Q&A Additional code for functionality

[Lori Woods]

Example code 193 in ICD-9 says use additional code to identify any functional activity? How is this done I can't find anything? help! lol.

 

[Alicia Scott]

You don't HAVE to use an additional code if there is not any additional functional activity. They are referring to something like Hyperthyroidism d/t the CA.
You are funny.

 

[Lori Woods]

Someone asked me this today & I was just wondering if you were to add a code for it what would it be and I just couldn't figure it out they didn't mention anything else just asked me that so I was just curious & I knew you would know that's why I came here to the pro. lol Thanks Alicia.

 

[Alicia Scott]

244.9 is what I would guess but there can be all kinds of things that having a tumor on your Thyroid can cause. It can even cause you to have kidney stones.

 

[Lori Woods]

Really that is interesting to know Thanks Alicia.

 

[Ruth Sheets]

Check the Guidelines at the start of Chapter 2. Neoplasms(140-239) in the ICD-9-CM manual. It explains Functional activity under the second item and gives examples. I added the notes in blue.

2. Functional activity
All neoplasms are classified in this chapter, whether or not functionally active. An additional code from Chapter 3 (Endocrine, Nutritional and Metabolic Diseases, and Immunity Disorders (240-279) may be used to identify such functional activity associated with any neoplasm, e.g.:



catecholamine-producing malignant pheochromocytoma of adrenal:
code 194.0, additional code 255.6
basophil adenoma of pituitary with Cushing's syndrome:
code 227.3, additional code 255.0

 

[Lori Woods]

Check the Guidelines at the start of Chapter 2. Neoplasms(140-239) in the ICD-9-CM manual. It explains Functional activity under the second item and gives examples. I added the notes in blue.

2. Functional activity
All neoplasms are classified in this chapter, whether or not functionally active. An additional code from Chapter 3 (Endocrine, Nutritional and Metabolic Diseases, and Immunity Disorders (240-279) may be used to identify such functional activity associated with any neoplasm, e.g.:



catecholamine-producing malignant pheochromocytoma of adrenal:
code 194.0, additional code 255.6
basophil adenoma of pituitary with Cushing's syndrome:
code 227.3, additional code 255.0

Thanks Ruth!

 

[Sara Gomez]

How do you suggest then to use additional manifestation code for DM? Please help, we have been stuck on this type of coding situation! :/.