PART 2 Countdown to ICD Tips for a Smooth & Effective Transition

Size: px
Start display at page:

Download "PART 2 Countdown to ICD-10... Tips for a Smooth & Effective Transition"

Transcription

1 PART 2 Countdown to ICD Tips for a Smooth & Effective Transition Cindy Cain, BSHA, CPC, CPC-H, CCS-P, CHC Senior Manager, Consulting June 23,2015

2 Objectives Identifying complex ICD-10 transitional codes Highlighting transitions from ICD-9 to ICD-10 and the necessary changes Developing steps necessary to improve clinical documentation 2 7/15/2015 McKesson Corporation Confidential and Proprietary

3 Recap from Part 1 3 7/15/2015 McKesson Corporation Confidential and Proprietary

4 Recap from Part 1 A Quick Overview ICD-10-CM replaces ICD-9CM for diagnosis coding (Captures more specific data from clinical documentation than ICD-9) : ICD-9-CM diagnosis codes = 3 to 5 digits ICD-10-CM codes = 3 to 7 digits Overall format of ICD-10 diagnosis codes similar to ICD-9 What we uncovered The majority of attendees were less than 25% ready for the transition 73% of attendees felt that inadequate documentation of medical records would have the most significant impact on their practice 4 7/15/2015 McKesson Corporation Confidential and Proprietary

5 Polling Question #1 How far along are you in your transition to ICD-10? (Select one) % 2. 50% 3. 75% 4. Greater than 75% 5 7/15/2015 McKesson Corporation Confidential and Proprietary

6 Is Your Organization Ready? 6 7/15/2015 McKesson Corporation Confidential and Proprietary

7 Several different combinations Mapping Categories ICD-10 to ICD-9 ICD-9 to ICD-10 No Match 1.2% 3.0% 1-to-1 Exact Match 5.0% 24.2% 1-to-1 Approximate Match with 1 Choice 82.6% 49.1% 1-to-1 Approximate Match with Multiple Choices 4.3% 18.7% 1-to-Many Match with 1 Scenario 6.6% 2.1% 1-to-Many Match with Multiple Scenarios 0.2% 2.9% 7 Source:

8 Several different combinations - EXAMPLES 8 Source:

9 Several different combinations - EXAMPLES 9 Source:

10 Several different combinations - EXAMPLES 10 Source:

11 Several different combinations - EXAMPLES 11 Source:

12 ICD-9-CM to ICD-10-CM Mapping Specialty ICD-9-CM Code Descriptor ICD-10-CM Code Descriptor Family Medicine/Podiatry Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy E11.43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy E11.44 Type 2 diabetes mellitus with diabetic amyotrophy E11.49 Type 2 diabetes mellitus with other diabetic neurological complication E Type 2 diabetes mellitus with diabetic neuropathic arthropathy E13.40 Other specified diabetes mellitus with diabetic neuropathy, unspecified E13.41 Other specified diabetes mellitus with diabetic mononeuropathy E13.42 Other specified diabetes mellitus with diabetic polyneuropathy E13.43 Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy E13.44 Other specified diabetes mellitus with diabetic amyotrophy E13.49 Other specified diabetes mellitus with other diabetic neurological complication E Other specified diabetes mellitus with diabetic neuropathic arthropathy 12

13 ICD-9-CM to ICD-10-CM Mapping Specialty ICD-9-CM Code Descriptor ICD-10-CM Code Descriptor Podiatry Arthropathy associated with neurological disorders A52.16 Charcot's arthropathy (tabetic) E Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy E Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy E Type 1 diabetes mellitus with diabetic neuropathic arthropathy E Type 2 diabetes mellitus with diabetic neuropathic arthropathy E Other specified diabetes mellitus with diabetic neuropathic arthropathy M14.60 Charcot's joint, unspecified site M Charcot's joint, right shoulder M Charcot's joint, left shoulder M Charcot's joint, unspecified shoulder M Charcot's joint, right elbow M Charcot's joint, left elbow M Charcot's joint, unspecified elbow M Charcot's joint, right wrist M Charcot's joint, left wrist M Charcot's joint, unspecified wrist M Charcot's joint, right hand M Charcot's joint, left hand M Charcot's joint, unspecified hand M Charcot's joint, right hip M Charcot's joint, left hip M Charcot's joint, unspecified hip M Charcot's joint, right knee M Charcot's joint, left knee M Charcot's joint, unspecified knee M Charcot's joint, right ankle and foot M Charcot's joint, left ankle and foot M Charcot's joint, unspecified ankle and foot M14.68 Charcot's joint, vertebrae M14.69 Charcot's joint, multiple sites 13

