Jump to content

  • Facebook
  • Twitter
  • Google Plus
  • Youtube
  • youtube


Existing forum users need to log into the forums and website with their email address and password. Become a premium member to access enhanced forum features and visit our online store to view our products.
New eBook: Your Child Has Changed; Should You Consider PANDAS?


Have you seen the ACN Latitudes PANDAS eBookOur helpful book is a 37-page primer in a friendly question & answer format.  This eBook contains useful information to understand the symptoms of PANDAS, how it is diagnosed (including lab tests), the different types of treatments, approaches for prevention, and how to find the help and support that you need. Learn more

 




ACN Latitudes Premium Membership




Photo
- - - - -

ICD-9 code for PANDAS


  • Please log in to reply
4 replies to this topic

#1 problemsolver

problemsolver

    Advanced Member

  • Members
  • PipPipPip
  • 41 posts

Posted 14 January 2012 - 12:46 AM

I'm looking at a recent superbill and there is an ICD-9 for unspecified psychosis on it.
PANDAS is written at the bottom with no ICD-9 next to it.
This is paperwork for submission to insurance for reimbursement.

Is this a typical ICD-9 for a kid with PANDAS?

Tics are the reason for the doctor visit.

Please share your thoughts.

Thanks
Dave


#2 bulldog24

bulldog24

    Advanced Member

  • Members
  • PipPipPip
  • 499 posts

Posted 14 January 2012 - 02:16 AM

I believe there is no code for pandas

#3 powpow

powpow

    Advanced Member

  • Members
  • PipPipPip
  • 1,036 posts

Posted 14 January 2012 - 03:28 AM

pm'd you

#4 mayzoo

mayzoo

    Advanced Member

  • Members
  • PipPipPip
  • 878 posts

Posted 15 January 2012 - 10:43 AM

I am still looking, but so far this is what I have found:

Obsessive-compulsive disorder

Definition

The essential feature is recurrent obsessional thoughts or compulsive acts. Obsessional thoughts are ideas, images, or impulses that enter the patient's mind again and again in a stereotyped form. They are almost invariably distressing and the patient often tries, unsuccessfully, to resist them. They are, however, recognized as his or her own thoughts, even though they are involuntary and often repugnant. Compulsive acts or rituals are stereotyped behaviours that are repeated again and again. They are not inherently enjoyable, nor do they result in the completion of inherently useful tasks. Their function is to prevent some objectively unlikely event, often involving harm to or caused by the patient, which he or she fears might otherwise occur. Usually, this behaviour is recognized by the patient as pointless or ineffectual and repeated attempts are made to resist. Anxiety is almost invariably present. If compulsive acts are resisted the anxiety gets worse.

Incl.:
anankastic neurosis
obsessive-compulsive neurosis

Excl.:
obsessive-compulsive personality (disorder) (F60.5)

F42.0 Predominantly obsessional thoughts or ruminations

Definition

These may take the form of ideas, mental images, or impulses to act, which are nearly always distressing to the subject. Sometimes the ideas are an indecisive, endless consideration of alternatives, associated with an inability to make trivial but necessary decisions in day-to-day living. The relationship between obsessional ruminations and depression is particularly close and a diagnosis of obsessive-compulsive disorder should be preferred only if ruminations arise or persist in the absence of a depressive episode.

F42.1 Predominantly compulsive acts [obsessional rituals]

Definition

The majority of compulsive acts are concerned with cleaning (particularly handwashing), repeated checking to ensure that a potentially dangerous situation has not been allowed to develop, or orderliness and tidiness. Underlying the overt behaviour is a fear, usually of danger either to or caused by the patient, and the ritual is an ineffectual or symbolic attempt to avert that danger.

F42.2 Mixed obsessional thoughts and acts
F42.8 Other obsessive-compulsive disorders
F42.9 Obsessive-compulsive disorder, unspecified

DD (AKA Kiddo :) ) Born 2002. Dxs-PANDAS, Hypogammaglobulinemia, EBV, HHV-6, High Coxsackie b4, b6, A7, A9, A16, A24; Autism. Retrospectively, she has likely had PANDAS since 4-5 yrs old. Very successful T & A 02-2013--cultured actinomyces bacteria.

 

Started Stephen Buhner's herbal antiviral protocol for EBV on 05-05-2014.  I am expecting a trial of 4-6 months and full therapy to be about year, with years of immune modulation after viruses are under control.

 

UPDATE: Five months into Buhner's EBV protocol, HHV-6 number is less than half (from 10.71 to 4.54) what it was and all Coxsackie A viruses are now showing IGM negative.  EBV is still > than 600, but in kiddos case I suspect it was VERY high, so it may be going down as well and just not below 600 yet.


#5 amyjoy

amyjoy

    Advanced Member

  • Members
  • PipPipPip
  • 228 posts
  • Gender:Female
  • Location:Sonoma County, CA
  • Interests:CURE OUR CHILDREN

Posted 15 January 2012 - 04:11 PM

these are some of the ICD-9 codes we submit on superbills depending on what we see but they do have to be in addition to the most accurate descriptor of their symptoms (tics, anxiety or OCD etc):

323.62 Post infectious encephalitis
279.3 Unspecified Immune Deficiency
279.4 Autoimmune otherwise unclassified
348.30 Encephalopathy unspecified
392 Rheumatic chorea

Who knows if they help or not??




0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users