ICD-10-CM Foundation Training

Size: px
Start display at page:

Download "ICD-10-CM Foundation Training"

Transcription

1 ICD-10-CM Foundation Training 1

2 Objectives What is ICD-10? Benefits of ICD-10 ICD-10 Impacts Important Facts about ICD-10 Where to Get More Information Codebook Structure Conventions Overview Code Structure 2

3 ICD Overview International Classification of Diseases (ICD) ICD-9-CM CM: Clinical Modification (diagnoses & procedures) The US has been utilizing ICD-9-CM since 1979 ICD-10-CM/PCS CM: Clinical Modification (diagnoses) PCS: Procedural Coding System (procedures) Go-Live Date October 1, 2015 Everyone will be impacted by this transition. 3

4 How are ICD Codes Used? To track public health conditions To code and classify data for epidemiological research To measure outcomes and care provided to patients To determine risks & changes needed To make clinical decisions To enable payment systems/processing claims 4

5 Benefits of ICD-10 Positive impact for patients Robust clinical documentation explicitly defining patient s clinical status Enhanced organizational performance monitoring Enhanced ability to identify and resolve problems and differentiate payment based on performance Increased tracking and reporting capabilities Improved disease and outbreak tracking can lead to better outcomes for whole populations Reference: HiMMS Ten Reasons Why ICD-10 Implementation Cannot be Further Delayed 5

6 Benefits of ICD-10, cont More accurate payment structures Over time there will be greater claim accuracy, fewer denials and the ability to differentiate reimbursement based on the patient s complexity and outcomes Potential reduction in costs for information requests Once highly specific codes are submitted there should be a reduction in claims attachments required by payers Reference: HiMMS Ten Reasons Why ICD-10 Implementation Cannot be Further Delayed 6

7 Additional Reasons for Change ICD-9 is more than 35 years old ICD-9 lacks the capacity for continued growth of diagnosis and procedure codes ICD-9 lacks the specificity required to adequately document today s diagnoses and procedures Government mandated transition date of October 1,

8 Where is ICD-10? Canada United States Iceland Norway Sweden Finland Denmark Poland Ireland Germany UK Czech Republic The Netherlands Austria France Switzerland Japan China Costa Rica Venezuela Thailand Colombia Brazil Singapore Argentina Implementation Date Comparison United Kingdom 1995 France 1997 Australia 1998 Germany 2000 Canada 2001 USA Australia New Zealand The United States is the last industrialized nation to make the transition Reference: 3M 8

9 ICD-9 to ICD-10 Code Differences Diagnosis Code Structural Change X X X X X Category ICD-9.. Etiology, anatomic site, manifestation ICD-10 X X X X X X X Category Etiology, anatomic site, manifestation Extension Reference: CMS Procedure Code Structural Change ICD-9. X X X X Body System or Site Purpose or Technique ICD-10 X X X X X X X Section Body Root System Operation Body Part Approach Device Qualifier ICD-9-CM (Dx) ICD-10-CM 14,025 codes 69,823 codes ICD-9-CM (Px) ICD-10-PCS 3,882 codes 72,769 codes 9

10 ICD-10 Myths & Facts Myth: ICD-10 will cause excessive delays in patient care workflow. Fact: With advanced preparation efforts, including rolebased education and tools, enhanced workflows will be minimally impacted. Myth: ICD-10 is going to add to the list of already competing priorities and regulatory demands. Fact: Balancing of priorities related to the ICD-10 conversion along with all other IU Health and governmental initiatives is being addressed to ensure all initiatives can be completed successfully. 10

11 ICD-10 Myths & Facts, cont Myth: ICD-10 will require more accurate and complete clinical documentation. Fact: Regardless of the coding system, the need for accurate and complete clinical documentation remains a requirement. Clinical training surrounding these documentation requirements is already underway. Myth: ICD-10 will have a negative impact to cash flow. Fact: IU Health is proactively testing and collaborating with payers to determine potential risk areas and to provide feedback to clinicians. 11

12 ICD-10-CM Codebook Overview Codebook Structure, Conventions Overview, and Code Structure 12

13 ICD-10-CM Codebook Structure 13

14 ICD-10-CM Codebook Structure Alphabetic Index List of terms and their corresponding code (or code category) Contains 4 Sections Index of Disease and Injury Neoplasm Table Table of Drugs and Chemicals Index of External Causes Tabular List Arranged in Alpha/Numeric order Chapters are divided into body systems or conditions 14

15 Tabular Comparison: ICD-9 to ICD-10-CM # of Chapters Chapter Structure 5 th Digit Sub-Classification Guidance Included in Tabular Index ICD-9 19 ICD New Chapters Created & Codes Reorganized Verbiage Included with Actual Code & Displayed in Full 15

16 ICD-10-CM Chapter/Code Classifications Code Range A00-B99 C00-D49 D50-D89 E00-E89 F01-F99 G00-G99 H00-H59 H60-H95 I00-I99 J00-J99 K00-K95 Chapter Title Certain Infectious and Parasitic Diseases Neoplasms Diseases of Blood and Blood-Forming Organs and Certain Disorders involving the Immune Mechanism Endocrine, Nutritional and Metabolic Disorders Mental and Behavioral Disorders Diseases of the Nervous System Diseases of the Eye and Adnexa (*New Chapter) Diseases of the Ear and Mastoid Process (*New Chapter) Diseases of the Circulatory System Diseases of the Respiratory System Diseases of the Digestive System 16

17 ICD-10-CM Chapter/Code Classifications, cont. Code Range L00-L99 M00-M99 N00-N99 O00-O9A P00-P96 Q00-Q99 R00-R99 S00-T88 V01-Y99 Z00-Z99 Chapter Title Diseases of the Skin and Subcutaneous Tissue Diseases of the Musculoskeletal System & Connective Tissue Diseases of the Genitourinary System Pregnancy, Childbirth and the Pueperium Certain Conditions Originating in the Perinatal Period Congenital Malformations, Deformations, and Chromosomal Abnormalities Symptoms, Signs and Abnormal Clinical Lab Findings not elsewhere classified Injury, Poisoning and Certain Other Consequences of External Causes External Causes of Morbidity Factors Influencing Health Status and Contact with Health Services 17