14 ICD-9-CM to ICD-10-CM Mapping Specialty ICD-9-CM Code Descriptor ICD-10-CM Code Descriptor OMM Disturbance of skin sensation R20.0 Anesthesia of skin R20.1 Hypoesthesia of skin R20.2 Paresthesia of skin R20.3 Hyperesthesia R20.8 Other disturbances of skin sensation R20.9 Unspecified disturbances of skin sensation 14

15 15 ICD-9-CM to ICD-10-CM Mapping Specialty ICD-9-CM Code Descriptor ICD-10-CM Code Descriptor Fam Med/OMM/PT/Podiatry Pain in limb M Pain in right arm M Pain in left arm M Pain in arm, unspecified M Pain in right leg M Pain in left leg M Pain in leg, unspecified M Pain in unspecified limb M Pain in right upper arm M Pain in left upper arm M Pain in unspecified upper arm M Pain in right forearm M Pain in left forearm M Pain in unspecified forearm M Pain in right hand M Pain in left hand M Pain in unspecified hand M Pain in right finger(s) M Pain in left finger(s) M Pain in unspecified finger(s) M Pain in right thigh M Pain in left thigh M Pain in unspecified thigh M Pain in right lower leg M Pain in left lower leg M Pain in unspecified lower leg M Pain in right foot M Pain in left foot M Pain in unspecified foot M Pain in right toe(s) M Pain in left toe(s) M Pain in unspecified toe(s)

16 16 ICD-9-CM to ICD-10-CM Mapping Specialty ICD-9-CM Code Descriptor ICD-10-CM Code Descriptor OPhysical Therapy Background diabetic retinopathy E Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema E Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema E Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema E Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema E Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema E Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema E Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy with macular edema E Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema E Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema E Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema E Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema E Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema E Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema E Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema E Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema E Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema E Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema E Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema

17 ICD-9-CM to ICD-10-CM Mapping Specialty ICD-9-CM Code Descriptor ICD-10-CM Code Descriptor OPhysical Therapy OPhysical Therapy Hypertensive retinopathy Primary open angle glaucoma H Hypertensive retinopathy, right eye H Hypertensive retinopathy, left eye H Hypertensive retinopathy, bilateral H Hypertensive retinopathy, unspecified eye H40.11X0 Primary open-angle glaucoma, stage unspecified H40.11X1 Primary open-angle glaucoma, mild stage H40.11X2 Primary open-angle glaucoma, moderate stage H40.11X3 Primary open-angle glaucoma, severe stage H40.11X4 Primary open-angle glaucoma, indeterminate stage 17

18 ICD-9-CM to ICD-10-CM Mapping Specialty ICD-9-CM Code Descriptor ICD-10-CM Code Descriptor OPhysical Therapy Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled E Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema E Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema E Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema E Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema E Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema E Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema E Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema E Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema E Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema E Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema E11.36 Type 2 diabetes mellitus with diabetic cataract E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication E Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema E Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema E Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema E Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema E Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema E Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema E Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema E Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema E Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema E Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema E13.36 Other specified diabetes mellitus with diabetic cataract E13.39 Other specified diabetes mellitus with other diabetic ophthalmic complication 18

19 ICD-9-CM to ICD-10-CM Mapping Specialty ICD-9-CM Code Descriptor ICD-10-CM Code Descriptor OPhysical Therapy Mild stage glaucoma H40.10X1 Unspecified open-angle glaucoma, mild stage H40.11X1 Primary open-angle glaucoma, mild stage H Low-tension glaucoma, right eye, mild stage H Low-tension glaucoma, left eye, mild stage H Low-tension glaucoma, bilateral, mild stage H Low-tension glaucoma, unspecified eye, mild stage H Pigmentary glaucoma, right eye, mild stage H Pigmentary glaucoma, left eye, mild stage H Pigmentary glaucoma, bilateral, mild stage H Pigmentary glaucoma, unspecified eye, mild stage H Capsular glaucoma with pseudoexfoliation of lens, right eye, mild stage H Capsular glaucoma with pseudoexfoliation of lens, left eye, mild stage H Capsular glaucoma with pseudoexfoliation of lens, bilateral, mild stage H Capsular glaucoma with pseudoexfoliation of lens, unspecified eye, mild stage H40.20X1 Unspecified primary angle-closure glaucoma, mild stage H Chronic angle-closure glaucoma, right eye, mild stage H Chronic angle-closure glaucoma, left eye, mild stage H Chronic angle-closure glaucoma, bilateral, mild stage H Chronic angle-closure glaucoma, unspecified eye, mild stage H40.30X1 Glaucoma secondary to eye trauma, unspecified eye, mild stage H40.31X1 Glaucoma secondary to eye trauma, right eye, mild stage H40.32X1 Glaucoma secondary to eye trauma, left eye, mild stage H40.33X1 Glaucoma secondary to eye trauma, bilateral, mild stage H40.40X1 Glaucoma secondary to eye inflammation, unspecified eye, mild stage H40.41X1 Glaucoma secondary to eye inflammation, right eye, mild stage H40.42X1 Glaucoma secondary to eye inflammation, left eye, mild stage H40.43X1 Glaucoma secondary to eye inflammation, bilateral, mild stage H40.50X1 Glaucoma secondary to other eye disorders, unspecified eye, mild stage H40.51X1 Glaucoma secondary to other eye disorders, right eye, mild stage H40.52X1 Glaucoma secondary to other eye disorders, left eye, mild stage H40.53X1 Glaucoma secondary to other eye disorders, bilateral, mild stage H40.60X1 Glaucoma secondary to drugs, unspecified eye, mild stage H40.61X1 Glaucoma secondary to drugs, right eye, mild stage H40.62X1 Glaucoma secondary to drugs, left eye, mild stage H40.63X1 Glaucoma secondary to drugs, bilateral, mild stage 19

