COMPdata ICD-10 Transition Guide - COMPdata Informatics
COMPdata ICD-10Transition GuideCOMPDATA Subscribers Customer Support Phone Numbers: 866.262.6222COMPDATA Subscribers Customer Support Email: compdata@team-iha.orgFebruary 20161
Table of ContentsICD Crosswalk ToolICD TablesFiltersSort LevelsFacility Defined GroupsPatient Setting: RehabilitationDiagnosis GroupingClinical ConditionsClinical ClassificationsChronic ConditionsExternal Cause CodesAdditional ICD-10 ResourcesContact InformationPage4-67777888999910COMPdata is a product of the Illinois Health & Hospital Association (IHA)2
ProprietaryandConfidentialityProvisionWhat isCOMPdata?UnderstandingData UsesThe COMPdata SUBSCRIBER acknowledges that use of the COMPdata system isintended solely for Subscribers of COMPdata, and that any data, which is providedor obtained through use of the COMPdata system, either alone or in combinationwith other data, is intended for use solely by SUBSCRIBER. The SUBSCRIBERagrees, therefore, that it will not, either during the term of this Agreement or atany time thereafter, provide to any other person or legal entity use of theCOMPdata system through the facilities or equipment of SUBSCRIBER or sell,release, furnish, disclose, publish, rent, lend, or otherwise disseminate data, whichis provided or obtained through use of the COMPdata system, either alone or incombination with other data obtained directly or indirectly by SUBSCRIBER throughCOMPdata, other than SUBSCRIBER’s own data, to any other person or legal entity,without the prior consent of IHA, unless such activity is explicitly permitted by thisAgreement.For over 25 years, COMPdata has been the most innovative Health Care informationsolution for over 500 hospitals and health systems, state hospital associations, andstate data agencies. COMPdata provides timely data and information analysis toolsempowering you with actionable knowledge. COMPdata offers data collection, processing, and feedback reportingservices for inpatient, swing bed, outpatient surgical, emergencydepartment, observation care, imaging, diagnostic, and all other outpatientdata. COMPdata collects patient information from facilities in the following states,in accordance with each state’s requirements: Illinois and Montana. COMPdata staff members are committed to doing everything we can to helpyou through the demanding data submission process. Use this manual tounderstand and fulfill your role in data reporting.The most critical component in utilizing information is the underlying data fromwhich the information is derived. The integrity and usefulness of the COMPdatainformation based upon the accurate and complete reporting of the data byeach individual facility. The output of the data collection system providesdetails that will enable facilities to better service their community needs andprovide comparative analysis of the delivery of health care.Administrative data uses: Data Used by Multiple State and Federal Governmental Agencies Utilized for Facility Internal Analysis Depending Upon State - Used for Certificate of Need (CON) Review Expansion of Services and Technology May Be Denied if Data Doesn’tJustify the Need In Many States Data is Made Public By State Association or Governmental Agency Insufficient/Incomplete Data Submissions Affect Advocacy With StateLegislature Readmission ReportsCOMPdata is a product of the Illinois Health & Hospital Association (IHA)3
ICD CrosswalkHow to AccessICD CrosswalkCOMPdata created an ICD Crosswalk Tool to assist users in transitioning fromICD-9 to ICD-10. CMS’s general equivalence mapping (GEMs) were used toassist in identifying possible translations of ICD codes.The ICD Crosswalk can be found on the COMPdata Report Tools screen. Follow thesesteps to access it:1. Go to http://www.compdatainfo.com2. Click Login3. Click Report Tools4. Click ICD-10 Crosswalk button (see screen below)Searching ICDCodesThe ICD Crosswalk looks for codes in multiple ways:-Forward mapping (ICD-9 to ICD-10)-Backward map (ICD-10 to ICD-9)-Searches by keyword of code description-Searches by approximate code matching (partial code or keyword)The search results can be exported into a CSV file for use with the COMPdataReporting Tool.COMPdata is a product of the Illinois Health & Hospital Association (IHA)4
