ICD-9 Coding Tutorial — Mental Health Medical Coding

ICD-9 Coding Tutorial — Mental Health Medical Coding


Mental Health – This question came in and
took me a few minutes to figure out exactly what they were asking, but once I did a little
research I got where this person was coming from. Q: I am trying to verify exactly what V71.09
means – (mind you, this is not ICD-10, this is ICD-9) – or get more specific meaning
behind the description. I show two different definitions: V71.09 No Diagnosis on Axis II,
V71.09 No Diagnosis or Condition on Axis I. A: When you go look up in your tabular V71.09
states that it’s other suspected mental condition. Let’s get some background and
that will tell us, I believe what we need to know. The Diagnostic and Statistical Manual of Mental
Disorders (DSM) – You’re going to go and we’re going to be working with DSM from
this point on. The axis is referring to how they determine what’s wrong with their patient.
Again, this is for mental health. Axis I refers broadly to the principal disorder
Axis II lists any personality disorder that may be shaping the current response to the
Axis I problem Axis III lists any medical or neurological
problems that may be relevant to theindividual’s current or past psychiatric problems; Axis IV codes the major psychosocial stressors
to the individual has faced recently Axis V codes the “level of function”
This is all based on mental health. So, if we’re going to see a breakdown of that,
we have to think “other suspected mental condition,” but there’s no diagnosis. With this particular scenario we have, here
is the impression: Axis I: No diagnosis, Axis II: No diagnosis, Axis III: None, Axis IV:
Educational problems and Axis V: GAF=85. Let’s go look at this other one: Axis I:
No diagnosis. It’s not saying that they don’t have diagnosis per se, it’s other
suspected mental condition with no diagnosis is what they’re saying. Axis II: Borderline
intellectual functioning, Axis III: Fetal alcohol syndrome by history (they know that),
Axis IV: Occupational and educational problems, and Axis V: GAF=75. What that is telling you is that this right
here is on Axis II, which is any personality disorder that may be shaping the current response
to the Axis I problem, the diagnosis you’re going to be able to state – wait, I don’t
want to say the wrong thing – other suspected mental condition. Then, if the person has Axis I, same thing:
refers broadly to the principal disorder. It doesn’t mean that Axis I is not part
of the diagnosis code, what it means is that they’re using the V71.09, because in Axis
I for the principal disorder there is: other suspected mental condition. But they don’t
have a diagnosis for you. Same thing with II: personality disorder that
may be shaping the current response to the Axis I – again, other suspected mental condition.
OK? So they don’t have a diagnosis yet so they gave him V71.09. I hope that helps you. Mental health is not
something that I’m most familiar with, but as the tide is starting to change and we’re
seeing that there is more need for mental health in our society, then I think we’re
going to see some more specialties in this for coding. So, it’s a good thing to get
familiar with it.

One thought to “ICD-9 Coding Tutorial — Mental Health Medical Coding”

  1. Thank you for sharing this with me and others.  I studied a minor area of the vast development of psychology at William Paterson University and although I don't know much, I support the growth of societal awareness of psychology and  it's functions.  This is useful for those who are licensed to make really important judgements of people that affect them tremendously when an evaluation is of pivotal consequence.  So, thanks again for sharing this and wish to lastly share that psychology is where wisdom lies in modern society.  I'm grateful to be a student of it and I wish you wellness and success for sharing it with us. 

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