18 ICD-10-CM Codebook Conventions Overview 18

19 Official Coding Conventions Format Punctuation Abbreviations Typeface General Notes 19

20 Punctuation: Brackets [ ] Alphabetic Index Identify Manifestation Codes Tabular List Utilize to Enclose Synonyms, Alternative Wording or Explanatory Phrases 20

21 Punctuation: Parentheses ( ) Enclosed nonessential modifiers Supplementary words, that may be present or absent in the statement of a disease, without affecting the code to which it is assigned. Alphabetic Index Tabular List 21

22 Abbreviations Other Other Specified (NEC) Unspecified (NOS) 22

23 Instructional Notes Code First/Use Additional Code Code Also See See Also Excludes1 Excludes2 23

24 Instructional Note: Code First/Use Additional Code Some conditions have an underlying etiology and multiple body system manifestations In some circumstances, the underlying condition may be sequenced before the manifestation code(s). Instructional notes in ICD-10-CM indicate when this is appropriate. 24

25 Instructional Note: Code Also Some codes have an instructional note in the Tabular List indicating two codes may be required to fully describe a condition. 25

26 Instructional Note: See & See Also Instructions follow the main term in the Alphabetic Index indicating another term: Should be referenced May be referenced that provides additional useful Alphabetic Index entries. 26

27 Excludes Notes Excludes1 Pure excludes note indicates disease process is not coded here. For Example: congenital and acquired conditions Excludes2 Code is not included here. For Example: acute and chronic conditions 27

28 ICD-10-CM Code Structure 28

29 ICD-9 to ICD-10-CM Comparison Diagnosis Code Structural Change ICD-9-CM (Dx) X X X X X.. ICD-10-CM X X X X X X X Reference: CMS Category Etiology, anatomic site, manifestation Category Etiology, anatomic site, manifestation Extension ICD-9 Codes ICD-10-CM Codes Length: 3-5 characters First Character: Alpha or Numeric Value (only letters E or V are utilized) Characters 2-5: Numeric Value Length: 3-7 characters First Character: ALWAYS Alpha (All Letters Used Except U) Character 2: ALWAYS Numeric Value Character 3-7: Alpha or Numeric ICD-9-CM (Dx) ICD-10-CM 14,025 codes 69,823 codes 29

30 Code Structure Comparison: Characters 1 3 ICD-9-CM Category 523: Gingival & periodontal diseases Category 250: Diabetes Mellitus Category 410: Acute myocardial infarction ICD-10-CM Category K05: Gingivitis & periodontal diseases Category E11: Type 2 Diabetes Mellitus Category I21: ST elevation (STEMI) & non-st elevation (NSTEMI) myocardial infarction All ICD-10-CM diagnosis codes will begin with an alpha character 30

31 ICD-10-CM Code Structure: Characters 4 6 Etiology, anatomic sites and manifestations 4 th Character 5 th Character 6 th Character 31

32 ICD-10-CM Code Structure: Character 7 Extension 32

33 ICD-10-CM Code Structure: Placeholder Character Placeholder 33

34 What s New Some timeframes on particular codes have changed Laterality Description ICD-9 ICD-10 Acute MI 8 weeks 4 weeks Abortion vs Fetal Death 22 weeks 20 weeks Early vs late vomiting in pregnancy 22 weeks 20 weeks 34

35 What s New, cont. Expansion of some code categories for additional specificity E08 Diabetes mellitus due to underlying condition E09 Drug or chemical induced diabetes mellitus E10 Type I Diabetes mellitus E11 Type II Diabetes mellitus E13 Other specified diabetes mellitus New combinations codes are available in ICD-10 35

36 Code Expansions Injuries Injury codes impacted by significant expansion Impact to fracture codes Open vs Closed Displaced vs Non-displaced Laterality Encounter Status of healing 36

37 Code Expansions Drug Dependence Alcohol and substance abuse codes Tobacco codes 37

38 Code Expansions Obstetrics Trimesters 7 th character classification Weeks gestation 38

39 Medical Terminology Updates Osteoporosis Age related replaces senile Diabetes Mellitus No longer controlled or uncontrolled Uncontrolled is now, diabetes, by type, with hyperglycemia Cardiovascular Unstable angina replaces intermediate coronary syndrome 39

40 Questions For additional training, questions, concerns 40

presented by the APMA Coding Committee LIVE: January 9, pm ET

presented by the APMA Coding Committee LIVE: January 9, pm ET Welcome to the APMA ICD-10 is Here Webinar Series presented by the APMA Coding Committee LIVE: January 9, 2014 8pm ET 1 Tonight s Webinar: ICD-10-CM Timelines / Rules / Basics 2 Welcome to the APMA ICD-10-CM

More information

ICD- 10- CM General Coding Guidelines and Mapping

ICD- 10- CM General Coding Guidelines and Mapping PECAA Professional Eye Care Associates of America ICD- 10- CM General Coding Guidelines and Mapping Introduction The International Classification of Diseases, 10 th revision, Clinical Modifications (ICD-

More information

ICD-10 Back Up The Truck. Andrea Romero, RHIT, CCS, CPC NMHIMA Leadership Conference April 10, 2014

ICD-10 Back Up The Truck. Andrea Romero, RHIT, CCS, CPC NMHIMA Leadership Conference April 10, 2014 ICD-10 Back Up The Truck Andrea Romero, RHIT, CCS, CPC NMHIMA Leadership Conference April 10, 2014 ICD-10 IS DELAYED AGAIN Classification Structure ICD-9-CM Infectious and Parasitic Diseases (001 139)

More information

Optum360 Learning: Detailed Instruction for Appropriate ICD-10-CM Coding

Optum360 Learning: Detailed Instruction for Appropriate ICD-10-CM Coding Optum360 Learning: Detailed Instruction for Appropriate Coding An educational guide to the structure, conventions, and guidelines of coding 2017 Contents Section 1: Introduction...1 Documentation...7 Documentation

