ICD-9-CM Official Guidelines for Coding and Reporting - Office of ...
ICD-9-CM Official Guidelines for Coding and Reporting - Office of ...
ICD-9-CM Official Guidelines for Coding and Reporting - Office of ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
V86<br />
V88<br />
Codes from category V84, Genetic susceptibility to<br />
disease, should not be used as principal or firstlisted<br />
codes. If the patient has the condition to<br />
which he/she is susceptible, <strong>and</strong> that condition is the<br />
reason <strong>for</strong> the encounter, the code <strong>for</strong> the current<br />
condition should be sequenced first. If the patient is<br />
being seen <strong>for</strong> follow-up after completed treatment<br />
<strong>for</strong> this condition, <strong>and</strong> the condition no longer<br />
exists, a follow-up code should be sequenced first,<br />
followed by the appropriate personal history <strong>and</strong><br />
genetic susceptibility codes. If the purpose <strong>of</strong> the<br />
encounter is genetic counseling associated with<br />
procreative management, a code from subcategory<br />
V26.3, Genetic counseling <strong>and</strong> testing, should be<br />
assigned as the first-listed code, followed by a code<br />
from category V84. Additional codes should be<br />
assigned <strong>for</strong> any applicable family or personal<br />
history.<br />
See Section I.C. 18.d.14 <strong>for</strong> in<strong>for</strong>mation on<br />
prophylactic organ removal due to a genetic<br />
susceptibility.<br />
Estrogen receptor status<br />
Acquired absence <strong>of</strong> other organs <strong>and</strong> tissue<br />
4) History (<strong>of</strong>)<br />
There are two types <strong>of</strong> history V codes, personal <strong>and</strong> family.<br />
Personal history codes explain a patient’s past medical<br />
condition that no longer exists <strong>and</strong> is not receiving any<br />
treatment, but that has the potential <strong>for</strong> recurrence, <strong>and</strong><br />
there<strong>for</strong>e may require continued monitoring. The exceptions to<br />
this general rule are category V14, Personal history <strong>of</strong> allergy<br />
to medicinal agents, <strong>and</strong> subcategory V15.0, Allergy, other<br />
than to medicinal agents. A person who has had an allergic<br />
episode to a substance or food in the past should always be<br />
considered allergic to the substance.<br />
Family history codes are <strong>for</strong> use when a patient has a family<br />
member(s) who has had a particular disease that causes the<br />
patient to be at higher risk <strong>of</strong> also contracting the disease.<br />
Personal history codes may be used in conjunction with followup<br />
codes <strong>and</strong> family history codes may be used in conjunction<br />
with screening codes to explain the need <strong>for</strong> a test or<br />
procedure. History codes are also acceptable on any medical<br />
record regardless <strong>of</strong> the reason <strong>for</strong> visit. A history <strong>of</strong> an illness,<br />
<strong>ICD</strong>-9-<strong>CM</strong> <strong>Official</strong> <strong>Guidelines</strong> <strong>for</strong> <strong>Coding</strong> <strong>and</strong> <strong>Reporting</strong><br />
Effective October 1, 2008<br />
Page 70 <strong>of</strong> 119