CODING & DOCUMENTATION

 

Fam Pract Manag. 2016 Sep-Oct;23(5):40.

Author disclosure: no relevant financial affiliations disclosed.

ICD-10 changes for 2016-2017

Q

Will there be many changes to ICD-10 coding this year?

A

This update is quite large due to the code freeze that prevented changes until Oct. 1, 2016. Most of the changes were requested by medical specialty organizations to fill gaps in diagnosis reporting. Changes that will affect family medicine include new codes for hypertensive crisis or emergency, irritable bowel syndrome, chronic bladder pain, prediabetes, bacteriuria, encounter for prophylactic fluoride administration, long-term use of oral hypoglycemic drugs, encounters for prescription and surveillance of contraceptive devices, and family history of sudden infant death syndrome.

You can find a list of the new, revised, and deleted codes on the Centers for Disease Control and Prevention website under the heading “2017 release of ICD-10-CM.” Do not use new and revised codes on claims for dates of service before the Oct. 1 implementation date; additional changes or corrections could be made to the code set between now and then.

Screening for depression

Q

What is the appropriate CPT code to report screening for depression?

A

Use code 96127, “Brief emotional/behavioral assessment (e.g., depression inventory, attention-deficit/hyperactivity disorder scale), with scoring and documentation, per standardized instrument.” However, for Medicare patients who are receiving screening in the absence of symptoms (i.e., as a preventive service), use code G0444. Code G0444 may be reported for an annual depression screening up to 15 minutes using any standardized instrument (e.g., PHQ-9) in a primary care setting with clinical staff who can advise the physician of screening results and who can facilitate and coordinate referrals to mental health treatment as necessary. When signs or symptoms lead you to provide a brief emotional/behavioral assessment for a Medicare patient, 96127 is the appropriate code. Depression screening

About the Author

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Cindy Hughes is an independent consulting editor....

Author disclosure: no relevant financial affiliations disclosed.

These answers were reviewed by the FPM Coding & Documentation Review Panel, including; Robert H. Bösl, MD, FAAFP; Marie Felger, CPC, CCS-P; Thomas A. Felger, MD, DABFP, CMCM; Emily Hill, PA-C; Joy Newby, LPN, CPC; and Susan Welsh, CPC, MHA.

WE WANT TO HEAR FROM YOU

Send questions and comments to fpmedit@aafp.org, or add your comments below. While this department attempts to provide accurate information, some payers may not accept the advice given. Refer to the current CPT and ICD-10 coding manuals and payer policies.

 
 

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