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I always code as "Apnea," since our billers do not accept ALTE, as below.
 
James Reingold, M.D.> Date: Tue, 30 Dec 2008 18:50:46 -0500> From: [log in to unmask]> Subject: Re: ALTE coding question> To: [log in to unmask]> > Under the current ICD-9-CM coding advice (Coding Clinic, 2nd quarter > 1996, p. 10-11)(not CPT): "Since there is no specific code for ALTE or > "near miss" SIDS, assign a code for the individual symptoms that are > present at admission (e.g., newborn apnea, code 770.8 or shock, code > 785.50)." Symptom and complaint diagnosis coding is always acceptable.> > This past September the AAP presented a proposal for a specific ALTE > ICD-9 code for publication October 2009. The public comment period has > already past but we are hopeful the proposal will be accepted.> jeff> > Jeffrey Linzer Sr., MD> Associate Medical Director for Compliance> Emergency Pediatric Group> Children's Healthcare of Atlanta at Egleston and Hughes Spalding> AAP Representative to the ICD-9-CM Editorial Advisory Board> > > Quoting [log in to unmask]:> > > How do people code for ALTE? Do you code based on the most likely etiology> > in the case in question? ie: choking episode, seizure, GER, sepsis.> > Thanks!> >> > Elliott Friedman,MD> > New York> > **************One site keeps you connected to all your email: AOL Mail,> > Gmail, and Yahoo Mail. Try it now.> > (http://www.aol.com/?optin=new-dp&icid=aolcom40vanity&ncid=emlcntaolcom00000025)> >> > For more information, send mail to [log in to unmask] with > > the message: info PED-EM-L> > The URL for the PED-EM-L Web Page is:> > http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html> >> >> >> > For more information, send mail to [log in to unmask] with the message: info PED-EM-L> The URL for the PED-EM-L Web Page is:> http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html
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