With the implementation of ICD-10-CM looming in just over 6 months, with no delay in sight, your agency should continue preparing. Educate your physicians and clinicians on the need for updated, more precise documentation, educate the coders and billers in your agency on ICD-10 code set.
Although there are many more codes in ICD-10 than currently used in ICD-9-CM, it’s easy to see where these changes have occurred and the reason for those changes is for greater specificity and detail.
- 34,250 (50%) of all ICD-10-CM codes are related to the musculoskeletal system.
- 17,045 (25%) of all ICD-10-CM codes are related to fractures.
- 10,582 (62%) of fracture codes distinguish right from left.
- 25,000 (36%) of all ICD-10-CM codes distinguish right from left.
How are ICD-9-CM and ICD-10-CM different?
|3–5 characters in length||3–7 characters in length|
|Over 14,000 diagnosis codes||Over 69,000 diagnosis codes|
|Only V codes and E codes begin with
|ALL codes start with a letter
All letters of alphabet used, except “U”
|Limited space for adding new codes Flexible for adding new codes|
Cannot identify laterality
What are the benefits to ICD-10-CM?
|• Reduced ambiguity||• Better reflection of current medical
terminology and technology
|• Incorporation of recommended
revisions to ICD-9-CM that could not
|• Improved collection and tracking of
new diseases and technologies
|• Enhanced system flexibility for adding
|• Expanded detail relevant to
ambulatory and managed care
|• HIPAA criteria for code set standards
are met (5010)
|• Space to accommodate future
|• Data transparency for reimbursement
and compliance efforts
Some general considerations your agency should be looking at each week are:
- What policies and procedures will need revision?
– ICD-10-CM/PCS will have new Coding Clinic advice
– How will you address decreased productivity during the transition?
- What templates will need revision?
– Operative reports
– History and Physical forms
– Query forms
There are many references and resources you can go to for additional information. I
encourage you to bookmark the following:
- CMS ICD-10 Web site: http://www.cms.gov/icd10
- NHLBI’s National Asthma Education and Prevention Program: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf
- Open Fracture: Gustilo Classification: http://www.eatonhand.com/clf/clf256.htm
- NCHS ICD-10 Web site: http://www.cdc.gov/nchs/icd/icd10cm.htm
QIRT is here to assist you with your ICD-10-Cm needs.