Specialty Groups — Oncology
2004 Diagnosis Code Update
The 2004 diagnosis code update is published! This particular document includes new codes, revised codes and deleted codes and is effective October 1, 2003 (remember that not all payors accept the new codes immediately).
There are no current changes to the neoplasm codes, but other codes of interest to oncology coders include the following new codes:
282.41 Sickle-cell thalassemia without crisis
282.42 Sickle-cell thalassemia with crisis
282.49 Other thalassemia
282.64 Sickle-cell/Hb-C disease with crisis
282.68 Other sickle-cell disease without crisis
289.81 Primary hypercoagulable state
289.82 Secondary hypercoagulable state
289.89 Other specified diseases of blood and blood forming organs
799.89 Other ill-defined conditions
V58.63 Long term (current) use of
antiplatelet/antithrombotic
V65.19 Other person consulting on behalf of
another person
Following are invalid codes (potentially replaced by more specific codes listed above):
282.4 Thalassemias
289.8 Other specified diseases of blood and blood-forming organs
799.8 Other ill-defined conditions
V65.1 Person consulting on behalf of another
person
Diagnosis codes with revised verbiage include:
282.60 Sickle-cell disease, unspecified
282.61 Hb-SS disease without crisis
282.62 Hb-SS disease with crisis
282.63 Sickle-cell/Hb-C disease without crisis
282.69 Other sickle-cell disease with crisis
The complete text of all ICD-9-CM code changes for 2004 is located at:
http://www.cms.hhs.gov/medlearn/icd9code.asp
Cindy C. Parman, CPC, CPC-H
principal and co-founder of Coding Strategies, Inc. in Atlanta, GA. Cindy is a current member of the Advisory Board for the American Academy of Professional Coders (AAPC) and a faculty instructor for AMA Solutions, a subsidiary of the American Medical Association. She serves as the Consulting Editor of the Radiology Coding Alert and is on the Editorial Advisory Board of General Surgery Coding Alert and Pain Management Coding Alert.