Integrating ICD-10s in SmarTrack

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1 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 Midas+ Symposium May Tucson, AZ 1

2 What s New From ICD-9 To ICD-10 3 ICD-10 Procedures Codes are 7 characters in length They do not contain a decimal point X is used as a placeholder when another character or number does not apply. Z means not applicable (only used in the 6 th and 7 th segments) Midas+ Symposium May Tucson, AZ 2

3 Axial Components 5 Example Midas+ Symposium May Tucson, AZ 3

4 ICD-10 Diagnosis Code Codes are 3 to 7 characters Categories are the first three characters If no further characters, this equals the code All codes start with a letter Second and third characters are always numeric There is a. after the third character An X is used as a placeholder The side of the body (laterality) affected is included in the code 7 Structure of ICD-10 Diagnosis Code Category Subcategories, Etiology, Anatomic Site, Severity Midas+ Symposium May Tucson, AZ 4

5 ICD-10 CM Category Codes (first character) A - Communicable diseases B - Viral diseases C - Malignant Neoplasms D - In situ neoplasms, diseases of the blood E - Endocrine, nutritional, and metabolic diseases F - Mental and behavioral disorders G - Nervous system and sensory H - Eye, ear, and mastoid I - Circulatory diseases J - Respiratory diseases K - Digestive diseases L - Skin and subcutaneous tissue M - Musculoskeletal and connective tissues N - Genitourinary O - Pregnancy, childbirth, and puerperium P - Newborn Q - Congenital malformations and chromosomal R - Symptoms, signs, and abnormal clinical finding not elsewhere classified S - Injury, fractures T - Burns, corrosions, poisoning toxic effects neglect, maltreatment V - External cause of morbidity W - External cause of morbidity X - External cause of morbidity Y - External cause of morbidity location Z - Contacts, exposures 9 Example Category Category/Anatomic Site/Severity Extension I I I26.01 Septic pulmonary embolism with acute cor pulmonale I Acute embolism and thrombosis of unspecified deep veins of right lower extremity Midas+ Symposium May Tucson, AZ 5

6 Searching with Wildcards Use the wildcards % and _ (underscore) to search for diagnoses that contain certain characteristics. % is used in a string to indicate inclusion of anything that comes after it _ (underscore) is used as a place holder when you want to capture everything in that position 0SRB0_9 (left hip joint open cemented) I26% (pulmonary embolism) I82% (venous embolism) 11 I Guess We Should Get Started Midas+ Symposium May Tucson, AZ 6

7 Review Procedure Layout Section Body System Root Operation Body Part Approach Device Used Qualifier 0 S R _ 0 _ A 0 S R _ 0 _ 9 0 S R _ 0 _ Z Diagnosis Layout Category Category/Anatomic Site/Severity I Extension I Were Your Expectations Met? Do you have a better understanding of the change from ICD-9 to ICD-10? Do you feel you can define Indicators with ICD-10 to retrieve the desired data? Could you incorporate ICD-10 in a Worklist definition? Midas+ Symposium May Tucson, AZ 7

8 Thank you for attending. Any questions? Paul Russell BSN, RN Midas+ Solutions Educator 2016 Midas+ Symposium May Tucson, AZ 8

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