Category 781 deals with Symptoms of nervous and musculoskeletal systems
781.0 Abnormal involuntary movements
Abnormal head movements Fasciculation Spasms NOS Tremor NOS
781.1 Disturbances of sensation of smell and taste
Anosmia Parageusia Parosmia
781.2 Abnormality of gait
Gait ataxic Gait paralytic Gait spastic Gait staggering
781.3 Lack of coordination
Ataxia NOS Muscular incoordination
781.4 Transient paralysis of limb
Monoplegia, transient NOS
781.5 Clubbing of fingers
781.6 Meningismus
Dupre's syndrome Meningism Pseudomeningismus
781.7 Tetany
Carpopedal spasm
781.8 Neurologic neglect syndrome
Asomatognosia (Hemi-akinesia) (Hemi-inattention) Hemispatial neglect (Left-sided neglect) Sensory extinction Sensory neglect Visuospatial neglect
781.9 Other symptoms involving nervous and musculoskeletal systems
781.91 Loss of height
781.92 Abnormal posture
781.93 Ocular torticollis
781.94 Facial weakness
Facial droop
781.99 Other symptoms involving nervous and musculoskeletal systems
General Symptoms codes ICD-9-CM
The category 780 list codes of general symptoms
780.0 Alteration of consciousness
780.01 Coma
780.02 Transient alteration of awareness
780.03 Persistent vegetative state
780.09 Other
Drowsiness, Semicoma, Somnolence, Stupor, Unconsciousness
780.1 Hallucinations
Hallucinations NOS, Hallucinations auditory, Hallucinations gustatory, Hallucinations olfactory, Hallucinations tactile
780.2 Syncope and collapse
Blackout, Fainting, (Near) (Pre) syncope, Vasovagal attack
780.3 Convulsions
780.31 Febrile convulsions (simple), unspecified
Febrile seizure NOS
780.32 Complex febrile convulsions
Febrile seizure atypical, Febrile seizure complex, Febrile seizure complicated
780.39 Other convulsions
Convulsive disorder NOS, Fit NOS, Recurrent convulsions NOS, Seizure NOS
780.4 Dizziness and giddiness
Light-headedness, Vertigo NOS
780.5 Sleep disturbances
780.50 Sleep disturbance, unspecified
780.51 Insomnia with sleep apnea, unspecified
780.52 Insomnia, unspecified
780.53 Hypersomnia with sleep apnea, unspecified
780.54 Hypersomnia, unspecified
780.55 Disruptions of 24 hour sleep wake cycle, unspecified
780.56 Dysfunctions associated with sleep stages or arousal from sleep
780.57 Unspecified sleep apnea
780.58 Sleep related movement disorder, unspecified
780.59 Other
780.6 Fever and other physiologic disturbances of temperature regulation
780.60 Fever, unspecified
Chills with fever, Fever NOS, Fever of unknown origin (FUO), Hyperpyrexia NOS, Pyrexia NOS, Pyrexia of unknown origin
780.61 Fever presenting with conditions classified elsewhere
780.62 Postprocedural fever
780.63 Postvaccination fever
Postimmunization fever
780.64 Chills (without fever)
Chills NOS
780.65 Hypothermia not associated with low environmental temperature
780.7 Malaise and fatigue
780.71 Chronic fatigue syndrome
780.72 Functional quadriplegia
Complete immobility due to severe physical disability or frailty
780.79 Other malaise and fatigue
Asthenia NOS, Lethargy, Postviral (asthenic) syndrome, Tiredness
780.8 Generalized hyperhidrosis
Diaphoresis, Excessive sweating, Secondary hyperhidrosis
780.9 Other general symptoms
780.91 Fussy infant (baby)
780.92 Excessive crying of infant (baby)
780.93 Memory loss
Amnesia (retrograde) Memory loss NOS
780.94 Early satiety
780.95 Excessive crying of child, adolescent, or adult
780.96 Generalized pain
Pain NOS
780.97 Altered mental status
Change in mental status
780.99 Other general symptoms
780.0 Alteration of consciousness
780.01 Coma
780.02 Transient alteration of awareness
780.03 Persistent vegetative state
780.09 Other
Drowsiness, Semicoma, Somnolence, Stupor, Unconsciousness
780.1 Hallucinations
Hallucinations NOS, Hallucinations auditory, Hallucinations gustatory, Hallucinations olfactory, Hallucinations tactile
780.2 Syncope and collapse
Blackout, Fainting, (Near) (Pre) syncope, Vasovagal attack
780.3 Convulsions
780.31 Febrile convulsions (simple), unspecified
Febrile seizure NOS
780.32 Complex febrile convulsions
Febrile seizure atypical, Febrile seizure complex, Febrile seizure complicated
780.39 Other convulsions
Convulsive disorder NOS, Fit NOS, Recurrent convulsions NOS, Seizure NOS
780.4 Dizziness and giddiness
Light-headedness, Vertigo NOS
780.5 Sleep disturbances
780.50 Sleep disturbance, unspecified
780.51 Insomnia with sleep apnea, unspecified
780.52 Insomnia, unspecified
780.53 Hypersomnia with sleep apnea, unspecified
780.54 Hypersomnia, unspecified
780.55 Disruptions of 24 hour sleep wake cycle, unspecified
780.56 Dysfunctions associated with sleep stages or arousal from sleep
780.57 Unspecified sleep apnea
780.58 Sleep related movement disorder, unspecified
780.59 Other
780.6 Fever and other physiologic disturbances of temperature regulation
780.60 Fever, unspecified
Chills with fever, Fever NOS, Fever of unknown origin (FUO), Hyperpyrexia NOS, Pyrexia NOS, Pyrexia of unknown origin
780.61 Fever presenting with conditions classified elsewhere
780.62 Postprocedural fever
780.63 Postvaccination fever