More information

A chapter by chapter look at the ICD-10-CM code set Coding Tip Sheet

A chapter by chapter look at the ICD-10-CM code set Coding Tip Sheet Coding Tip Sheet Chapter 1 - Certain Infectious and Parasitic Diseases Terminology changes: The term Sepsis (ICD-10-CM) has replaced the term Septicemia (ICD-9-CM) Urosepsis is a nonspecific term and is

More information

DIAGNOSIS CODING ESSENTIALS FOR LONG-TERM CARE:

DIAGNOSIS CODING ESSENTIALS FOR LONG-TERM CARE: DIAGNOSIS CODING ESSENTIALS FOR LONG-TERM CARE: THE BASICS Preferred Clinical Services for Leading Age Florida August 26-27, 2015 WHAT IS ICD-10-CM? International Classification of Diseases, 10 th Revision,

More information

Course Outline Introduction to ICD-10 Coding Course

Course Outline Introduction to ICD-10 Coding Course Course Outline Introduction to ICD-10 Coding Course Module 1 An Introduction to Clinical Coding History and Background of the International Classification of Diseases and Related Health Problems Features

More information

CENTRAL TEXAS COLLEGE SYLLABUS FOR HITT 1341 CODING AND CLASSIFICATION SYSTEMS. Semester Hours Credit: 3

CENTRAL TEXAS COLLEGE SYLLABUS FOR HITT 1341 CODING AND CLASSIFICATION SYSTEMS. Semester Hours Credit: 3 I. INTRODUCTION CENTRAL TEXAS COLLEGE SYLLABUS FOR HITT 1341 CODING AND CLASSIFICATION SYSTEMS INSTRUCTOR: Semester Hours Credit: 3 OFFICE HOURS: A. Fundamentals of coding rules, conventions, and guidelines

More information

Appropriate Use of 7 th Character in ICD 10 CM

Appropriate Use of 7 th Character in ICD 10 CM Appropriate Use of 7 th Character in ICD 10 CM Jameel Ahmed RHIA,CCS Corporate, Group HIM Manager SEHA - Abu Dhabi Health Services Co SEHA: Abu Dhabi Healthservices 18,000 Employees 12 Hospitals 57 Ambulatory

More information

Tracking of disease processes Classification of causes of mortality Medical research Evaluation of hospital service utilization

Tracking of disease processes Classification of causes of mortality Medical research Evaluation of hospital service utilization 1 2 Learning Objectives Explain the reasons and importance of coding diagnoses. Describe the importance of matching the correct diagnostic code to the appropriate procedural code. Differentiate between

More information

o an alphabetical list of terms and corresponding code Tabular List

o an alphabetical list of terms and corresponding code Tabular List ICD-10 Coding Guidelines Coding Guidelines Conventions General Guidelines Eye Chapter Specific 18 total 18 total 1 total Coding Guidelines 1. The Alphabetic Index and Tabular List Conventions for ICD-10-CM

More information

AHIMA Academy for ICD-10-CM/PCS: Building Expert Trainers in Diagnosis and Procedure Coding

AHIMA Academy for ICD-10-CM/PCS: Building Expert Trainers in Diagnosis and Procedure Coding AGENDA AHIMA Academy for ICD-10-CM/PCS: Building Expert Trainers in Diagnosis and Procedure Coding Day 1 7:30 8:00 am Registration Orientation to Training Materials and Instructional Methods ICD-10-CM

More information

OVERVIEW. Comparing ICD-9-CM and ICD-10-CM. Addendum: Transition to ICD-10. Structure of ICD-9-CM. Overview

OVERVIEW. Comparing ICD-9-CM and ICD-10-CM. Addendum: Transition to ICD-10. Structure of ICD-9-CM. Overview : Transition to ICD-10 ADDENDUM Transition to ICD-10 OVERVIEW On October 1, 2015, the U.S. health care system transitioned to the International Classification of Diseases, 10th Revision (ICD-10). This

More information

ICD-10-CM Countdown: Are You Ready?

ICD-10-CM Countdown: Are You Ready? ICD-10-CM Countdown: Are You Ready? Prevalence of conditions Number of codes be converted Number of new patients per month Number of bills sent each month Scope of the Implementation ICD-10-CM Official

More information

Precyse University ICD-10 Education Tracks

Precyse University ICD-10 Education Tracks Precyse University ICD-10 Education Tracks The following information will help you understand the Precyse University ICD-10 Educational Tracks. Each impacted population requires specific education to prepare

More information

Isle of Wight Joint Strategic Needs Assessment: Core Dataset 2009

Isle of Wight Joint Strategic Needs Assessment: Core Dataset 2009 Isle of Wight Joint Strategic Needs Assessment: Core Dataset 2009 Domain: Burden of Ill Health Indicator: Hospital Admissions - Top 10 Causes Sub-Domain: Misc Indicator References: JSNA Core Dataset number

More information

Integrating ICD-10s in SmarTrack

Integrating ICD-10s in SmarTrack Paul Russell BSN, RN Midas+ Solutions Educator Objectives Discuss change from ICD-9 to ICD-10 Define Indicator using ICD-10 Create a Worklist using ICD-10 2 2016 Midas+ Symposium May 23-25 Tucson, AZ 1

More information

About Your Faculty. National Alliance of Medical Auditing Specialists (NAMAS) ICD-10-CM CM Introduction. Take a Deep Breath!

