Tuesday, August 30, 2016

Medical Assisting paper at its finest

ICD-10-CM


The ICD-10 is used to code and classify mortality data from death certificates. Having to replace ICD-9 for this purpose as of January 1, 1999. ICD-10-CM is planned as the replacement for ICD-9-CM, volumes 1 and 2. The international calssification of diseases, Tenth revised, ICD-10-CM, is a revision to the ICD-9-CM used by physician and other health care providers to cod and classify disease. Symptoms as well as procedures within the hospital setting.  
The World Health Organization (WHO), has authorized the development of an adaptation of ICD-10 for using it in the United States for U.S. government purposes. The WHO uses alphamumeric codes to identify health diseases and other health care problems.  As agreed, any modifications to the ICD-10 must conform to WHO conventions for the ICD. ICD-10-CM was developed following a thorough evaluation by a Technical Advisory Panel and extensive additional consultation with clinical coders, physician groups and others to assure clinical accuracy.  Specific improvements include: the addition of information relevant to ambulatory and managed care encounters, expanded injury codes and the creation of combination diagnosis as well as symptom codes to reduce the number of codes needed to  describe a condition as well as the addition of sixth and seventh characters. Incorporation of common 4th and 5th digit subclassifications, laterality, and greater specificity in code assignment. The new structure will allow further expansion with ICD-9-CM.
The ICD-10-CM revision includes 68,000 diagnostic codes in comparison to 13,000 on the ICD-9-CM. This includes twice as many catagories and classifications.  Physicians and nurses need to understand and be specific in documenting patient diagnosis and treatments to support the use of ICD-10 codes in claims.  IT leaders help support ones in educating the staff for office transition from the ICD-9 to the ICD-10-CM. In making the transition to the ICD-10 there are four parts that one must follow as stated from the http://searchhealthit.techtarget.com/news/1280099287/Educating-physicians-on-ICD-10-changes-eases-transition
  • Gathering data on all processes and policies that involve ICD codes, so it has an inventory of all the items that will require change.
  • Mapping ICD-9 to ICD-10.
  • Changing over to ICD-10, which includes pilot testing with providers and vendors before go-live.
  • Implementing a monitoring and maintenance process, based on new guidance and real-world experience using ICD-10 codes.
Similar to ICD-9-CM, there is no national requirement for mandatory ICD-10-CM  for external cause code reporting. Unless you are subject to a State-based external cause code reporting to mandate on these codes are required by a particular payer, you are not required to report ICD-10-CM codes, for External Causes of Morbidity.
Work Cited
Department of Health and Human Services Centers for Medicare & Medicaid Services


Centers for Disease Control and Prevention


Wikipedia



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