New ICD-9 Codes Take Effect Oct. 1 On Oct. 1, new and revised diagnostic codes take effect for resonance disorders and for speech-language deficits related to cerebrovascular disease under the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). Advocacy by ASHA’s Health Care Economics Committee (HCEC) and its close involvement with the coding process helped bring ... Bottom Line
Free
Bottom Line  |   September 01, 2009
New ICD-9 Codes Take Effect Oct. 1
Author Notes
  • Steven White, PhD, CCC-AM, director of health care economics and advocacy, can be reached at swhite@asha.org.
    Steven White, PhD, CCC-AM, director of health care economics and advocacy, can be reached at swhite@asha.org.×
Article Information
Speech, Voice & Prosodic Disorders / Dysarthria / Voice Disorders / Regulatory, Legislative & Advocacy / ASHA News & Member Stories / Language Disorders / Aphasia / Speech, Voice & Prosody / Bottom Line
Bottom Line   |   September 01, 2009
New ICD-9 Codes Take Effect Oct. 1
The ASHA Leader, September 2009, Vol. 14, 3-6. doi:10.1044/leader.BML.14122009.3
The ASHA Leader, September 2009, Vol. 14, 3-6. doi:10.1044/leader.BML.14122009.3
On Oct. 1, new and revised diagnostic codes take effect for resonance disorders and for speech-language deficits related to cerebrovascular disease under the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). Advocacy by ASHA’s Health Care Economics Committee (HCEC) and its close involvement with the coding process helped bring about these positive changes, which will affect reimbursement rates for members.
Resonance
ASHA presented a proposal to revise and expand codes to the ICD-9-CM Coordination and Maintenance Committee in March. As the result of the work of Dee Adams Nikjeh, an HCEC member, and Special Interest Division 3, Voice and Voice Disorders, the 784.4 series is modified from “voice disturbance” to “voice and resonance disorders.”
Although voice and resonance are distinct disorders, this change is an improvement over the current classification, which has no codes specifically designated for resonance disorders. The current code lists hypernasality and hyponasality as disorders of voice, with no distinction made between a voice disorder and a resonance disorder.
The category “voice disturbance” was expanded to “voice and resonance disorders” to distinguish between the two and includes three new codes specifically for resonance disorders.
The codes in the revised 784.4 series will include:
  • 784.4, Voice and resonance disorders

  • 784.40, Voice and resonance disorder, unspecified (revised)

  • 784.41, Aphonia, Loss of voice

  • 784.42, Dysphonia, Hoarseness (new code)

  • 784.43, Hypernasality (new code)

  • 784.44, Hyponasality (new code)

  • 784.49, Other voice and resonance disorders (revised)

The codes in the revised 784.5 series will include:
  • 784.5, Other speech disturbance [excludes speech disorder due to late effect of cerebrovascular accident (438.10–438.19)]

  • 784.51, Dysarthria (new code) [excludes dysarthria due to late effect of cerebrovascular accident (438.13)]

  • 784.59, Other speech disturbance (new code)

    • Dysphasia

    • Slurred speech

    • Speech disturbance NOS (not otherwise specified)

Cerebrovascular Disease
Two speech-language pathology codes for treatment of the late effects of cerebrovascular disease will be added to the 438 series, found in the circulatory system chapter (390–459). The list of speech and language deficits (438.1) already includes aphasia (438.11) and dysphasia (438.12); new codes will include dysarthria (438.13) and fluency disorder (438.14). The fluency disorder code is appropriate for stuttering associated with cerebrovascular disease.
The addition of a fluency disorder code is the result of ASHA’s advocacy for a revision in stuttering diagnostic coding. ASHA is now collaborating with the American Psychiatric Association in the development of a proposal for an appropriate ICD-9 code for childhood-onset stuttering disorder.
Rehabilitation V Code Change
Terminology in V57.3, care involving use of rehabilitation procedures, will change from “speech therapy” to “speech-language therapy.” V codes are “supplementary classification of factors influencing health status and contact with health services.”
The National Center for Health Statistics of the Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, coordinates and maintains the ICD-9 disease and disorder codes. The revisions are available on the CDC Web site [PDF].
0 Comments
Submit a Comment
Submit A Comment
Name
Comment Title
Comment


This feature is available to Subscribers Only
Sign In or Create an Account ×
FROM THIS ISSUE
September 2009
Volume 14, Issue 12