JCIH Recommendations for Following Children At Risk for Hearing Loss

Transcription

1 JCIH Recommendations for Following Children At Risk for Hearing Loss With newborn hearing screening, the Joint Commission on Infant Hearing (JCIH) has recommendations for following children who may be at risk for late onset or progressive hearing loss. Below are some of the codes that might be used when following this population. 1. Caregiver concerns regarding hearing, speech, language, or developmental delay Developmental delay Speech-language concerns Description ICD-10 ICD-10 Description Other specified delays in F88 Other disorders of psychological development development Expressive language disorder F80.1 Expressive language disorder 2. Family history of permanent childhood hearing loss History of hearing loss Description ICD-10 ICD-10 Description V19.2 Family history of deafness or hearing Z82.2 Family history of deafness loss and hearing loss 3. Neonatal intensive care of more than 5 days or any of the following, regardless of length of stay: extracorporeal membrane oxygenation (ECMO), assisted ventilation, exposure to ototoxic medications (gentamycin and tobramycin) or loop diuretics (furosemide/lasix), and hyperbilirubinemia that requires exchange transfusion Description ICD-10 ICD-10 Description ECMO V15.87 History of extracorporeal membrane oxygenation (ECMO) Z92.81 Personal history of extracorporeal membrane oxygenation (ECMO) Hyperbilirubinemia Disorders of bilirubin excretion E80.6 Other disorders of bilirubin metabolism Loop diuretics Unspecified adverse effect of other drug, medicinal and biological substance Low birth weight Extreme immaturity, [weight] T50.1X5- must have 7 th character for episode of care P07.00 P07.01 P07.02 P07.03 Adverse effect of loop (high ceiling) diuretics Extremely low birth weight newborn, weight less than 500 grams grams grams Ototoxic medications Other preterm infants, [weight] Unspecified adverse effect of other drug, medicinal and biological P07.10 P07.14 P07.15 P07.16 P07.17 P07.18 T36.5X5- must Other low birth weight newborn, weight grams grams grams grams grams Adverse effect of aminoglycosides

2 E930.8 Premature substance AND [Duplication in chart below] Other specified antibiotics causing adverse effects in therapeutic use Unspecified weeks of gestation have 7 th character for episode of care P07.20 weeks of gestation Less than 24 of gestation Less than 24 of gestation P07.21 P07.22 gestational age less than 23 gestational age of gestation P07.23 gestational age of gestation P07.24 gestational age of gestation??? P07.25 gestational age of gestation P07.26 gestational age Unspecified weeks of gestation of gestation of gestation of gestation of gestation of gestation of gestation of gestation of gestation of gestation P07.30 P07.31 P07.32 P07.33 P07.34 P07.35 P07.36 P07.37 P07.38 P07.39 Preterm newborn, weeks of gestation Preterm newborn, gestational age 28 Preterm newborn, gestational age 29 Preterm newborn, gestational age 30 Preterm newborn, gestational age 31 Preterm newborn, gestational age 32 Preterm newborn, gestational age 33 Preterm newborn, gestational age 34 Preterm newborn, gestational age 35 Preterm newborn, gestational age 36

3 4. In utero infections, such as CMV, herpes, rubella, syphilis, and toxoplasmosis Description ICD-10 ICD-10 Description CMV Congenital cytomegalovirus infection P35.1 Congenital cytomegalovirus infection Herpes Other congenital infections specific to the perinatal period P35.2 Congenital herpes viral [herpes simplex] infection Rubella Congenital rubella P35.0 Congenital rubella syndrome Syphilis Congenital syphilis, A50.9 OR A50.2 Congenital syphilis, Early congenital syphilis, Toxoplasmosis Toxoplasmosis, B58.9 Toxoplasmosis, 5. Craniofacial anomalies, including those that involve the pinna, ear canal, ear tags, ear pits, and temporal bone anomalies Cauliflower ear Description ICD-10 ICD-10 Description Cauliflower ear M95.10 Cauliflower ear, ear M95.11 M95.12 right ear left ear Microtia Microtia Q17.2 Microtia No pinna Absence of external ear Q16.0 Congenital absence of (ear) (ear) auricle Narrowing Other anomalies of external ear with Q16.1 Congenital absence, atresia of external impairment of hearing and stricture of auditory ear canal canal (external) Temporal Anomalies of skull and face Q75.0 Craniosynostosis bone anomalies 6. Physical findings, such as white forelock, that are associated with a syndrome known to include a sensorineural or permanent conductive hearing loss ICD- 9 Description ICD-10 ICD-10 Description Crouzon's disease Anomalies of skull and face Hypertelorism Anomalies of skull and face Macrocephaly Anomalies of skull and face Oculomandibular Anomalies of skull and face dysostosis Other anomalies not Anomalies of skull and face listed above Treacher Collins syndrome Anomalies of skull and face Q75.1 Craniofacial dysostosis Q75.2 Hypertelorism Q75.3 Macrocephaly Q75.5 Oculomandibular dysostosis Q75.8 Other specified congenital malformations of skull and face Q75.4 Mandibulofacial dysostosis

