regarding how to document cardiac care. The first step in choosing the proper ICD-10-CM code is reading the medical documentation to identify the diagnosis the provider has documented and confirmed. If there is…
  • How 2018 Impacts ICD-10-CM Cardiology Diagnosis Coding
    There are now five types of myocardial infarction (MI) code categories, and the author describes these new options and how they will impact reimbursement. For cardiology, the focus of ICD-10 is generally on increased specificity and documenting the downstream effects…