About Your Faculty. National Alliance of Medical Auditing Specialists (NAMAS) ICD-10-CM CM Introduction. Take a Deep Breath! National Alliance of Medical Auditing Specialists (NAMAS) ICD-10-CM CM Introduction Presented by: John Burns, CPC, CPMA, CPC-I, CEMC Approved NAMAS Instructor ICD-10 Ambassador & AHIMA Approved ICD-10

More information

Medicare Update or Planning for ICD-10. Maureen Brooks February 20, 2014

Medicare Update or Planning for ICD-10. Maureen Brooks February 20, 2014 Medicare Update or Planning for ICD-10 Maureen Brooks February 20, 2014 Partial Code Freeze October 1, 2013 a partial update to include new technology and new diseases published October 1, 2014 no update

More information

ICD-10 RSPMI Provider Education April 16, Cathy Munn MPH RHIA CPHQ Sr. Consultant

ICD-10 RSPMI Provider Education April 16, Cathy Munn MPH RHIA CPHQ Sr. Consultant ICD-10 RSPMI Provider Education April 16, 2014 Cathy Munn MPH RHIA CPHQ Sr. Consultant Agenda Status of ICD-10 Transition Who, What, Where, When & Why Industry Update Impact of the Change Providers Payers

More information

ICD-10-CM Official Guidelines for Coding and Reporting 2014

ICD-10-CM Official Guidelines for Coding and Reporting 2014 Appendix VII ICD-10-CM Official Guidelines for Coding and Reporting 2014 Narrative changes appear in bold text Items underlined have been moved within the guidelines since the 2013 version Italics are

More information

ICD-10-CM Official Guidelines for Coding and Reporting 2011 Page 2 of 111

ICD-10-CM Official Guidelines for Coding and Reporting 2011 Page 2 of 111 Narrative changes appear in bold text Items underlined have been moved within the guidelines since the 2010 version Italics are used to indicate revisions to heading changes The Centers for Medicare and

More information

ICD-10-CM Official Guidelines for Coding and Reporting 2016

ICD-10-CM Official Guidelines for Coding and Reporting 2016 ICD-10-CM Official Guidelines for Coding and Reporting 2016 Narrative changes appear in bold text. Items underlined have been moved within the guidelines since the 2014 version. Italics are used to indicate

More information

ICD-10-CM. International Classification of Diseases, 10th Revision, Clinical Modification

ICD-10-CM. International Classification of Diseases, 10th Revision, Clinical Modification ICD-10-CM International Classification of Diseases, 10th Revision, Clinical Modification ICD-10 stands for the International Statistical Classification of Diseases and Related Health Problems, 10 th revision

More information

ICD What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software

ICD What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software ICD-10... What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software ICD-10... What Are You Waiting For? What is it? International classification

More information

Meet the Presenter. Welcome to PMI s Webinar Presentation. ICD-10-CM Code Updates - Effective October 1. On the topic:

Meet the Presenter. Welcome to PMI s Webinar Presentation. ICD-10-CM Code Updates - Effective October 1. On the topic: Welcome to PMI s Webinar Presentation Brought to you by: Practice Management Institute pmimd.com Meet the Presenter On the topic: Tom Stevens, CMC, CMIS, CMOM, CCS-P, CPC ICD-10-CM Code Updates - Effective

More information

The International Classification of Diseases Version 10 (ICD-10) What you need to know before the end of February, 2014

The International Classification of Diseases Version 10 (ICD-10) What you need to know before the end of February, 2014 The International Classification of Diseases Version 10 (ICD-10) What you need to know before the end of February, 2014 Gary W. Williams, MD, PhD, FACR 1.8.2014 Objectives: 1. Review the history of the

More information

ICD-10-CM Official Guidelines

ICD-10-CM Official Guidelines FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 FY2018 ICD-10-CM Official Guidelines for Coding and Reporting FY2018 *Note: These FY2018 guidelines are the most

More information

Meet the Presenter. Welcome to PMI s Webinar Presentation. Understanding the ICD- 10-CM Guidelines. On the topic:

Meet the Presenter. Welcome to PMI s Webinar Presentation. Understanding the ICD- 10-CM Guidelines. On the topic: Welcome to PMI s Webinar Presentation Brought to you by: Practice Management Institute pmimd.com Meet the Presenter On the topic: Understanding the ICD- 10-CM Guidelines Libby Purser, CHI, CMC, CMIS, CMOM,

More information

ICD-10-CM: What Does Your Coder Really Need To Know Part I. Your Speaker A SHORT HISTORY LESSON

ICD-10-CM: What Does Your Coder Really Need To Know Part I. Your Speaker A SHORT HISTORY LESSON ICD-10-CM: What Does Your Coder Really Need To Know Part I IAHHC 2014 ANNUAL COFERENCE Wednesday, May 7, 2014 1:00 p.m.-2:30 p.m. Copyright 2014 FR&R Healthcare Consulting Inc. 1 Your Speaker Bonny Kohr,

More information

ICD-10. An Introduction

ICD-10. An Introduction ICD-10 An Introduction ICD-10 Worldwide Other countries have been using ICD-10 for many years. Coding professionals there were better prepared with: Human Anatomy and Physiology Understanding of disease

More information

ICD-10-CM Recertification Prep: Proper Prepping Isn t as Bad as You Think

ICD-10-CM Recertification Prep: Proper Prepping Isn t as Bad as You Think ICD-10-CM Recertification Prep: Proper Prepping Isn t as Bad as You Think Julie Orton Van, CPC, CPC-P, CEMC Product Manager Coding Solutions 2015 AAPC HEALTHCON, Las Vegas NV Publisher s Notice: Although

More information

Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA Approved ICD 10 CM/PCS Trainer Clinical Documentation Program Manager for ezdi.

Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA Approved ICD 10 CM/PCS Trainer Clinical Documentation Program Manager for ezdi. A Venture of Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA Approved ICD 10 CM/PCS Trainer Clinical Documentation Program Manager for ezdi HIPAA Code Sets HIPAA legislation required use of the International

More information

4. ICD-10-PCS is used to code and classify data from hospital inpatient records only. a. diagnosis

4. ICD-10-PCS is used to code and classify data from hospital inpatient records only. a. diagnosis 1. The International Classification of Diseases (ICD) is published by the World Health Organization (WHO) and is used to classify data from death certificates. a. disease b. morbidity c. mortality d. procedure

More information

Maureen Brooks, CPC HMWC H.E.L.P September 6, 2012

Maureen Brooks, CPC HMWC H.E.L.P September 6, 2012 Maureen Brooks, CPC HMWC H.E.L.P September 6, 2012 The compliance date for upgrading to Version 5010 standards d for electronic health transactions was January 1, 2012; CMS enforcement discretion is in

More information

ICD-10-CM Official Guidelines for Coding and Reporting FY 2019 (October 1, September 30, 2019)

ICD-10-CM Official Guidelines for Coding and Reporting FY 2019 (October 1, September 30, 2019) (October 1, 2018 - September 30, 2019) Narrative changes appear in bold text Items underlined have been moved within the guidelines since the FY 2018 version Italics are used to indicate revisions to heading

More information

"ICD-10 For Clinical Staff" February 21, 2014 by Paula Digby, CPC, CCS, CPCI, AHIMA Approved ICD-10-CM/PCS Instructor. Disclaimer

ICD-10 For Clinical Staff February 21, 2014 by Paula Digby, CPC, CCS, CPCI, AHIMA Approved ICD-10-CM/PCS Instructor. Disclaimer Slide 1 1 Slide 2 Disclaimer The information contained in this presentation is provided to assist the attendee in understanding the reimbursement process. It is intended to assist healthcare providers

More information

Transitioning to ICD-10-CM: General Coding Guidelines & Mapping

Transitioning to ICD-10-CM: General Coding Guidelines & Mapping Transitioning to ICD-10-CM: General Coding Guidelines & Mapping 2 Introduction 1975 - International Classification of Diseases, 9th revision was originated 1979 - The United States began using ICD-9 1990

More information

Welcome to Navigating ICD-10

Welcome to Navigating ICD-10 A nonprofit independent licensee of the Blue Cross Blue Shield Association Welcome to Navigating ICD-10 This presentation provides general background information and resources to help your office or facility

More information

ICD. International Classification of Diseases

ICD. International Classification of Diseases ICD International Classification of Diseases ICD international standard diagnostic classification for general epidemiological health management purposes clinical use analysis of the general health situation

More information

ICD-9-CM Official Guidelines for Coding and Reporting

ICD-9-CM Official Guidelines for Coding and Reporting Narrative changes appear in bold text Items underlined have been moved within the guidelines since April 2005 The guidelines include the updated V Code Table The Centers for Medicare and Medicaid Services

More information

ICD 10 CM. What does it mean to YOU? It s all about specificity

ICD 10 CM. What does it mean to YOU? It s all about specificity ICD 10 CM What does it mean to YOU? It s all about specificity ICD TIMELINE ICD-9 Published by WHO in 1978 ICD-10 Endorsed by WHO in 1990 ICD-10-CM draft released in 1995 ICD-10 Used for mortality in the

More information

ICD-10-CM - Session 2. Cardiovascular Conditions, Neoplasms and Diabetes

ICD-10-CM - Session 2. Cardiovascular Conditions, Neoplasms and Diabetes ICD-10-CM - Session 2 Cardiovascular Conditions, Neoplasms and Diabetes Agenda General coding guidelines Acute myocardial infarction Hypertension Cerebrovascular accidents and sequelae Neoplasm and history

More information

ICD-9-CMCoding I Common Course Outline

ICD-9-CMCoding I Common Course Outline ICD-9-CMCoding I Common Course Outline Course Information Organization South Central College Revision History 2008-2009 Course Number HC 1920 Department Health Careers Total Credits 3 Description This

More information

ICD-10 Physician Education. Palliative Care SIP

ICD-10 Physician Education. Palliative Care SIP ICD-10 Physician Education Palliative Care SIP 1 Training Objectives ICD-9 to ICD-10 Comparison Documentation Tips Additional Educational Opportunities Questions 2 ICD-9 to ICD-10 Comparison Code Structure

More information

ICD-9-CM Official Guidelines for Coding and Reporting

ICD-9-CM Official Guidelines for Coding and Reporting Narrative changes appear in bold text Items underlined have been moved within the guidelines since November 15, 2006 The guidelines include the updated V Code Table The Centers for Medicare and Medicaid

More information

Diagnosis-specific morbidity - European shortlist

Diagnosis-specific morbidity - European shortlist I Certain infectious and parasitic diseases 1 Tuberculosis A15-A19 X X Z 2 Sexually transmitted diseases (STD) A50-A64 Y Z 3 Viral hepatitis (incl. hepatitis B) B15-B19 X Z 4 Human immunodeficiency virus

More information

Global EHS Resource Center

Global EHS Resource Center Global EHS Resource Center Understand environmental and workplace safety requirements that affect your global operations. 800.372.1033 bna.com/gelw Global EHS Resource Center This comprehensive research

More information

HI-1051: Certified Professional Coder Preparation Course

HI-1051: Certified Professional Coder Preparation Course Course Code/Title: HI-1051: Certified Professional Coder Preparation Course Course Hours: 320 Duration (wks): 16 weeks Chapter 1 The Business of Medicine Coding as a Profession The Difference between Hospital

More information

COUNTDOWN TO ICD-10. Transitioning from ICD-9 to ICD-10 4/6/2015. April 7, Suzy Harvey, RN Managing Consultant

COUNTDOWN TO ICD-10. Transitioning from ICD-9 to ICD-10 4/6/2015. April 7, Suzy Harvey, RN Managing Consultant COUNTDOWN TO ICD-10 Transitioning from ICD-9 to ICD-10 April 7, 2015 Suzy Harvey, RN Managing Consultant sharvey@bkd.com Deborah Lake, RN Senior Managing Consultant ddlake@bkd.com 1 TO RECEIVE CPE CREDIT

More information

Official Coding Guidelines

Official Coding Guidelines ICD-9-CM Official Guidelines for Coding and Reporting Effective October 1, 2008 The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments

More information

Prioritized ShortList MORBIDITY

Prioritized ShortList MORBIDITY Report on in-depth analysis of pilot studies in 16 Member States on diagnosis-specific morbidity statistics Annex 2 (Rev 11_11_13) Prioritized ShortList MORBIDITY Legend: X recommended for collection Y

