ICD-10 Transition: Q & A Session - ValueOptions
ICD-10 Transition:Q & A SessionBeacon Health Options
Today’s Agenda What’s Changing? Preparedness Dialogue ResourcesICD-10 Transition2
What’s Changing?ICD-9 CM Diagnosis CodesICD-10- CM Diagnosis Codes3 to 5 digits7 charactersAlpha “E” or “V” on first characterAlpha or numeric for any characterApproximately 14,000 codesApproximately 69,000 codesTerminologySimilarSeverity parameters limitedExtensive severity parametersSource: Health Data ConsultingICD-10 Transition3
Code Volume and Behavioral Health Impact not as large as anticipatedClinical AreaICD-9ICD-10Fractures74717099Brain Injury292574Anxiety Disorders2747Mood RelatedDisorders7571HypertensiveDisease3314Source: Health Data ConsultingICD-10 Transition4
How is ICD Changing? Diagnosis Code Change Examples: ICD-9 one ICD-10 code ICD-9 many ICD-10 codes Source: https://www.aapc.com/icd-10/codes/ICD-10 Transition5
A few examples ICD-10 Transition6
So what does this mean? Same content will be in many places Less than 5% of all ICD-9 and ICD-10 codes crosswalk 1:1 In some cases, a single ICD-9 code could be representedby multiple ICD-10 codes or a cluster of ICD-10 codes maybe required to describe a single ICD-9 code Some concepts will be lost when translating between ICD9 and ICD-10 Substance Dependence concept has been removed from ICD-10 Substance Use is now defined by specific substance Overall, by using ICD-10, documentation will improveICD-10 Transition7
Relationship with DSM-5 Both DSM and ICD codes are used for diagnosis Per HIPAA, ICD must be used for billing purposes DSM-5 utilizes ICD-9-CM and ICD-10-CM codingdepending on the date of service Authorization requests require the provider to supply theDSM-5 diagnosis using the correct ICD format dependingon the requested start date Prior to October 1, 2015: ICD-9 coding accepted Beginning October 1, 2015: ICD-10 codes REQUIRED ICD-10-CM codes can be found in the DSM-5 manual.ICD-10 Transition8
Are you Ready? By now, you have most likely: Created a transition team or project manager Developed a conversion plan and communicated to staff Determined what the overall impact will be on your organization orpractice Determined documentation and record changes Spoke with your payers, billing and IT staff Reached out to trading partners about testing Began testing as soon as possibleICD-10 TransitionIt’s not too late!Planning assistance is availablethrough CMS iderResources.html9
Resources: ICD-10 Spotlight Conversions – A Hot Topic: ValueOptions will use the CMS ICD-10 GEMs/crosswalks as thestandard for mapping ICD-9 to ICD-10. Additional information canbe located on the CMS 2015-ICD-10-PCSand-GEMs.html. CMS ICD-10 Code Lookup Coding Conversion Tool For more information, including webinar slide decks,recordings, our FAQ and additional CMS resources, referto our ICD-10 Spotlight PageBasic PowerPoint Template10
Time for Dialogue At this time, we encourage youto ask questions you have relatedto the ICD-10 transition Please enter questions via theGoTo Question Box located in thedropdown on your screen If prompted, you may unmute yourphone line by pressing *6 To minimize background noise,please use your mute button orpress *6 to remain on mute ifyou are not speakingICD-10 Transition11
Contact UsTesting and Technical QuestionsEDI Help DeskMonday through Friday8 a.m. to 6 p.m. ETPhone: omICD-10 TransitionGeneral Provider QuestionsProvider Services LineMonday through Friday8 a.m. to 8 p.m. ETPhone: 800.397.163012
Thank youTo help us continue to offer quality training opportunities,please consider completing the survey when prompted to offerfeedback for today’s sessionICD-10 Transition13
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
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 .
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
of the previous ICD-9 coding system. The volume of ICD-10 codes as compared to ICD-9 codes is significant because in ICD-10, the code size has been expanded, code values and interpretations have been redefined and specificity has been further improved. Global ICD-10 adoption The current version of ICD is ICD-10, which was adopted by the World .
up and as a follow-up to the 11th World Trade Organization (WTO) Ministerial Conference (MC11) in December 2017. At MC11 in Buenos Aires, differences on digital commerce could not be bridged. Views were signifi- cantly opposed. Discussions were heated. While negotiators cannot reach compromise let alone consensus, the digital economy continues to grow very fast, with major economic and .
