IDC-9-CM Codes for CoughAssist Coverage
(Updated 06/24/03)
[06/24/03] See
DMERC Local Medical Review Policy "For services performed on or after 10/01/2003"
[09/11/02] The
DRAFT - Region D DMERC
Local Medical Review Policy
provides for coverage of "Mechanical In-exsufflation Devices" (E.g.: CoughAssist) for the following IDC-9-CM diagnosis codes:
| 138 | post polio paralysis |
| 335.0-335.9 | anterior horn cell diseases including amyotrophic lateral sclerosis |
| 340 | multiple sclerosis |
| 344.00 - 344.09 | quadriplegia |
| 359.0, 359.1 | muscular dystrophy |
When preparing documentation for coverage you might want to clearly state the diagnosis code and disease (e.g.: 359.1 - Hereditary progressive muscular dystrophy, Muscular dystrophy, Duchenne).
The following detailed breakdown has been extracted from the
Columbia University ICD-9-CM Reference:
138 Late effects of acute poliomyelitis
- Note: This category is to be used to indicate conditions classifiable to 045 as the cause of late effects, which are themselves classified elsewhere. The "late effects" include conditions specified as such, or as sequelae, or as due to old or inactive poliomyelitis, without evidence of active disease.
335 Anterior horn cell disease
- 335.0 Werdnig-Hoffmann disease
- Infantile spinal muscular atrophy
- Progressive muscular atrophy of infancy
- 335.1 Spinal muscular atrophy
- 335.10 Spinal muscular atrophy, unspecified
- 335.11 Kugelberg-Welander disease
- 335.19 Other
- Adult spinal muscular atrophy
- 335.2 Motor neuron disease
- 335.20 Amyotrophic lateral sclerosis
- Motor neuron disease (bulbar) (mixed type)
- 335.21 Progressive muscular atrophy
- Duchenne-Aran muscular atrophy
- Progressive muscular atrophy (pure)
- 335.22 Progressive bulbar palsy
- 335.23 Pseudobulbar palsy
- 335.24 Primary lateral sclerosis
- 335.29 Other
- 335.8 Other anterior horn cell diseases
- 335.9 Anterior horn cell disease, unspecified
340 Multiple sclerosis
- Disseminated or multiple sclerosis:
- NOS
- brain stem
- cord
- generalized
344 Other paralytic syndromes
- Note: This category is to be used when the listed conditions are reported without further specification or are stated to be old or long-standing but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause.
- Includes: paralysis (complete) (incomplete), except as classifiable to 342 and 343
- Excludes: congenital or infantile cerebral palsy (343.0-343.9)
- hemiplegia (342.0-342.9)
- congenital or infantile (343.1, 343.4)
- 344.0 Quadriplegia and quadriparesis
- 344.00 Quadriplegia, unspecified
- 344.01 C1 -C4 , complete
- 344.02 C1 -C4 , incomplete
- 344.03 C5 -C7 , complete
- 344.04 C5 -C7 , incomplete
- 344.09 Other
359 Muscular dystrophies and other myopathies
- Excludes: idiopathic polymyositis (710.4)
- 359.0 Congenital hereditary muscular dystrophy
- Benign congenital myopathy
- Central core disease
- Centronuclear myopathy
- Myotubular myopathy
- Nemaline body disease
- Excludes: arthrogryposis multiplex congenita (754.89)
- 359.1 Hereditary progressive muscular dystrophy
- Muscular dystrophy:
- NOS
- distal
- Duchenne
- Erb's
- fascioscapulohumeral
- Gower's
- Landouzy-Dejerine
- limb-girdle
- ocular
- oculopharyngeal
IDC-9-CM Codes for CoughAssist
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