Postimmunization fever
780.64 Chills (without fever)
Chills NOS
780.65 Hypothermia not associated with low environmental temperature
780.7 Malaise and fatigue
780.71 Chronic fatigue syndrome
780.72 Functional quadriplegia
Complete immobility due to severe physical disability or frailty
780.79 Other malaise and fatigue
Asthenia NOS, Lethargy, Postviral (asthenic) syndrome, Tiredness
780.8 Generalized hyperhidrosis
Diaphoresis, Excessive sweating, Secondary hyperhidrosis
780.9 Other general symptoms
780.91 Fussy infant (baby)
780.92 Excessive crying of infant (baby)
780.93 Memory loss
Amnesia (retrograde) Memory loss NOS
780.94 Early satiety
780.95 Excessive crying of child, adolescent, or adult
780.96 Generalized pain
Pain NOS
780.97 Altered mental status
Change in mental status
780.99 Other general symptoms
Ultrasound CPT and ICD procedure codes
HEAD AND NECK
76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation
ICD 88.71
CHEST
76604 Ultrasound, chest, (includes mediastinum) real time with image documentation
76645 Ultrasound, breast(s) (unilateral or bilateral), real time with image documentation
ICD
88.73 - Diagnostic Ultrasound of Thorax Site NEC
Abdomen
76700 Ultrasound, abdominal, real time with image documentation; complete
76705 limited (eg, single organ, quadrant, follow-up)
ICD
76700
- 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete
76775 limited
76776 Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation
SPINAL CANAL
76800 Ultrasound, spinal canal and contents
PELVIS
OBSTRETICS
76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks 0 days), transabdominal aproach; single or first gestation
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation
76813 Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach, single or first gestation
76815 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal
76818 Fetal biophysical profile; with non-stress testing
76820 Doppler velocimetry, fetal; umbilical artery
76825 Echocardiography, fetal, cardiovascular system, real time with image documentation (2D) with or without M-mode recording;
76827 Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete
NON-OBSTETRICAL 76830-76857
76830 Ultrasound, transvaginal
76831 Saline infusion sonohysterography (SIS), including color flow Doppler, when performed
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete
76857 limited or follow-up (eg, for follicles)
GENITALIA 76870-76873
76870 Ultrasound, scrotum and contents
76872 Ultrasound, transrectal;
76873 prostate volume study for brachytherapy treatment planning (separate procedure)
EXTREMITIES 76880-76886
76880 Ultrasound, extremity, non-vascular, real time with image documentation
76885 Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician manipulation)
76886 limited, static (not requiring [physician manipulation])
76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation
ICD 88.71
CHEST
76604 Ultrasound, chest, (includes mediastinum) real time with image documentation
76645 Ultrasound, breast(s) (unilateral or bilateral), real time with image documentation
ICD
88.73 - Diagnostic Ultrasound of Thorax Site NEC
Abdomen
76700 Ultrasound, abdominal, real time with image documentation; complete
76705 limited (eg, single organ, quadrant, follow-up)
ICD
76700
- 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete
76775 limited
76776 Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation
SPINAL CANAL
76800 Ultrasound, spinal canal and contents
PELVIS
OBSTRETICS
76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks 0 days), transabdominal aproach; single or first gestation
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation
76813 Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach, single or first gestation
76815 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal
76818 Fetal biophysical profile; with non-stress testing
76820 Doppler velocimetry, fetal; umbilical artery
76825 Echocardiography, fetal, cardiovascular system, real time with image documentation (2D) with or without M-mode recording;
76827 Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete
NON-OBSTETRICAL 76830-76857
76830 Ultrasound, transvaginal
76831 Saline infusion sonohysterography (SIS), including color flow Doppler, when performed
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete
76857 limited or follow-up (eg, for follicles)
GENITALIA 76870-76873
76870 Ultrasound, scrotum and contents
76872 Ultrasound, transrectal;
76873 prostate volume study for brachytherapy treatment planning (separate procedure)
EXTREMITIES 76880-76886
76880 Ultrasound, extremity, non-vascular, real time with image documentation
76885 Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician manipulation)
76886 limited, static (not requiring [physician manipulation])
Computer Tomography (CT) : ICD-9-CM and CPT Codes
HEAD AND NECK
70450 Computed tomography, head or brain; without [contrast material]
70460 with contrast material(s)