More information

Implementing New & Revised ICD-10 Codes John A. McGreal Jr., O.D. Missouri Eye Associates McGreal Educational Institute

Implementing New & Revised ICD-10 Codes John A. McGreal Jr., O.D. Missouri Eye Associates McGreal Educational Institute Implementing New & Revised ICD-10 Codes John A. McGreal Jr., O.D. Missouri Eye Associates McGreal Educational Institute Excellence in Optometric Education John A. McGreal Jr., O.D. Missouri Eye Associates

More information

ICD-9-CM Official Guidelines for Coding and Reporting Effective October 1, 2010 Page 2 of 105

ICD-9-CM Official Guidelines for Coding and Reporting Effective October 1, 2010 Page 2 of 105 Narrative changes appear in bold text Items underlined have been moved within the guidelines since October 1, 2009 The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health

More information

Implementing New & Revised ICD-10 Codes

Implementing New & Revised ICD-10 Codes Implementing New & Revised ICD-10 Codes John A. McGreal Jr., O.D. Missouri Eye Associates cgreal Educational Institute Excellence in Optometric Education John A. McGreal Jr., O.D. Missouri Eye Associates

More information

June 3, 2015 Gloria Johnston, MBA, RN, RHIT

June 3, 2015 Gloria Johnston, MBA, RN, RHIT Clinical Documentation in ICD 10 June 3, 2015 Gloria Johnston, MBA, RN, RHIT 1 Are You In The Right Meeting? 2 Overview Agenda Overview of ICD 10 Clinical Documentation in ICD 10 ICD 10 Clinical Document

More information

Our Goals 10/2/2013. ICD-10 Transition: Five Phases. Hot Topics in Billing and Coding: Transitioning to ICD-10

Our Goals 10/2/2013. ICD-10 Transition: Five Phases. Hot Topics in Billing and Coding: Transitioning to ICD-10 Hot Topics in Billing and Coding: Transitioning to ICD-10 HCCA HAWAII 2013 REGIONAL CONFERENCE Jeri Leong, RN, CPC, CPC-H, CPC-I, CPMA Healthcare Coding Consultants of Hawaii LLC 1 Our Goals Introduce

More information

Disclaimer. Course Overview. Preparing for the ICD 10 Code Transition An Update

Disclaimer. Course Overview. Preparing for the ICD 10 Code Transition An Update Coding and Reimbursement Series: Preparing for the ICD 10 Code Transition An Kyle C. Dennis, PhD Audiology and Speech Pathology Service Department of Veterans Affairs Debra Abel, AuD Senior Education Specialist,

More information

Attending Physician s Statement

Attending Physician s Statement ( Form A A This form is used for claiming the social insurance benefit. This form should be completed and signed by the attending physician outpatient and One form for each month, one form for hospitalization

More information

III. KNOWLEDGE BASE ON THE 65 CAUSES OF DEATH (EUROSTAT SHORT LIST)

III. KNOWLEDGE BASE ON THE 65 CAUSES OF DEATH (EUROSTAT SHORT LIST) III. KNOWLEDGE BASE ON THE 65 CAUSES OF DEATH (EUROSTAT SHORT LIST) This section of the report on the 'Knowledge base on the 65 causes of death' comprises two parts: a published studies database and an

More information

Pharmaceutical, Medical and Health-related Government and Regulatory bodies around the world.

Pharmaceutical, Medical and Health-related Government and Regulatory bodies around the world. 1 International International Conference on Harmonization (ICH) World Health Organization (WHO) 2 Argentina National Administration of Drugs, Food and medical Technology. Australia s Department of health

More information

Special Thanks. What is ICD-10-CM? CDQ Education Department. Coding on the River Executive Committee. Seth Canterbury Stacey Dingman Wanda Brown

Special Thanks. What is ICD-10-CM? CDQ Education Department. Coding on the River Executive Committee. Seth Canterbury Stacey Dingman Wanda Brown Special Thanks CDQ Education Department Seth Canterbury Stacey Dingman Wanda Brown Coding on the River Executive Committee Virginia Outlaw What is ICD-10-CM? Clinical modification of the WHO s ICD-10 morbidity/mortality

More information

Florida EMS Advisory Council. Chief Darrel Donatto, Chair. January 18, 2018

Florida EMS Advisory Council. Chief Darrel Donatto, Chair. January 18, 2018 Florida EMS Advisory Council Chief Darrel Donatto, Chair January 18, 2018 EMSAC Data Committee Meeting A G E N D A Welcome/ Opening Remarks Review/Approval of Meeting Records Update on Action Items Update

More information

This proposal represents a significant improvement over the previous version.

This proposal represents a significant improvement over the previous version. May 9, 2018 VIA ELECTRONIC MAIL Donna Pickett, MPH, RHIA ICD-10 Coordination and Maintenance Committee National Center for Health Statistics 3311 Toledo Road Hyattsville, Maryland 20782 Dear Ms. Pickett:

More information

Disclosures. Conventions vs. Guidelines. Guidelines. ICD-10 Conventions, Guidelines, Pointers and Pitfalls

Disclosures. Conventions vs. Guidelines. Guidelines. ICD-10 Conventions, Guidelines, Pointers and Pitfalls Disclosures ICD-10 Conventions, Guidelines, Pointers and Pitfalls Everything here is strictly my opinion only and does not reflect the opinion of my employer nor of ASOA. Tamim Qaum MD, CPE, COE, CASC,

More information

ICD 10 CM Coding and Documentation

ICD 10 CM Coding and Documentation ICD 10 CM Coding and Documentation Adult Day Health Care Council Karen L. Fabrizio, RHIA, CHTS CP, CPRA April 10, 2014 Presented by: Karen Fabrizio, RHIA CHTS CP CPRA is an AHIMA Approved ICD 10 CM/PCS

