![]() ![]() Hmm, so what is an LRTI (lower respiratory tract infection) pneumonia, bronchitis, influenza? And does the index and instructional note provide sequencing? Many clients have asked us questions on this topic. Under the alphabetical index is the following: Others did not even notice the subtle (but not so subtle) change. However, the alphabetical index and tabular list weren’t perfectly clear and many in the industry had questions. Last year, in conjunction with the release of the ICD-10-CM code set, there were changes to the alphabetical and tabular indexes regarding sequencing of COPD and pneumonia. Sometimes changes to the official code set, the alphabetical and tabular list and Coding Clinic advice seem to have just a minor visible impact, but only looking under the fender tells the whole story. So, that minor fender bender? When you take your car into the shop, sometimes there is much more damage under the fender than previously thought. There is only one list for "lymphoma, malignant" and one for "leukemia.Just a little fender bender? How coding changes affect readmission scores ![]() The number of permutations and combinations in leukemia and lymphoma terms is such that the index would have been too long. ![]() Lymphomas and leukemias are exceptions to the rule of listing conditions under all parts of the terms. However, because at least two editions of SNOMED are in current use and the codes differ slightly for these non-neoplastic lesions and conditions, specific SNOMED codes were omitted from ICD-O, Third Edition. In ICD-O-1 and ICD-O-2, a SNOMED code was provided. Instead, there is a note in parentheses (see SNOMED) to refer the reader to the Systematized Nomenclature of Medicine (2,3) First Column of Alphabetic IndexĪbnormal marrow eosinophils, acute myeloid leukemia with (includes all variants)Ībnormal marrow eosinophils, acute myelomonocytic leukemia with (includes all variants) No ICD-O morphology code is given after the M-, only seven dashes (M-), because these conditions are not considered to be neoplasms.įigure 11. These could be confused with neoplasms: for example, they end in "oma" or are premalignant conditions.
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