   
Final Comments Avail Board Administrator Username: Admin
Post Number: 72 Registered: 10-2002
| | Posted on Wednesday, February 04, 2009 - 01:56 pm: |
|
Comment: With the advances in CT angiography and near seamless indications between CTA and MRA, please evaluate expanding the current code set to include those from the MRA list, too, for the appropriate anatomical studies. Since the CTA code 75635 includes a CTA of the abdomen and lower extremities, the current allowed codes do not cover peripheral vascular disease indications. Would it be better to move this code into the lower extremity section or into a new section to incorporate both abdominal and peripheral indications? Response: MRA uses are per national regulations. Thus we cannot make the lists exactly the same without restricting CT. At present, the use of CT for all vessels does not appear to be standard yet. At present, it does not seem necessary to move sections. Comment: Requests were received for the addition of multiple ICD-9-CM codes. Response: These codes were evaluated individually and based on that evaluation the following ICD-9-CM codes have been added to RAD-033; Head, Neck, Orbit, Jaw (70450-70498) 150.0- 150.5 Malignant neoplasm of esophagus 151.0 - 151.9 Malignant neoplasm of stomach 157.0 - 157.9 Malignant neoplasm pancreas 171.0 – 171.9 Malignant neoplasm of connective and other soft tissue 172.9 Melanoma of skin, site unspecified 195.0 Malignant neoplasm of ill-defined sites of the head, face, and neck 780.93 Memory loss 802.0 Fracture of nasal bones 847.0 Sprains and strains of neck 873.0 Open wound of neck Chest (71250-71270) 141.0-141.9 Malignant neoplasm of tongue 142.0 Malignant neoplasm of parotid gland 146.0 -146.9 Malignant neoplasm oropharynx 149.0 Malignant neoplasm of other ill defined sites, pharynx, unspecified 150.0-150.9 Malignant neoplasm of esophagus 153.0 - 153.9 Malignant neoplasm of colon 154.0 - 154.9 Malignant neoplasm of rectum, rectosigmoid junction, and anus 155.0 Malignant neoplasm of liver, primary 157.0 - 157.9 Malignant neoplasm pancreas 161.9 Malignant neoplasm of larynx, unspecified 171.0 – 171.9 Malignant neoplasm of connective and other soft tissue 195.0 Malignant neoplasm of ill-defined sites of the head, face, and neck Upper and /or Lower Extremity (73206 and 73706) 440.0 Atherosclerosis of the Aorta 440.20- 440.29 Atherosclerosis of the native arteries, extremities 443.9 Peripheral vascular disease unspecified 447.1 Stricture of artery Abdomen/Pelvis (72191,-92194, 74150-74175, 75635) 193 Malignant neoplasm thyroid 239.1 Neoplasm unspecified nature respiratory system 273.1 Monoclonal paraproteinemia 440.20 -440.29 Atherosclerosis of the native arteries, extremities 440.30- 440.32 Atherosclerosis of graft 440.8 Atherosclerosis of other specified arteries 443.81 Peripheral angiopathy in diseases classified elsewhere 443.9 Peripheral vascular disease, unspecified 707.10 -707.19 Ulcer of the lower limbs 707.8 Chronic ulcer of other specified sites 707.9 Chronic ulcer of unspecified site 729.5 Pain in limb 733.90 Disorders of bone and cartilage, unspecified 785.4 Gangrene V10.79 Other lymphatic and hematopoietic neoplasms V58.73 aftercare following surgery of the nervous system NEC and/or Thoracic Spine (72128-72130) 805.20-805.39 Fracture of vertebral column, dorsal (thoracic) |