ICD-9 and Velopharyngeal Dysfunction The International Classification of Diseases (ICD) is a system for classifying or indexing diseases and operations. ICD-9 codes are attached to written descriptions of diagnoses and procedures that are issued by the Department of Health and Human Services in medical billing and insurance claim validation. The ICD-9 Clinical Modification (CM) ... Article
Article  |   July 01, 2005
ICD-9 and Velopharyngeal Dysfunction
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Speech, Voice & Prosodic Disorders / Special Populations / Genetic & Congenital Disorders / Articles
Article   |   July 01, 2005
ICD-9 and Velopharyngeal Dysfunction
SIG 5 Perspectives on Speech Science and Orofacial Disorders, July 2005, Vol. 15, 2. doi:10.1044/ssod15.1.2
SIG 5 Perspectives on Speech Science and Orofacial Disorders, July 2005, Vol. 15, 2. doi:10.1044/ssod15.1.2
The International Classification of Diseases (ICD) is a system for classifying or indexing diseases and operations. ICD-9 codes are attached to written descriptions of diagnoses and procedures that are issued by the Department of Health and Human Services in medical billing and insurance claim validation. The ICD-9 Clinical Modification (CM) is the system currently used in the U.S. While this system is invaluable in providing codes for an enormous number of health conditions, the lack of an accurate ICD-9 code for velopharyngeal dysfunction/insufficiency is notable. When briefly surveyed, members of the Division 5 Steering Committee and other clinicians indicated that to code VPD/VPI, they use ICD-9 code 784.49 (voice disturbance: other: change in voice; hyponasality; hypernasality; dysphonia; hoarseness). Some physicians use 750.29, which is “other specified anomalies of pharynx.” As Ann Kummer aptly indicated, VPD/VPI is a common diagnosis after cleft palate and in children without a cleft. It is difficult to understand how it was missed. It is timely for many of us who work with those individuals with VPD/VPI, that we have input into the upcoming revised ICD edition regarding this condition. Your comments are welcome (e-mail them to vallino@asel.udel.edu). The Division’s detailed rationale for a VPD/VPI code will be assembled and forwarded to the ASHA Health Care Economics Committee via Steven White (swhite@asha.org).
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