More information

READY. SET. CODE! Gearing Up for ICD-10. Questions

READY. SET. CODE! Gearing Up for ICD-10. Questions READY. SET. CODE! Gearing Up for ICD-10 Hosted by: The Valley Hospital November 9, 2011 Questions What is ICD-10? How do I get ready? How is the same as ICD-9? How is it different? 1 Program Objectives

More information

ICD-10CM - Dispelling the Fear. Presented by Teresa Thompson, CPC, CMSCS TM Consulting, Inc

ICD-10CM - Dispelling the Fear. Presented by Teresa Thompson, CPC, CMSCS TM Consulting, Inc ICD-10CM - Dispelling the Fear Presented by Teresa Thompson, CPC, CMC TM Consulting, Inc Teresathom@aol.com Objectives for Lecture Understand the documentation guideline requirements for ICD-10 Coding

More information

ICD-10-CM Are you Prepared? Disclaimers for Presentation. Disclaimers for Presentation 5/13/2014. What is ICD-10-CM/PCS

ICD-10-CM Are you Prepared? Disclaimers for Presentation. Disclaimers for Presentation 5/13/2014. What is ICD-10-CM/PCS AOA Third Party Center Coding Experts Are you Prepared? Rebecca H. Wartman O.D. Optometry s Meeting 2014 With contributions from Doug Morrow O.D. & Harvey Richman O.D. Rebecca H. Wartman, O.D Douglas C.

More information

Similarities and Differences between ICD9CM & ICD10 CM

Similarities and Differences between ICD9CM & ICD10 CM Similarities and Differences between ICD9CM & ICD10 CM Subject ICD9 CM ICD10 CM Minimum number of digits/characters Maximum number of digits/characters 3 3 5 7 Number of chapters 17 21 Supplemental Classification

More information

FY 2017 ICD-10-CM Guideline Updates. Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer

FY 2017 ICD-10-CM Guideline Updates. Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer FY 2017 ICD-10-CM Guideline Updates Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer How to Review Guideline Changes 1. Download the FY 2017 ICD-10-CM

More information

ASSIGNMENT 5-1 REVIEW QUESTIONS

ASSIGNMENT 5-1 REVIEW QUESTIONS ASSIGNMENT 5-1 REVIEW QUESTIONS Part I Fill in the Blank on ICD-9-CM 1. primary, principal 2. Systematized Nomenclature of Human and Veterinary Medicine (SNOMED) International. 3. International Classification

More information

0301 Anemia Others. Endocrine nutritional and metabolic disorders Others Vascular dementia and unspecified dementia

0301 Anemia Others. Endocrine nutritional and metabolic disorders Others Vascular dementia and unspecified dementia Certain infectious and parasitic diseases 0101 Intestinal infectious diseases 0102 Tuberculosis 0103 Infections with a predominantly sexual mode of transmission 0104 Viral infections characterized by skin

More information

- Network for Excellence in Health Innovation

- Network for Excellence in Health Innovation Real-world evidence is evidence from any and all sources of data that may contribute to more effective health care, including health care best tailored to the needs of individual patients. - Network for

More information

ICD-10 Overview. EPF PR-ICD-10 Overview for Providers

ICD-10 Overview. EPF PR-ICD-10 Overview for Providers ICD-10 Overview EPF-042513-PR-ICD-10 Overview for Providers 050913 Overview & ICD-10-PCS Sonia Lopez, BSHM, CPC Director of Claims Implementation Date ICD-10 Code Count Comparison Compare ICD-9 to ICD-10

More information

Where Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association

Where Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association Where Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association ICD-10 Final Rule On January 16, 2009, the U.S. Department of Health and Human Services (HHS)

More information

ICD-10 CM Training. Orthopaedic

ICD-10 CM Training. Orthopaedic ICD-10 CM Training Orthopaedic ICD-10-CM Compliance Dates ICD-10-CM will be valid for dates of service on or after October 1, 2015 Outpatient dates of service of October 1, 2015 and beyond. Inpatient hospital

More information

PROGRESS ON HCQI RESEARCH AND DEVELOPMENT WORK

PROGRESS ON HCQI RESEARCH AND DEVELOPMENT WORK PROGRESS ON HCQI RESEARCH AND DEVELOPMENT WORK Ian Brownwood, HCQI Project, OECD HCQI Expert Group Meeting 21 and 22 may 2015 R&D Agenda for 2014 Primary Care Indicators Avoidable Hospital Admission Indicators

More information

Mapping ICD 9 CM to ICD 10: Lessons Learned

Mapping ICD 9 CM to ICD 10: Lessons Learned Mapping ICD 9 CM to ICD 10: Lessons Learned Gail I. Smith, MA, RHIA, CCS P Gail I. Smith Consulting 1 Topics Process for Decision Making Mapping and Decision Trees Documentation for Coding Decisions Root

More information

Building Blocks of ICD-10-CM. Norma A. Panther, CPC, CPC-I, CIRCC, CEMC, CCS-P, ICDCT- CM, ICDCT-PCS, CHC

Building Blocks of ICD-10-CM. Norma A. Panther, CPC, CPC-I, CIRCC, CEMC, CCS-P, ICDCT- CM, ICDCT-PCS, CHC Building Blocks of ICD-10-CM Norma A. Panther, CPC, CPC-I, CIRCC, CEMC, CCS-P, ICDCT- CM, ICDCT-PCS, CHC Objectives Comparison of ICD-9 & ICD-1Ø 5 digits vs. 7 Alphanumeric New conventions, such as: Excludes

More information

CHAPTERS OF ICD-10-CM

CHAPTERS OF ICD-10-CM CHAPTERS OF ICD-10-CM Chapter Description Category Chapter 1 Certain Infectious and parasitic diseases A00-B99 Chapter 2 Neoplasms C00-D49 Chapter 3 Diseases of the blood and blood-forming organs and certain

More information

ETB Data. there was. compared

ETB Data. there was. compared AETA 2009 Survey Report Introduction Included in this report are survey data collected from the member embryo transfer business ss (ETB s) of the American Embryo Transfer Association for 2009. This report

More information

Validating and Grouping Diagnosis

Validating and Grouping Diagnosis Validating and Grouping Diagnosis DataSci Consulting CMS SAS User Group Conference, 2007 Grouping Grouping Grouping Goals Cover basic concepts about diagnoses and codes Share some examples Provide useful,

More information

ICD-10-CM. General Code Set Training

ICD-10-CM. General Code Set Training ICD-10-CM General Code Set Training 2015 Contents Disclaimer This course was current at the time it was published. This course was prepared as a tool to assist the participant in understanding how to prepare

More information

WELCOME to a PMI WEBINAR PRESENTATION

WELCOME to a PMI WEBINAR PRESENTATION WELCOME to a PMI WEBINAR PRESENTATION PMI presents: Nancy Maguire on the topic: Primary Care and ICD-10-CM Diagnosis Coding Welcome to Practice Management Institute s Webinar and Audio Conference Training.