70470 without contrast material, followed by contrast material(s) and further sections
70480 Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without [contrast material]
70481 with contrast material(s)
70482 without contrast material, followed by contrast material(s) and further sections
70486 Computed tomography, maxillofacial area; without [contrast material]
70487 with contrast material(s)
70488 without contrast material, followed by contrast material(s) and further sections
70490 Computed tomography, soft tissue neck; without [contrast material]
70491 with contrast material(s)
70492 without contrast material followed by contrast material(s) and further sections
70496 Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing
70498 Computed tomographic angiography, neck, with constrast material(s), including noncontrast images, if performed, and image postprocessing
Neck
71250 Computed tomography, thorax; without [contrast material]
71260 with contrast material(s)
71270 without contrast material, followed by contrast material(s) and further sections
Spine
72125 Computed tomography, cervical spine; without [contrast material]
72126 with contrast material
72127 without contrast material, followed by contrast material(s) and further sections
72128 Computed tomography, thoracic spine; without [contrast material]
72129 with contrast material
72130 without contrast material, followed by contrast material(s) and further sections
72131 Computed tomography, lumbar spine; without [contrast material]
72132 with contrast material
72133 without contrast material, followed by contrast material(s) and further sections
Extremities
73200 Computed tomography, upper extremity; without [contrast material]
73201 with contrast material(s)
73202 without contrast material, followed by contrast material(s) and further sections
Lower Extremities
73700 Computed tomography, lower extremity; without [contrast material]
73701 with contrast material(s)
73702 without contrast material, followed by contrast material(s) and further sections
Abdomen
74150 Computed tomography, abdomen; without [contrast material]
74160 with contrast material(s)
74170 without contrast material, followed by contrast material(s) and further sections
70450 Computed tomography, head or brain; without [contrast material]
70460 with contrast material(s)
70470 without contrast material, followed by contrast material(s) and further sections
70480 Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without [contrast material]
70481 with contrast material(s)
70482 without contrast material, followed by contrast material(s) and further sections
70486 Computed tomography, maxillofacial area; without [contrast material]
70487 with contrast material(s)
70488 without contrast material, followed by contrast material(s) and further sections
70490 Computed tomography, soft tissue neck; without [contrast material]
70491 with contrast material(s)
70492 without contrast material followed by contrast material(s) and further sections
70496 Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing
70498 Computed tomographic angiography, neck, with constrast material(s), including noncontrast images, if performed, and image postprocessing
Neck
71250 Computed tomography, thorax; without [contrast material]
71260 with contrast material(s)
71270 without contrast material, followed by contrast material(s) and further sections
Spine
72125 Computed tomography, cervical spine; without [contrast material]
72126 with contrast material
72127 without contrast material, followed by contrast material(s) and further sections
72128 Computed tomography, thoracic spine; without [contrast material]
72129 with contrast material
72130 without contrast material, followed by contrast material(s) and further sections
72131 Computed tomography, lumbar spine; without [contrast material]
72132 with contrast material
72133 without contrast material, followed by contrast material(s) and further sections
Extremities
73200 Computed tomography, upper extremity; without [contrast material]
73201 with contrast material(s)
73202 without contrast material, followed by contrast material(s) and further sections
Lower Extremities
73700 Computed tomography, lower extremity; without [contrast material]
73701 with contrast material(s)
73702 without contrast material, followed by contrast material(s) and further sections
Abdomen
74150 Computed tomography, abdomen; without [contrast material]
74160 with contrast material(s)
74170 without contrast material, followed by contrast material(s) and further sections
Colonoscopies
Technically this is considered a complete colonoscopy because he reached the hepatic flexure
you may code for each technique, you will need to append the 59 modifier to each site that is done differently.
example:
45385
45384-59
45380-59
You can code for each different technique as long as they were used on separate polyps. In other words, if he tried the snare and ended up using ablation on one polyp, you can only use the successful technique.
