Texas Prior Authorization Program Clinical Edits Agents for Gaucher’s Disease July 31, 2015 Copyright © 2015 Health Information Designs, LLC 72 Step 2 (diagnosis of Pregnancy)
ICD-9 Code: ‘64224’ Diagnosis - Old hyperten NEC-postpar (Other pre-existing hypertension,complicating pregnancy, childbirth, and the puerperium, , postpartum condition or complication)
Texas Prior Authorization Program Clinical Edits Agents for Gaucher’s Disease July 31, 2015 Copyright © 2015 Health Information Designs, LLC 72 Step 2 (diagnosis of Pregnancy)
Short description: Old hyperten NEC-postpar. ICD-9-CM 642.24 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 642.24 should only be used for claims with a date of service on or before September 30, 2015.
40390 HYP REN NOS W/O REN FAIL Hypertension, complicated 40391 HYP REN NOS W REN FAIL Hypertension, complicated 40400 . 64223 OLD HYPERTEN NEC-ANTEPAR Hypertension, complicated 64224 OLD HYPERTEN NEC-POSTPAR Hypertension, complicated 64270 TOX W OLD HYPERTEN-UNSP Hypertension, complicated 64271 TOX W OLD HYPERTEN-DELIV Hypertension, complicated
April 3, 2015 Copyright © 2012 Health Information Designs, LLC 1 Texas Prior Authorization Program Clinical Edit Criteria Drug/Drug Class Valturna Agents
Short description: OLD HYPERTEN NEC-POSTPAR. ICD-9-CM 642.24 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 642.24 should only be used for claims with a date of service on or before September 30, 2015.
Yes Yes No Yes No No Yes No Step 1 Is the client ≥ 18 years of age? Step 2 Does the client have a diagnosis of hypertension in the last 365 days? No Step 6 Does the client have
OLD HYPERTEN NEC-ANTEPAR 642.24 OLD HYPERTEN NEC-POSTPAR 642.30 TRANS HYPERTEN PREG-UNSP 642.33 TRANS HYPERTEN-ANTEPART 642.34 TRANS HYPERTEN-POSTPART 642.40 MILD/NOS PREECLAMP-UNSP 642.43 MILD/NOS PREECLAMP-ANTEP 642.44 MILD/NOS PREECLAMP-P/P 642.50 SEVERE PREECLAMP-UNSPEC . 1Appendix A.1 ICD-9-CM Code Tables 1Specifications Manual for National Hospital Inpatient Quality Measures
HCUP Methods Series Comorbidity Software Documentation : Report #2004-1 : Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality http://www.hcup-us.ahrq.gov . OLD HYPERTEN NEC-POSTPAR: Hypertension, complicated: 64270: TOX W OLD HYPERTEN-UNSP: Hypertension, complicated: 64271: TOX W OLD HYPERTEN-DELIV: Hypertension, complicated: 64272: TOX W OLD HYP-DEL W P/P: Hypertension, complicated: 64273: