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Question: What is the ICD-9 and ICD-10 codes for Acinetobacter Baumannii?
Answer: ICD-9 -- 041.84 -- Gram-negative anaerobes
ICD 10 CM -- B9689 -- Other specified bacterial agents as the cause of diseases classified elsewhere
Acinetobacter baumannii: Aerobic gram-negative coccobacillus or rod, often mistaken for Neisseria or Moraxella on Gram stain.
Common in environment (water, soil) and hospital (catheters, lotions, ventilation equipment)
Grows on standard agar media
baumannii is the major species of Acinetobacter
Occasional other species include: A. calcoaceticus, A. lwoffi, A. junii, A. johnsonii and A. baylyi.
- Bella Logvinov MBA, CCS, CPC
Question: A physician states that a patient has hypothyroidism and is on Levothyroxine. The surgical history states a thyroidectomy. Is it okay to use 244.0 postsurgical hypothyroidism or must the physician must state the relationship? In a similar example, a physician states a vaginal wall prolapse and the surgical history states a previous hysterectomy. Must the physician state a cause and effect relationship between the two to use 618.5?
Answer: The ICD-9-CM index lists the subterm "postsurgical" under the term "hypothyroidism" and lists the code 244.0. You can use 244.0 postsurgical hypothyroidism without the physician stating a relationship. There is also a subterm "due to" under hypothyroidism in the ICD-9-CM Index, but the "postsurgical" subterm just suggests after surgery. In 3M Encoder, coding path, Hypothyroidism/following surgical removal/ post-surgical leads to code 244.0.
The same would apply to vaginal wall prolapse. In the ICD-9-CM Index under term "prolapse," subterm "vagina," the next subterm after that lists "post hysterectomy" code 618.5. In 3M Encoder code path, prolapse/vagina/*prolapse of vaginal vault after hysterectomy leads to code 618.5.
- Tara Quick, RHIT, CCS