Under Review Additional code for functionality

[RinshidaK_89540]

Question:

Lori Woods​

Example code 193(ICD-10-CM:C73) in ICD-9 says use additional code to identify any functional activity? How is this done I can't find anything? help! lol.

Answer Thread:

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(ICD-10-CM:E03.9) 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 (Neoplasms: C00-D49 ICD-10-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)[ICD-10-CM Chapter 4 E00-E89] may be used to identify such functional activity associated with any neoplasm, e.g.:

catecholamine-producing malignant pheochromocytoma of adrenal:
code 194.0(C74.90), additional code 255.6(E27.5)
basophil adenoma of pituitary with Cushing's syndrome:
code 227.3(D35.2,D35.3), additional code 255.0(E24.9)


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(C74.90), additional code 255.6(E27.5)
basophil adenoma of pituitary with Cushing's syndrome:
code 227.3(D35.2,D35.3), additional code 255.0
(E24.9)

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! :/.