Doctor inserted scope and almost immediately encountered solid stool. The procedure was terminated V64.3
colonoscopy versus a flex sigmoidoscopy in the hospital setting. If the scope is inserted to the transverse colon is this a flex sig or a colonoscopy?
If the scope "turns the corner," and goes past the splenic flexure, it's a colonoscopy.
you may code for each technique, you will need to append the 59 modifier to each site that is done differently.
example:
45385
45384-59
45380-59
You can code for each different technique as long as they were used on separate polyps. In other words, if he tried the snare and ended up using ablation on one polyp, you can only use the successful technique.
Doctor inserted scope and almost immediately encountered solid stool. The procedure was terminated V64.3
colonoscopy versus a flex sigmoidoscopy in the hospital setting. If the scope is inserted to the transverse colon is this a flex sig or a colonoscopy?
If the scope "turns the corner," and goes past the splenic flexure, it's a colonoscopy.
Peg Tube (gastrostomy) coding
Peg Tube (gastrostomy) coding ICD and PCT
Insertion of Gastrostomy Tube
CPT ICD
Laproscopic 43653 43.19
Percutaneous 43246 43.11
Retrive/Remove a broken
portion of the Peg Tube 43247 98.03
Insertion of Gastrostomy Tube
CPT ICD
Laproscopic 43653 43.19
Percutaneous 43246 43.11
Retrive/Remove a broken
portion of the Peg Tube 43247 98.03
Wound Repair 12001 to 13160 (Lacerations)
Wound repair codes in CPT has been divided into following categories:
Simple Repair involving single layered wound closure.
Intermediate Repair involving at least two layers of closure. Single layer closure with extensive debridement is considered as intermediate closure.
Complex Closure involves more than two layers of closure.
Simple Layer Closure 12001- 12018
Intermediate closure 12031 - 12057
Complex Repair 13100- 13160
ICD-9-CM Procedure codes for suturing
49.71 - Suture of Laceration of Anus
61.41 - Suture of Laceration of Scrotum/Tunica Vaginalis
64.41 - Suture of Laceration of Penis
71.71 - Suture of Laceration Vulva/Perineum
71.79 - Repair of Vulva/Perineum NEC
85.81 - Suture Laceration of Breast
86.59 - Closure Of Skin And Subcutaneous Tissue Other Sites
08.81 - Linear Repair Eyelid/Eyebrow Laceration
18.4 - Suture of Laceration of External Ear
21.81 - Suture of Laceration of Nose
24.32 - Suture of Laceration of Gum
27.51 - Suture of Laceration of Lip
27.52 - Suture of Laceration of Mouth Part
86.59 - Closure Of Skin And Subcutaneous Tissue Other Sites
Simple Repair involving single layered wound closure.
Intermediate Repair involving at least two layers of closure. Single layer closure with extensive debridement is considered as intermediate closure.
Complex Closure involves more than two layers of closure.
Simple Layer Closure 12001- 12018
Intermediate closure 12031 - 12057
Complex Repair 13100- 13160
ICD-9-CM Procedure codes for suturing
49.71 - Suture of Laceration of Anus
61.41 - Suture of Laceration of Scrotum/Tunica Vaginalis
64.41 - Suture of Laceration of Penis
71.71 - Suture of Laceration Vulva/Perineum
71.79 - Repair of Vulva/Perineum NEC
85.81 - Suture Laceration of Breast
86.59 - Closure Of Skin And Subcutaneous Tissue Other Sites
08.81 - Linear Repair Eyelid/Eyebrow Laceration
18.4 - Suture of Laceration of External Ear
21.81 - Suture of Laceration of Nose
24.32 - Suture of Laceration of Gum
27.51 - Suture of Laceration of Lip
27.52 - Suture of Laceration of Mouth Part
86.59 - Closure Of Skin And Subcutaneous Tissue Other Sites
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