CHEAT SHEETS ARE THEY REALLY SAVING YOU ANYTHING? Preparing for the Transition to ICD-10
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1 CHEAT SHEETS ARE THEY REALLY SAVING YOU ANYTHING? Preparing for the Transition to ICD-10
2 The Use of Cheat Sheets Do not use cheat sheets!! Where s my cheat sheet? What does it look like? Turning a blind eye towards that Pandora s box!
3 The Problem with Cheat Sheets What s the expiration date on that cheat sheet? It wouldn t be called a cheat sheet if it s more than one page! There s more to coding than just looking it up in the book!!!
4 The NEW Problems with Cheat Sheets With ICD-10-CM there are approximately 55,000 new codes. With ICD-10-PCS there are approximately 85,000 new codes. SO WHAT DOES THIS MEAN? A 1-page cheat sheet turns into several pages.
5 RADIOLOGY CHEAT SHEET ICD 9 Description ICD 9 Code Hemorrhage, brain ( non traumatic) 431 Hemorrhage, subdural (non traumatic) ICD 10 ICD 10 Description I61.9 Nontraumatic intracerebral hemorrhage, unspecified I61.0 Nontraumatic intracerebral hemorrhage in hemisphere, subcortical I61.1 Nontraumatic intracerebral hemorrhage in hemisphere, cortical I61.2 Nontraumatic intracerebral hemorrhage in hemisphere, unspecified I61.3 Nontraumatic intracerebral hemorrhage in brain stem I61.4 Nontraumatic intracerebral hemorrhage in cerebellum I61.5 Nontraumatic intracerebral hemorrhage, intraventricular I61.6 Nontraumatic intracerebral hemorrhage, multiple localized I61.8 Other nontraumatic intracerebral hemorrhage I62.00 Nontraumatic subdural hemorrhage, unspecified I62.01 Nontraumatic acute subdural hemorrhage I62.02 Nontraumatic subacute subdural hemorrhage I62.03 Nontraumatic chronic subdural hemorrhage I62.1 Nontraumatic extradural hemorrhage I62.9 Nontraumatic intracranial hemorrhage, unspecified
6 More of the Same Problem Injury, Unspecified type Elbow/forearm/wrist S59.901A Unspecified injury of right elbow, initial encounter S59.901D Unspecified injury of right elbow, subsequent encounter S59.901S Unspecified injury of right elbow, sequela S59.902A Unspecified injury of left elbow, initial encounter S59.902D Unspecified injury of left elbow, subsequent encounter S59.902S Unspecified injury of left elbow, sequela S59.909A Unspecified injury of unspecified elbow, initial encounter S59.909D Unspecified injury of unspecified elbow, subsequent encounter S59.909S Unspecified injury of unspecified elbow, sequela S59.911A Unspecified injury of right forearm, initial encounter S59.911D Unspecified injury of right forearm, subsequent encounter S59.911S Unspecified injury of right forearm, sequela S59.912A Unspecified injury of left forearm, initial encounter S59.912D Unspecified injury of left forearm, subsequent encounter S59.912S Unspecified injury of left forearm, sequela S59.919A Unspecified injury of unspecified forearm, initial encounter S59.919D Unspecified injury of unspecified forearm, subsequent encounter S59.919S Unspecified injury of unspecified forearm, sequela S69.90xA Unspecified injury of unspecified wrist, hand and finger(s), initial encounter S69.90xD Unspecified injury of unspecified wrist, hand and finger(s), subsequent encounter S69.90xS Unspecified injury of unspecified wrist, hand and finger(s), sequela S69.91xA Unspecified injury of right wrist, hand and finger(s), initial encounter S69.91xD Unspecified injury of right wrist, hand and finger(s), subsequent encounter S69.91xS Unspecified injury of right wrist, hand and finger(s), sequela S69.92xA Unspecified injury of left wrist, hand and finger(s), initial encounter S69.92xD Unspecified injury of left wrist, hand and finger(s), subsequent encounter S69.92xS Unspecified injury of left wrist, hand and finger(s), sequela
7 Fixing Cheat Sheets Might Be Impossible In ICD-10-PCS = less standardized codes Doesn t matter HIM will correct the codes. How about an electronic cheat sheet? Pandora s box opened!!
8 To Make Matters Worse Encounter forms = cheat sheets
9 Suggested Next Steps Perform an inventory of all the places that cheat sheets are currently used. Communicate the impact on your organization s reimbursement and compliance efforts. Form work teams that involve the users, IT, and HIM. Find solutions now! CONTACT HRS WE RE HERE TO HELP! or
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