2013 Coding Update CDP User’s Meeting February 2013

1. 2013 Coding Update CDP User’s MeetingFebruary 2013 Cynthia H. Robinson DPH/Administration & Financial Management Local Health Operations

2. ICD-9 Revisions 2013 • No Changes to report for ICD-9 2013 in preparation for: 2014 - ICD-10!!!

3. ICD – 10 IT IS COMING….WITH NO MENTION OF ANYMORE DELAYS It will be effective: OCTOBER 1, 2014

4. ICD -10 IT IS COMING…2014 Examples of ICD-9 converted to ICD-10: ICD-9:ICD-10: 269.9-Unspecified nutritional deficiency E639Same Description V15.82 Personal History of Tobacco UseZ87.891Personal history of nicotine dependence 784.0- Headache Facial pain; Pain in head NOSR51Same Description V06.9-Need for prophylactic vaccinationZ23 Encounter for immunization with unspecified combined vaccine V20.2- Routine infant or child health checkZ00.129Encntr for routine child health Developmental testing or infant or child; exam w/o abnormal findings Health check for child over 28 days old; Immunizations appropriate for age; Routine vision and hearing testing

5. CPT/HCPCS Coding Changes 2013 • J1055 – Depo Provera injection was deleted and replaced with J1050-Injection, Medroxyprogesterone Acetate, 1 MG Even though this code was deleted by the AMA 1/1/13, DPH is not replacing this code until J1050 is added to the Medicaid Preventive Fee Schedule. Once this happens, you will be informed.

6. PEF CHANGES 2013

7. Addition of WIC Code: W0231 – NON-INVASIVE HEMOGLOBIN

8. REVIEW:Multi-vitaminsDefinitions W0506 – Multi-vitamin FIRST BOTTLE – 3 month supply – Payment from Program W0506FR – Multi-vitamin – Additional bottles FREE – thru Local Funds --- W0506CH – Charge to the patient

9. FORM CHANGES 2013

10. CH-12ALAB FORM Hemoglobin Fields Added to distinguish the difference.

12. Questions LHO Website Location: http://chfs.ky.gov/dph/info/lhd/lhob.htm LHO Help Desk Email: Localhealth.helpdesk@ky.gov