ICD-10 Physician Education. Medical Genetics

Transcription

1 ICD-10 Physician Education Medical Genetics

2 Training Objectives ICD-9 to ICD-10 Comparison Documentation Tips Additional Educational Opportunities Questions 2

3 ICD-9 to ICD-10 Comparison Code Structure Diagnosis Code Volume What Will Change Up to 7 characters Alpha-numeric codes 14,025 to 69,823 What Remains the Same DRGs CPT, HCPCS, E&M Codes Reimbursement methodology (awaiting finalization) Coders can only assign codes based on provider documentation Diagnosis Code Structural Change ICD-9 X X X X X Category.. Etiology, anatomic site, manifestation ICD-10-CM X X X X X X X Category Etiology, anatomic site, manifestation Extension Reference: CMS 3

4 Breast Neoplasm Type Primary vs Secondary Detailed location expansion Nipple and areola Central portion Quadrant Axillary tail Overlapping Gender Laterality new concept 4

5 Metabolic Diseases Phenylketonuria expansion Classical phenylketonuria Other hyperphenylalaninemias Disorders of urea cycle metabolism expansion Argininemia Arginosuccinic aciduria Citrullinemia Other disorders or urea cycle metabolism Disorders of ornithine metabolism Galactosemia expansion Disorders of galactose metabolism, unspecified Galactosemia Other disorders of galactosemia Primary carnitine deficiency 5

6 Metabolic Diseases, cont Disorders of fatty acid oxidation expansion Long chain/very long chain acyl CoA dehydrogenase deficiency Medium chain acyl CoA dehydrogenase deficiency Short chain acyl CoA dehydrogenase deficiency Glutaric aciduria type II Muscle carnitine palmitoyltransferase deficiency Other disorders of fatty- acid oxidation Disorders of ketone metabolism 6

7 Metabolic Diseases, cont Disorders of mitochondrial metabolism expansion Mitochondrial metabolism disorder, unspecified MELAS syndrome MERRF syndrome Other mitochondrial metabolism disorders Kearns-Sayre syndrome Specify eye/laterality new concept Unspecified metabolic disorder Obesity expansion Due to excessive calories Drug-induced Other Unspecified Morbid Obesity Overweight 7

8 Mental & Neurodevelopmental Disorders Autism concept change Identification of state no longer necessary Asperger s new code Conduct disorder Other developmental speech or language disorder expansion Phonological disorder Other Unspecified Unspecified delay in development expansion Developmental disorder of scholastic skills Unspecified disorder of psychological development 8

9 Asthma Severity Mild, moderate, severe Intermittent vs persistent Presence of Acute exacerbation Status asthmatics 9

10 Digestive System Gastroparesis Link if manifestation of diabetes Functional disorder of stomach expansion Other diseases of stomach and duodenum Unspecified diseases GERD Constipation Type Irritable bowel syndrome Presence of diarrhea Megacolon Neurogenic bowel 10

11 Musculoskeletal and Connective Tissue Disorder of bone and cartilage expansion Bone density and structure unspecified Disorder of bone Disorder of cartilage Myalgia and myositis Specify location Laterality 11

12 Congenital Anomalies Microcephalus Anomalies of skull and face bones expansion Craniosynostosis Craniofacial dysostosis Hypertelorism Macrocephaly Mandibulofacial dysostosis Oculomandibular dysostosis Other congenital malformations of skull and face bones Unspecified Congenital malformation syndromes predominantly affecting facial appearance 12

13 Congenital Anomalies, cont Chromosomal abnormality, unspecified Congenital malformation syndromes predominantly associated with short stature (Formerly Prader-Willi syndrome) Other specified congenital anomalies expansion Barth syndrome Smith-Lemli-Opitz syndrome Congenital malformation syndromes predominantly involving limbs Congenital malformation syndromes involving early overgrowth Other congenital malformation syndromes with other skeletal changes Alport syndrome Other specified conditions 13

14 Symptoms, Signs, Other Conditions Other convulsions Lack of coordination expansion Ataxia Other lack of coordination Unspecified lack of coordination Feeding difficulties Failure to thrive (child) Short stature (child) 14

15 History and Screening Family history of breast cancer Encounter for genetic testing: Female Male Encounter screening for: Genetic and chromosomal anomalies Other disorders 15

16 Additional Educational Opportunities Physician/Provider Foundation training Specialty/Service Line meetings ICD-10 Website 16

17 Questions