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A GLIMPSE INTO ICD-10 Jerri Peckham
A Glimpse into ICD-10 Key Date:  October 1, 2013 ICD-10-CM replaces ICD-9-CM ICD-9-CM							ICD-10-CM
A Glimpse into ICD-10 	ICD-10-CM More up-to-date-codes More specific More clinically accurate 10 other countries already using ICD-9-CM More than 30 years old Running out of codes Out-of-date medical terminology
A Glimpse into ICD-10 Code structure is different
A Glimpse into ICD-10 ICD-10-CM & ICD-9-CM comparison Asthma, acute exacerbation ICD-10-CM J45.21  mild, intermittent, w/acute exacerbation J45.41  moderate, persistent, w/acute exacerbation J45.51  severe, persistent, w/acute exacerbation ICD-9-CM 493.92
A Glimpse into ICD-10 Other differences in code sets: ICD-10-CM adds laterality L89.61 (pressure ulcer, right heel) L89.62 (pressure ulcer, left heel) More combination codes T42.3x2S- Poisoning by barbiturates, intentional self-harm, sequela (7th character “S”)  Injuries grouped by anatomical site, not type of injury
A Glimpse into ICD-10 Similarities between ICD-9-CM & ICD-10 Format of tabular list & alphabetic index the same Same abbreviations, punctuation, symbols and notes ICD-10 will use ICD-10-CM Official Guidelines for Coding and Reporting. Nonspecific codes still available for use
A Glimpse into ICD-10 First three chapters of tabular list in ICD-10-CM: I A00–B99 Certain infectious and parasitic diseases II C00–D48 Neoplasms III D50–D89 Diseases of the blood and blood- forming organs and certain disorders involving the immune Mechanism * Steven J. Steindel, “Taking ICD-10-CM in Parts.”  Journal of AHIMA, January 2011. http://journal.ahima.org
A Glimpse into ICD-10 Benefits of ICD-10-CM Measuring quality & safety of patient care Design of payments systems  Conducting research and clinical trials Setting health policy Monitoring of resource utilization Prevention & detection of healthcare fraud & abuse Tracking public health & risks
A Glimpse into ICD-10 Conclusion 	The added codes will make coding easier, not more complex,  allowing for more accurate & appropriate reimbursement “There is nothing wrong with change, if it is in the right direction” Winston Churchill

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ICD-10 Transition Guide

  • 1. A GLIMPSE INTO ICD-10 Jerri Peckham
  • 2. A Glimpse into ICD-10 Key Date: October 1, 2013 ICD-10-CM replaces ICD-9-CM ICD-9-CM ICD-10-CM
  • 3. A Glimpse into ICD-10 ICD-10-CM More up-to-date-codes More specific More clinically accurate 10 other countries already using ICD-9-CM More than 30 years old Running out of codes Out-of-date medical terminology
  • 4. A Glimpse into ICD-10 Code structure is different
  • 5. A Glimpse into ICD-10 ICD-10-CM & ICD-9-CM comparison Asthma, acute exacerbation ICD-10-CM J45.21 mild, intermittent, w/acute exacerbation J45.41 moderate, persistent, w/acute exacerbation J45.51 severe, persistent, w/acute exacerbation ICD-9-CM 493.92
  • 6. A Glimpse into ICD-10 Other differences in code sets: ICD-10-CM adds laterality L89.61 (pressure ulcer, right heel) L89.62 (pressure ulcer, left heel) More combination codes T42.3x2S- Poisoning by barbiturates, intentional self-harm, sequela (7th character “S”) Injuries grouped by anatomical site, not type of injury
  • 7. A Glimpse into ICD-10 Similarities between ICD-9-CM & ICD-10 Format of tabular list & alphabetic index the same Same abbreviations, punctuation, symbols and notes ICD-10 will use ICD-10-CM Official Guidelines for Coding and Reporting. Nonspecific codes still available for use
  • 8. A Glimpse into ICD-10 First three chapters of tabular list in ICD-10-CM: I A00–B99 Certain infectious and parasitic diseases II C00–D48 Neoplasms III D50–D89 Diseases of the blood and blood- forming organs and certain disorders involving the immune Mechanism * Steven J. Steindel, “Taking ICD-10-CM in Parts.” Journal of AHIMA, January 2011. http://journal.ahima.org
  • 9. A Glimpse into ICD-10 Benefits of ICD-10-CM Measuring quality & safety of patient care Design of payments systems Conducting research and clinical trials Setting health policy Monitoring of resource utilization Prevention & detection of healthcare fraud & abuse Tracking public health & risks
  • 10. A Glimpse into ICD-10 Conclusion The added codes will make coding easier, not more complex, allowing for more accurate & appropriate reimbursement “There is nothing wrong with change, if it is in the right direction” Winston Churchill