ICD CrosswalkScreenChoose your crosswalk search type selection and input values into the search box.The Crosswalk has searching features to aid your search:-Use a space between values to search for multiple codes or keywords-Up to 200 codes or keywords can be submitted-Use * to match any character(s)o-Use # to match exactly one charactero-Example: searching for 250* will return all codes starting with 250Example: searching for 1#30 will return codes 1030, 1130, and 1230;but not 17330Lookup by Keyword can be done using a keyword or codeoExample: Lookup ICD10 by keyword “turtle” or code Z631-10,000 results is the maximum number returned in a search-Enable “approximate code matching” if your query returns no resultsCOMPdata is a product of the Illinois Health & Hospital Association (IHA)5
sCrosswalk search results can be sorted on the table headers. This allows for possiblegrouping of code ranges and/or similar descriptions.Crosswalk results can be downloaded in a CSV file through the blue “DownloadResults (CSV)” button in the bottom right hand corner of the results table.COMPdata is a product of the Illinois Health & Hospital Association (IHA)6
ICD FilterTablesICD Diagnosis and Procedure code tables have been updated to include ICD-9 andICD-10 codes. This will allow users to include ICD-9 and ICD-10 codes in the samesearch criteria for trending across the transition time period.ICD Diagnosis and Procedure Filter and Sort functionality has not changed with theICD-10 transition.For example, searching for Diabetes codes across the ICD transition will need toinclude both sets of codes. Diabetes definitions include ICD-9 codes starting with250 and ICD-10 codes starting with E11 (other codes may also be included). Bothsearch values return results, and can be added to the choice column as seen below.ICD Procedures can be searched in the same manner when using the appropriateProcedure filter.ICD Sort LevelsICD Diagnosis and Procedure code tables have been updated to include ICD-9 andICD-10 codes.Sort levels will contain results for both ICD code sets if results contain values acrossthe ICD transition time period.ICD FacilityDefined GroupsICD Diagnosis and Procedure code tables have been updated to include ICD-9 andICD-10 codes.Facility Defined Groups can be created with both ICD code sets, similar to ICDFilters.COMPdata is a product of the Illinois Health & Hospital Association (IHA)7
Patient Setting:RehabilitationThe ICD-10 transition appears to be causing a downward shift in the number ofrehabilitation MS-DRGs. Starting with 10/01/2015 discharges, COMPdata hascreated a new patient setting to help determine rehabilitation cases. Therehabilitation revenue codes are:-0118: Private bed-0128: 2 bed room-0138: 3 or 4 bed room-0148: Deluxe privateThe rehabilitation patient setting can be added as a filter.DiagnosisGroupingsCOMPdata includes a Diagnosis Grouper based on the chapters in the ICD codebook. The Diagnosis Grouper has been updated to include ICD-10 code definitions.ICD-9 and ICD-10 definitions can be found at the link below:ICD-10 Diagnosis GroupingClinicalConditionsCOMPdata includes Hospital Acquired Conditions (HACs) and AHRQ QualityIndicators in the Clinical Condition report and dashboard. CMS and AHRQ haveupdated their code definitions for ICD-10. These updates are included in COMPdata.Please note: HAC #5 Falls and Trauma was separated into six sub-categories withICD-9. Falls and Trauma will be combined into one measure for ICD-10.Code definitions and information on the Clinical Condition measures can be found atthe links below:ICD-10 CMS HAC ListAHRQ Quality Indicator ListCOMPdata is a product of the Illinois Health & Hospital Association (IHA)8
