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        New Message Board Archives >> 2004 Cluster Headache Specific Posts >> Diagnosis, Equipment, and Drug Codes
        
(Message started by: t_h_b on Mar 10^th, 2004, 8:12pm)

Title: Diagnosis, Equipment, and Drug Codes
Post by t_h_b on Mar 10^th, 2004, 8:12pm

One goal we should have is to get a separate ICD code for trigeminovascular headaches. That would go a long way to achieving recognition among health care workers and with insurance companies and government payors. It would also be nice to see psilocybin on the drug list.

These codes are for reference to help with insurance issues:

ICD-9 (International Classification of Diseases)
diagnosis code for Cluster Headache:

346.2 Migraine variant

Alternate Descriptions:
Abdominal migraine
Allergic headache
Allergic migraine
Basilar migraine
Bing-Horton syndrome
Ciliary neuralgia
Cluster headache
Histamine cephalgia
Histamine migraine
Horton's histamine cephalgia
Horton's neuralgia
Lower half migraine
Menstrual migraine headaches
Migraine syndrome
Migrainous neuralgia
Mixed migraine
Periodic migrainous neuralgia
Periodic vascular headache
Retinal migraine

With a fifth digit:
346.20 not noted as intractable.
346.21 intractable.

Common HCPCS (Healthcare Common Procedure Coding System) codes for oxygen:

E0424 STATIONARY COMPRESSED GASEOUS OXYGEN SYSTEM, RENTAL; INCLUDES CONTAINER, CONTENTS, REGULATOR, FLOWMETER, HUMIDIFIER, NEBULIZER, CANNULA OR MASK, AND TUBING

E0430 PORTABLE GASEOUS OXYGEN SYSTEM, PURCHASE; INCLUDES REGULATOR, FLOWMETER, HUMIDIFIER, CANNULA OR MASK, AND TUBING

E0431 PORTABLE GASEOUS OXYGEN SYSTEM, RENTAL; INCLUDES PORTABLE CONTAINER, REGULATOR, FLOWMETER, HUMIDIFIER, CANNULA OR MASK, AND TUBING

E0434 PORTABLE LIQUID OXYGEN SYSTEM, RENTAL; INCLUDES PORTABLE CONTAINER, SUPPLY RESERVOIR, HUMIDIFIER, FLOWMETER, REFILL ADAPTOR, CONTENTS GAUGE, CANNULA OR MASK, AND TUBING

E0435 PORTABLE LIQUID OXYGEN SYSTEM, PURCHASE; INCLUDES PORTABLE CONTAINER, SUPPLY RESERVOIR, FLOWMETER, HUMIDIFIER, CONTENTS GAUGE, CANNULA OR MASK, TUBING AND REFILL ADAPTOR

E0439 STATIONARY LIQUID OXYGEN SYSTEM, RENTAL; INCLUDES CONTAINER, CONTENTS, REGULATOR, FLOWMETER, HUMIDIFIER, NEBULIZER, CANNULA OR MASK, & TUBING

E0440 STATIONARY LIQUID OXYGEN SYSTEM, PURCHASE; INCLUDES USE OF RESERVOIR, CONTENTS INDICATOR, REGULATOR, FLOWMETER, HUMIDIFIER, NEBULIZER, CANNULA OR MASK, AND TUBING

E0441 OXYGEN CONTENTS, GASEOUS (FOR USE WITH OWNED GASEOUS STATIONARY SYSTEMS OR WHEN BOTH A STATIONARY AND PORTABLE GASEOUS SYSTEM ARE OWNED), 1 MONTH'S SUPPLY = 1 UNIT

E0442 OXYGEN CONTENTS, LIQUID (FOR USE WITH OWNED LIQUID STATIONARY SYSTEMS OR WHEN BOTH A STATIONARY AND PORTABLE LIQUID SYSTEM ARE OWNED), 1 MONTH'S SUPPLY = 1 UNIT

E0443 PORTABLE OXYGEN CONTENTS, GASEOUS (FOR USE ONLY WITH PORTABLE GASEOUS SYSTEMS WHEN NO STATIONARY GAS OR LIQUID SYSTEM IS USED), 1 MONTH'S SUPPLY = 1 UNIT

E0444 PORTABLE OXYGEN CONTENTS, LIQUID (FOR USE ONLY WITH PORTABLE LIQUID SYSTEMS WHEN NO STATIONARY GAS OR LIQUID SYSTEM IS USED), 1 MONTH'S SUPPLY = 1 UNIT

QF PRESCRIBED AMOUNT OF OXYGEN EXCEEDS 4 LITERS PER MINUTE (LPM) AND PORTABLE OXYGEN IS PRESCRIBED

QG PRESCRIBED AMOUNT OF OXYGEN IS GREATER THAN 4 LITERS PER MINUTE(LPM)

QH OXYGEN CONSERVING DEVICE IS BEING USED WITH AN OXYGEN DELIVERY SYSTEM

HCPCS for medications/alphabetical list:

http://www.cms.hhs.gov/providers/pufdownload/drug2004.pdf

Title: Re: Diagnosis, Equipment, and Drug Codes
Post by Kevin_M on Mar 10^th, 2004, 8:56pm

Thomas,

That is exactly what is written on my O2 prescription

ICD-9 346.2

What is the difference between stationary and portable. I am going to get a "J" tank, suppose to be 5' tall. Being that it is being delivered, I'd guess that is portable. What would be considered stationary?

Thanks for the post.

Kevin M