ICD-9-CM Diagnosis Code 508.1 - Chronic and other pulmonary manifestations due to radiation (original) (raw)

Chronic and other pulmonary manifestations due to radiation

Not Valid for Submission

508.1 is a legacy non-billable code used to specify a medical diagnosis of chronic and other pulmonary manifestations due to radiation. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9-CM Code:

508.1

ICD-9 Code for:

Chr pul manif d/t radiat

The following crosswalk between ICD-9-CM to ICD-10-CM is based based on the General Equivalence Mappings (GEMS) information:

• J70.1 - Chronic and other pulmonary manifestations due to radiation
• Diseases of the respiratory system (460–519)
  • Pneumoconioses and other lung diseases due to external agents (500-508)
    * 508 Respiratory conditions due to other and unspecified external agents

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:

• Chronic pulmonary radiation disease
• Fibrosis of lung following radiation
• Post-radiotherapy laryngitis
• Post-radiotherapy pulmonary fibrosis

References found for the code 508.1 in the Index of Diseases and Injuries:

Radiation Exposure

What is radiation?

Radiation is energy. It travels in the form of energy waves or high-speed particles. Radiation can occur naturally or be man-made. There are two types:

• Non-ionizing radiation, which includes radio waves, cell phones, microwaves, infrared radiation and visible light
• Ionizing radiation, which includes ultraviolet radiation, radon, x-rays, and gamma rays

What are the sources of radiation exposure?

Background radiation is all around us all the time. Most of it forms naturally from minerals. These radioactive minerals are in the ground, soil, water, and even our bodies. Background radiation can also come from outer space and the sun. Other sources are man-made, such as x-rays, radiation therapy to treat cancer, and electrical power lines.

What are the health effects of radiation exposure?

Radiation has been around us throughout our evolution. So our bodies are designed to deal with the low levels we're exposed to every day. But too much radiation can damage tissues by changing cell structure and damaging DNA. This can cause serious health problems, including cancer.

The amount of damage that exposure to radiation can cause depends on several factors, including:

• The type of radiation
• The dose (amount) of radiation
• How you were exposed, such as through skin contact, swallowing or breathing it in, or having rays pass through your body
• Where the radiation concentrates in the body and how long it stays there
• How sensitive your body is to radiation. A fetus is most vulnerable to the effects of radiation. Infants, children, older adults, pregnant women, and people with compromised immune systems are more vulnerable to health effects than healthy adults.

Being exposed to a lot of radiation over a short period of time, such as from a radiation emergency, can cause skin burns. It may also lead to acute radiation syndrome (ARS, or "radiation sickness"). The symptoms of ARS include headache and diarrhea. They usually start within hours. Those symptoms will go away and the person will seem healthy for a little while. But then they will get sick again. How soon they get sick again, which symptoms they have, and how sick they get depends on the amount of radiation they received. In some cases, ARS causes death in the following days or weeks.

Exposure to low levels of radiation in the environment does not cause immediate health effects. But it can slightly increase your overall risk of cancer.

What are the treatments for acute radiation sickness?

Before they start treatment, health care professionals need to figure out how much radiation your body absorbed. They will ask about your symptoms, do blood tests, and may use a device that measures radiation. They also try get more information about the exposure, such as what type of radiation it was, how far away you were from the source of the radiation, and how long you were exposed.

Treatment focuses on reducing and treating infections, preventing dehydration, and treating injuries and burns. Some people may need treatments that help the bone marrow recover its function. If you were exposed to certain types of radiation, your provider may give you a treatment that limits or removes the contamination that is inside your body. You may also get treatments for your symptoms.

How can radiation exposure be prevented?

There are steps you can take to prevent or reduce radiation exposure:

• If your health care provider recommends a test that uses radiation, ask about its risks and benefits. In some cases, you may be able to have a different test that does not use radiation. But if you do need a test that uses radiation, do some research into the local imaging facilities. Find one that monitors and uses techniques to reduce the doses they are giving patients.
• Reduce electromagnetic radiation exposure from your cell phone. At this time, scientific evidence has not found a link between cell phone use and health problems in humans. More research is needed to be sure. But if you still have concerns, you can reduce how much time you spend on your phone. You can also use speaker mode or a headset to place more distance between your head and the cell phone.
• If you live in a house, test the radon levels, and if you need to, get a radon reduction system.
• During a radiation emergency, get inside a building to take shelter. Stay inside, with all of the windows and doors shut. Stay tuned to and follow the advice of emergency responders and officials.

Environmental Protection Agency

[Read More]

General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

• Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
• No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
• Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

• And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
• Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
• Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
• Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
• Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
• Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
• Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
• NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
• NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
• See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
• See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
• 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
• With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.