ClinicalClassificationsSoftware (CCS)Healthcare Cost and Utilization Project created the Clinical Classifications Software(CCS) as a tool to classify diagnosis codes into clinically meaningful categories.COMPdata offers this coding as a service line methodology as filters and sort levels.ICD-9 CCS codes have 4 levels of detail. ICD-10 CCS codes have 2 levels of detail.Information on CCS coding can be found at the following website (please copy andpaste url into a browser):ICD-10 Clinical Classifications Software: s10.jspChronicConditionIndicator (CCI)Healthcare Cost and Utilization Project created the Chronic Conditions Indicator(CCI) as a software tool to categorize chronic diagnosis codes. COMPdata uses thisindicator in the Chronic Condition report with ICD-9 diagnosis codes, and has addedit for ICD-10 diagnosis codes. Information on the CCI coding can be found at thefollowing website (please copy and paste url into a browser):ICD-10 Chronic Condition Indicator: https://www.hcupus.ahrq.gov/toolssoftware/chronic icd10/chronic icd10.jspExternal CauseCodesICD TransitionTraining VideosExternal Cause Codes were defined as “E Codes” for ICD-9. The mnemonic haschanged to “ECM” or “External Cause Codes” for ICD-10's External Causes ofMorbidity and Mortality.A 3-part video series was created using diabetes and knee replacement ICD codes toillustrate how data analysis will change with the ICD transition. The ICD-10 FocusReport videos are divided into these parts:Part 1: Finding New Code GroupingsPart 2: Using COMPdata’s ICD CrosswalkPart 3: Analyzing Across ICD TransitionAdditionalResourcesHere are additional links from CMS to help you with the ICD transition:ICD-10 BasicsGEMsHealthcare Cost and Utilization Project Tools: https://www.hcupus.ahrq.gov/tools software.jspCOMPdata is a product of the Illinois Health & Hospital Association (IHA)9
CONTACT INFORMATIONCOMPdata Subscriber Services Contact Center: 866-262-6222 #2Email: compdata@team-iha.orgVisit COMPdata on the web: www.compdatainfo.comCOMPdata is a product of the Illinois Health & Hospital Association (IHA)10
COMPdata created an ICD Crosswalk Tool to assist users in transitioning from ICD-9 to ICD-10. CMS’s general equivalence mapping (GEMs) were used to assist in identifying possible translations of ICD codes. How to Access ICD Crosswalk The ICD Crosswalk can be found on the COMPdata
ICD-9 724.02 ICD-10 M48.06 Spinal stenosis, lumbar region ICD-9 720.2 ICD-10 M46.1 Sacroiliitis, not elsewhere classified ICD-9 724.8 ICD-10 R29.898 Other symptoms and signs involving the ** musculoskeletal system ICD-9 721.42 ICD-10 M47.16 Other spondylosis with myelopathy, lumbar region ICD-9 723.1 ICD-10 M54.2 Cervicalgia ICD
More on ICD-10. ICD-10-PCS replaces ICD-9-CM inpatient procedure coding: ICD-9-CM procedure codes 3 to 4 numeric digits ICD-10-CM codes 7 alphanumeric digits ICD-10-PCS code format substantially different from ICD -9 Unlike ICD-9, ICD-10
ICD-10 Tips from PHCS The Road to ICD-10 Flyer AMA ICD-10 Project Plan Template Educational Tools Folder Precyse University ICD-10 Physician Office Solution Brochure Precyse Catalog of ICD-10 Courses ICD-10 Precyse Apps for Physicians Resources Folder Free Resources ICD-9 to ICD-10 Crosswalk of Most Common ICD-9 .
Dec 14, 2010 · ICD-9. ICD-10. ICD-9. ICD-10. Inactive. Active. Combined Code Set. Core Technologies. ICD-9 and ICD-10 code values are unique. Generally, the industry is taking one of two approaches as it relates to the ICD-10 transition: Remediation: Modify/expand all systems and processes to accommodate ICD-
ICD-10 to ICD-10-CM Based on FY2017 ICD-10-CM codes Category and subcategory codes are shaded in grey and marked with an Cells shaded in pink and marked with an *indicate the preferred code when a single code maps to multiple codes (see Introduction) Reportable Neoplasms . Type of Code ICD-10 Category Chapter II (Neoplasms) ICD-10 Term . ICD .
by multiple ICD-10 codes or a cluster of ICD-10 codes may be required to describe a single ICD-9 code Some concepts will be lost when translating between ICD-9 and ICD-10 Substance Dependence concept has been removed from ICD-10 Substance Use is now defined by specific substance Overall, by using ICD
7/13/2015 1 Tonya Mitchell, RHIT July 17, 2015 Objectives Review the History of ICD‐10 Discuss the Myths and Facts of ICD‐10 Discuss GlGeneral DttiDocumentation CtConcepts Review ICD‐10 Documentation Concepts Analyze Documentation for Top Diagnosis in ICD‐10 WHY CHANGE FROM ICD‐9 TO ICD‐10? ICD‐9 was developed in the 1970s and cannot support current
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