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FINAL COMMENTS for RAD-033

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Board Administrator
Username: Admin

Post Number: 72
Registered: 10-2002
Posted on Wednesday, February 04, 2009 - 01:56 pm:   Edit Post Delete Post

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)

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