4 Unspecified physical findings not listed above Anomalies of skull and face Q75.9 Congenital malformation of skull and face, White forelock Variations in hair color L67.1 Variations in hair color White forelock (Piebaldism) Other disturbances of aromatic amino-acid metabolism E70.39 Oculocutaneous albanism, unspecifed 7. Syndromes associated with hearing loss or progressive or late-onset hearing loss, such as neurofibromatosis, osteopetrosis, and Usher syndrome; other frequently identified syndromes, including Waardenburg, Alport, Pendred, and Jervell and Lange-Nielson Usher syndrome Other dystrophies primarily involving the sensory retina Waardenburg syndrome Other disturbances of aromatic amino-acid metabolism H35.53 Other dystrophies primarily involving the sensory retina E70.8 Other disorders of aromatic amino-acid metabolism 8. Neurodegenerative disorders, such as Hunter syndrome, or sensory motor neuropathies, such as Friedreich ataxia and Charcot-Marie-Tooth syndrome Description ICD-10 ICD-10 Description Alport syndrome Other specified congenital Q87.81 Alport syndrome anomalies Jervell and Lange Long QT syndrome I45.81 Long QT syndrome Nielson Neurofibromatosis Neurofibromatosis, Q85.00 Neurofibromatosis, Osteogenesis Osteogenesis imperfecta Q78.0 Osteogenesis imperfecta imperfecta Pendred syndrome Dyshormonogenic goiter E07.1 Dyshormogenetic goiter Stone bone ; Albers-Schonberg disease Osteopetrosis Q78.2 Osteopetrosis Description ICD-10 ICD-10 Description Charcot-Marie- Tooth syndrome Hereditary sensory neuropathy G60.0 Hereditary motor and sensory neuropathy Friedreich ataxia Friedreich's ataxia G11.1 Early-onset cerebellar ataxia Hunter syndrome Mucopolysaccharidosis E76.1 Mucopolysaccharidosis, type II 9. Culture-positive postnatal infections associated with sensorineural hearing loss, including confirmed bacterial and viral (especially herpes viruses and varicella) meningitis Description ICD-10 ICD-10 Description Bacterial meningitis Meningitis due to bacterium G00.9 Bacterial meningitis, Herpes meningitis Herpes zoster with meningitis B02.1 Zoster meningitis Varicella meningitis Chickenpox with other B01.0 Varicella meningitis specified complications Viral meningitis Unspecified viral meningitis A87.9 Viral meningitis,

5 10. Head trauma, especially basal skull/temporal bone fracture that requires hospitalization Chemotherapy E933.1 OR Description ICD-10 ICD-10 Description Antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use Unspecified adverse effect of other drug, medicinal and biological substance Closed skull fracture Fracture of bone, closed Closed skull fracture Closed fracture of other facial Open skull fracture Open fracture of other facial T45.1X5 select 7 th digit for episode of care S02.4 category will need to select encounter, location, and type of fracture S02.8XXA 7th digit for episode of care S02.8XXB Adverse effect of antineoplastic and immunosuppressive drugs Fracture of malar, maxillary and zygoma Fractures of other specified skull and facial, initial encounter for closed fracture Fractures of other specified skull and facial, initial encounter for open fracture About The 7th Character The 7th character represents one of the most significant differences between and ICD-10, because does not provide a mechanism to capture the details that the 7th character provides. You must assign a 7th character to codes in certain ICD-10-CM categories as noted within the Tabular List of codes primarily Chapter 19 (Injury, poisoning and certain other consequences of external causes) and Chapter 15 (Pregnancy, childbirth and the puerperium). This character must always be in the 7th position. If a code has fewer than 6 characters and requires a 7th character extension, you must fill in all of the empty character spaces with a placeholder X. The three characters used are A, D, and S, which represent the following: A Initial encounter or the first time the audiologist sees a patient (it should be used during active treatment of a condition during hospitalization or surgery) D Subsequent encounter, follow-up for routine healing or recovery (it is not a repeat of the injury or illness) S Sequela, late effect of an illness or injury (there are no time limits on sequela; it can be used after the first time you code with an A or after years have passed)

6 For follow-up visits, the audiologist would use either the D or S as the 7th character. For example, for a patient who is seen for a problem and is asked to return for a progress check, you might use a D. For a patient who is coming for regular evaluations, you probably should use an S for the sequela or late effect of condition. For more information, visit