Showing posts with label CCS Category. Show all posts
Showing posts with label CCS Category. Show all posts

Thursday, August 27, 2015

Know About ‘HIV infection’

‘HIV infection’ – commonly known “AIDs”. HIV infection is a condition caused by the human immunodeficiency virus (HIV). The condition gradually destroys the immune system, which makes it harder for the body to fight infections.
How does HIV turn into AIDS?
Your immune system weakens as more CD4 cells are killed. You can have an HIV infection for years before it progresses to AIDS. People infected with HIV progress to AIDS when their CD4 count falls below 200 or they experience an AIDS-defining complication, such as: Pneumocystis pneumonia.

CCS Category Name:  HIV infection
CCS Category Code:  5
ICD-9 Included (With Description):
ICD-9 Code    ICD-9 Description
042    HIV DISEASE (Begin 1994)
0420    HIV W/SPECIF INFECTIONS (Begin 1986 End 1994)
0421    HIV CAUS OTH SPEC INFECT (Begin 1986 End 1994)
0422    HIV W/SPEC MALIG NEOPLSM (Begin 1986 End 1994)
0429    AIDS- UNSPECIFIED (Begin 1986 End 1994)
0430    HIV CAUS LYMPHADENOPATHY (Begin 1986 End 1994)
07953    HIV TYPE 2 (Begin 1993)
27910    IMMUNDEF T-CELL DEF NOS
27919    DEFIC CELL IMMUNITY NOS
79571    NONSPECIFIC SEROLOG HIV (Begin 1994)
7958    POSITIVE SERO/VIRAL HIV (Begin 1986 End 1994)
V08    HIV POSITIVE NOS (Begin 1994)
0431    HIV CAUS SP CNS DISEASE (Begin 1986 End 1994)
0432    HIV CAUS OT DISOR IMMUNE (Begin 1986 End 1994)
0433    HIV CAUS OTH SPECIF COND (Begin 1986 End 1994)
0439    ARC- UNSPECIFIED (Begin 1986 End 1994)
0440    HIV CAUS ACUTE INFECTION (Begin 1986 End 1994)
0449    HIV- UNSPECIFIED (Begin 1986 End 1994)

Disease Description:
Signs & Symptoms: Within a month or two of HIV entering the body, 40% to 90% of people experience flu like symptoms known as acute retroviral syndrome (ARS).
But sometimes HIV symptoms don't appear for years—sometimes even a decade—after infection.
Fever: One of the first signs of ARS can be a mild fever, up to about 102 degrees F. Fever accompanied by other usually mild symptoms, such as fatigue, swollen lymph glands, and a sore throat.
Fatigue:  The inflammatory response generated by your besieged immune system also can cause you to feel tired and lethargic. Fatigue can be both an early and later sign of HIV.
Achy muscles, joint pain, swollen lymph nodes
Sore throat and headache
Skin Rash
Weight loss
Dry cough
Pneumonia
Night sweats
Nail changes
Yeast infections: Another fungal infection that's common in later stages is thrush, a mouth infection caused by Candida, a type of yeast.
Confusion or difficulty concentrating
Cold sores or genital herpes
Tingling and weakness
Menstrual irregularities

Stages Of HIV:
HIV infection comes in three stages.
The first stage is called acute infection or seroconversion, and it typically happens within two to six weeks after exposure or becoming infected. This is when the body's immune system puts up a fight against HIV.
After the first seroconversion period, the immune system loses the battle with HIV and symptoms go away. HIV infection goes into its second stage, which can be a long period without symptoms, called the asymptomatic (or latent ) period. This is when people may not know they are infected and can pass HIV on to others. This period can last 10 or more years.
AIDS (acquired immune deficiency syndrome) is the advanced stage of HIV infection. When the CD4 T-cell number drops below 200, people are diagnosed with AIDS.

Treatment Options:  No cure exists, but medications can dramatically slow the disease's progress.
Antiviral drugs are used to prevent infections. E.g:  Zidovudine (Retrovir), Emtricitabine/tenofovir, Lamivudine/zidovudine, Raltegravir, Efavirenz/emtricitabine/tenofovir (Atripla), Delavirdine, Abacavir/lamivudine/zidovudine (Trizivir), Efavirenz (Sustiva), Nevirapine (Viramune), Tenofovir (Viread), Maraviroc, Stavudine (Zerit), Lamivudine (Epivir), Abacavir (Ziagen), Etravirine (Intelence), Emtricitabine (Emtriva), Abacavir/lamivudine (Epzicom)
Other treatments: Enfuvirtide, Darunavir (Prezista), Amprenavir (Lexiva), Ritonavir (Norvir), Atazanavir (Reyataz)

Know About ‘Heart valve disorders’