More information

University of Bristol - Explore Bristol Research

University of Bristol - Explore Bristol Research Hunt, L., Ben-Shlomo, Y., Whitehouse, M., Porter, M., & Blom, A. (2017). The Main Cause of Death Following Primary Total Hip and Knee Replacement for Osteoarthritis: A Cohort Study of 26,766 Deaths Following

More information

New Codes. Diagnosis Description

New Codes. Diagnosis Description Diagnosis Code Description New Codes 259.5 Androgen insensitivity syndrome 276.50 Volume depletion, unspecified 276.51 Dehydration 276.52 Hypovolemia 278.02 Overweight 287.30 Primary thrombocytopenia,

More information

ICD-10-CM For Long-Term Care

ICD-10-CM For Long-Term Care ICD-10-CM For Long-Term Care June 2015 Karen L. Fabrizio, MBA RHIA CHTS-CP CPRA AHIMA Approved ICD-10-CM Trainer Objectives Review code structure; Review format of ICD-10-CM Volumes 1 and 2 Review coding

More information

ICD-10 RSPMI Provider Education

ICD-10 RSPMI Provider Education ICD-10 RSPMI Provider Education Arkansas DHS ICD-10 Preparation & Implementation Cathy Munn, MPH RHIA CPHQ Sr. Consultant 1 Agenda Why ICD-10 & Why Now? Industry Update Key Points to Remember Impact of

More information

Copyright 2011 South Carolina Health Information Management Association. All rights reserved.

Copyright 2011 South Carolina Health Information Management Association. All rights reserved. 1. The Alphabetic Index and Tabular List The ICD-10-CM is divided into the Alphabetic Index, an alphabetical list of terms and their corresponding code -the Alphabetic Index consists of the following parts:

More information

This way to ICD 10 1

This way to ICD 10 1 This way to ICD 10 1 Quick Review We currently report diagnoses with ICD 9 codes Effective with date of service 10 1 14 we must report services using ICD 10 diagnosis codes Many more codes to choose from

More information

Learning Objectives. Guidance Hierarchy. AHA Coding Clinic Update

Learning Objectives. Guidance Hierarchy. AHA Coding Clinic Update 1 AHA Coding Clinic Update Nelly Leon Chisen, RHIA Director, Coding and Classification Executive Editor, Coding Clinic American Hospital Association Chicago, IL Learning Objectives At the completion of

More information

Chapter 2 Neoplasms C00-D49 November 11, Chapter 2: Neoplasms Category: C00-D49 Official Coding Guidelines: Section 1.C.2, p.

Chapter 2 Neoplasms C00-D49 November 11, Chapter 2: Neoplasms Category: C00-D49 Official Coding Guidelines: Section 1.C.2, p. Chapter 2: Neoplasms Category: C00-D49 Official Coding Guidelines: Section 1.C.2, p. 22 1 C00 C75 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, hematopoietic

More information

2014 Iowa Chiropractic Society

2014 Iowa Chiropractic Society 2014 Iowa Chiropractic Society SESSION 1 ICD-10-CM TED A. ARKFELD, DC, MS, CPC 1 Disclaimer Advanced Compliance Technologies, PLLC, denies responsibility or liability for any erroneous opinions, analysis,

More information

ICD-10 Physician Education. General Surgery

ICD-10 Physician Education. General Surgery ICD-10 Physician Education General Surgery 1 Training Objectives ICD-9 to ICD-10 Comparison Documentation Tips Additional Educational Opportunities Questions 2 ICD-9 to ICD-10 Comparison Code Structure

More information

Non-covered ICD-10-CM Codes for All Lab NCDs

Non-covered ICD-10-CM Codes for All Lab NCDs Non-covered ICD-10-CM s for All Lab NCDs This section lists codes that are never covered by Medicare for a diagnostic lab testing service. If a code from this section is given as the reason for the test,

More information

ICD-10 in the United States: Better Late than Never

ICD-10 in the United States: Better Late than Never ICD-10 in the United States: Better Late than Never Holly Johns Cara Havens Danielle Robinson Alberto Coustasse Bala S. Pothakamuri David P. Paul, III Monmouth University Marshall University Introduction

More information

Non-covered ICD-10-CM Codes for All Lab NCDs

Non-covered ICD-10-CM Codes for All Lab NCDs Non-covered ICD-10-CM s for All Lab NCDs This section lists codes that are never covered by Medicare for a diagnostic lab testing service. If a code from this section is given as the reason for the test,

More information

Non-covered ICD-10-CM Codes for All Lab NCDs

Non-covered ICD-10-CM Codes for All Lab NCDs Non-covered ICD-10-CM Codes for All Lab NCDs This section lists codes that are never covered by Medicare for a diagnostic lab testing service. If a code from this section is given as the reason for the

More information

Chapter 1 Certain Infectious and Parasitic Diseases

Chapter 1 Certain Infectious and Parasitic Diseases Chapter 1 Certain Infectious and Parasitic Diseases 1.1 A patient is seen for right lower leg muscle atrophy that is the result of a previous bout of polio. Chapter 2 Neoplasms 2.1 Small cell carcinoma

More information