CCS Category Name:  Heart valve disorders
CCS Category Code:  96
ICD-9 Included (With Description):
ICD-9 Code    ICD9-Descriotion
3940    MITRAL STENOSIS
3941    RHEUMATIC MITRAL INSUFF
3942    MITRAL STENOSIS W INSUFF
3949    MITRAL VALVE DIS NEC/NOS
3950    RHEUMAT AORTIC STENOSIS
3951    RHEUMATIC AORTIC INSUFF
7852    CARDIAC MURMURS NEC
7853    ABNORM HEART SOUNDS NEC
V422    HEART VALVE TRANSPLANT
V433    HEART VALVE REPLAC NEC
4241    AORTIC VALVE DISORDER
4242    NONRHEUM TRICUSP VAL DIS
4243    PULMONARY VALVE DISORDER
42490    ENDOCARDITIS NOS
42491    ENDOCARDITIS IN OTH DIS
42499    ENDOCARDITIS NEC
3968    MITR/AORTIC MULT INVOLV
3969    MITRAL/AORTIC V DIS NOS
3970    TRICUSPID VALVE DISEASE
3971    RHEUM PULMON VALVE DIS
3979    RHEUM ENDOCARDITIS NOS
4240    MITRAL VALVE DISORDER
3952    RHEUM AORTIC STEN/INSUFF
3959    RHEUM AORTIC DIS NEC/NOS
3960    MITRAL/AORTIC STENOSIS
3961    MITRAL STENOS/AORT INSUF
3962    MITRAL INSUF/AORT STENOS
3963    MITRAL/AORTIC VAL INSUFF

Disease Description: Heart valves regulate the flow of blood through the heart's four chambers—two small, round upper chambers (atria) and two larger, cone-shaped lower chambers (ventricles). Each ventricle has a inlet and a outlet valve. And both of these inlet and outlet valves are ‘one-way’. Each valve consists of flaps that open and close like one-way swinging doors.
These Heart valves can malfunction either by leaking or by or by not opening adequately and thus partially blocking the flow of blood through the valve. Either problem can greatly interfere with the heart's ability to pump blood.

What Are the Types of Valve Disease?

There are several types of valve disease:
Valvular stenosis. This occurs when a valve opening is smaller than normal due to stiff or fused leaflets. The narrowed opening may make the heart work very hard to pump blood through it. This can lead to heart failure and other symptoms (see below). All four valves can be stenotic (hardened, restricting blood flow); the conditions are called tricuspid stenosis, pulmonic stenosis, mitral stenosis or aortic stenosis.
Valvular insufficiency. Also called regurgitation, incompetence or "leaky valve", this occurs when a valve does not close tightly. If the valves do not seal, some blood will leak backwards across the valve. As the leak worsens, the heart has to work harder to make up for the leaky valve, and less blood may flow to the rest of the body. Depending on which valve is affected, the conditioned is called tricuspid regurgitation, pulmonary regurgitation, mitral regurgitation or aortic regurgitation.

Signs & Symptoms:

Shortness of breath and/or difficulty catching your breath.
Weakness or dizziness.
Discomfort in your chest.
Palpitations.
Swelling of your ankles, feet or abdomen.
Rapid weight gain.

Treatment Options:
Medical Treatment: Common Types of Medications used for 'Heart valve disorders' are: Diuretics, Antiarrhythmic medications, Vasodilators, ACE inhibitors, Beta blockers, Anticoagulants ("blood thinners")
Surgical Treatment: Depending upon results of different tests, the structure of your heart, your age, and your lifestyle will help your cardiologist (heart doctor), surgeon, and you decide what type of procedure will be best for you.
Surgical options include heart valve repair or replacement. Valves can be repaired or replaced with traditional heart valve surgery or a minimally invasive heart valve surgical procedure. Heart valves may also be repaired by other procedures such as percutaneous balloon valvotomy.
Procedure Suggested:
Procedure Code    Procedure Description
3596    PERC HEART VALVULOPLASTY (Begin 1986)
3597    Perc mtrl vlv repr w imp (Begin 2010)
3599    OTHER HEART VALVE OPS
3500    CLOSED VALVOTOMY NOS
3501    CLOSED AORTIC VALVOTOMY
3502    CLOSED MITRAL VALVOTOMY
3503    CLOSED PULMON VALVOTOMY
3504    CLOSED TRICUSP VALVOTOMY
3505    Endovas repl aortc valve (Begin 2011)
3506    Trnsapcl rep aortc valve (Begin 2011)
3507    Endovas repl pulm valve (Begin 2011)
3508    Trnsapcl repl pulm valve (Begin 2011)
3509    Endovas repl uns hrt vlv (Begin 2011)
3510    OPEN VALVULOPLASTY NOS
3511    OPN AORTIC VALVULOPLASTY
3512    OPN MITRAL VALVULOPLASTY
3513    OPN PULMON VALVULOPLASTY
3514    OPN TRICUS VALVULOPLASTY
3520    REPLACE HEART VALVE NOS
3521    REPLACE AORT VALV-TISSUE
3522    REPLACE AORTIC VALVE NEC
3523    REPLACE MITR VALV-TISSUE
3524    REPLACE MITRAL VALVE NEC
3525    REPLACE PULM VALV-TISSUE
3526    REPLACE PULMON VALVE NEC
3527    REPLACE TRIC VALV-TISSUE
3528    REPLACE TRICUSP VALV NEC