20 20 Specialty Podiatry Podiatry ICD-9-CM to ICD-10-CM Mapping ICD-9-CM Code Descriptor Varicose veins of lower extremities with ulcer Cellulitis and abscess, unspecified ICD-10-CM Code Descriptor I Varicose veins of unspecified lower extremity with ulcer of thigh I Varicose veins of unspecified lower extremity with ulcer of calf I Varicose veins of unspecified lower extremity with ulcer of ankle I Varicose veins of unspecified lower extremity with ulcer of heel and midfoot I Varicose veins of unspecified lower extremity with ulcer other part of foot I Varicose veins of unspecified lower extremity with ulcer other part of lower leg I Varicose veins of unspecified lower extremity with ulcer of unspecified site I Varicose veins of right lower extremity with ulcer of thigh I Varicose veins of right lower extremity with ulcer of calf I Varicose veins of right lower extremity with ulcer of ankle I Varicose veins of right lower extremity with ulcer of heel and midfoot I Varicose veins of right lower extremity with ulcer other part of foot I Varicose veins of right lower extremity with ulcer other part of lower leg I Varicose veins of right lower extremity with ulcer of unspecified site I Varicose veins of left lower extremity with ulcer of thigh I Varicose veins of left lower extremity with ulcer of calf I Varicose veins of left lower extremity with ulcer of ankle I Varicose veins of left lower extremity with ulcer of heel and midfoot I Varicose veins of left lower extremity with ulcer other part of foot I Varicose veins of left lower extremity with ulcer other part of lower leg I Varicose veins of left lower extremity with ulcer of unspecified site L Cutaneous abscess of right foot L Cutaneous abscess of left foot L Cutaneous abscess of unspecified foot L Cellulitis of right toe L Cellulitis of left toe L Cellulitis of unspecified toe L Acute lymphangitis of right toe L Acute lymphangitis of left toe L Acute lymphangitis of unspecified toe

21 ICD-9-CM to ICD-10-CM Mapping Specialty ICD-9-CM Code Descriptor ICD-10-CM Code Descriptor OMM Family Medicine/OMM Spinal stenosis in cervical region Other malaise and fatigue M48.01 Spinal stenosis, occipito-atlanto-axial region M48.02 Spinal stenosis, cervical region M48.03 Spinal stenosis, cervicothoracic region M99.20 Subluxation stenosis of neural canal of head region M99.21 Subluxation stenosis of neural canal of cervical region M99.30 Osseous stenosis of neural canal of head region M99.31 Osseous stenosis of neural canal of cervical region M99.40 Connective tissue stenosis of neural canal of head region M99.41 Connective tissue stenosis of neural canal of cervical region M99.50 Intervertebral disc stenosis of neural canal of head region M99.51 Intervertebral disc stenosis of neural canal of cervical region M99.60 Osseous and subluxation stenosis of intervertebral foramina of head region M99.61 Osseous and subluxation stenosis of intervertebral foramina of cervical region M99.70 Connective tissue and disc stenosis of intervertebral foramina of head region M99.71 Connective tissue and disc stenosis of intervertebral foramina of cervical region G93.3 Postviral fatigue syndrome R53.0 Neoplastic (malignant) related fatigue R53.1 Weakness R53.81 Other malaise R53.83 Other fatigue 21

22 ICD-9-CM to ICD-10-CM Mapping Specialty ICD-9-CM Code Descriptor ICD-10-CM Code Descriptor OPhysical Therapy Family Medicine Family Medicine Family Medicine Superficial injury of cornea V20.2 Routine infant or child health check V70.0 Routine general medical examination at a health care facility V70.5 Health examination of defined subpopulations S05.00XA Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, initial encounter S05.00XD Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, subsequent encounter S05.00XS Injury of conjunctiva and corneal abrasion without foreign body, unspecified eye, sequela S05.01XA Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter S05.01XD Injury of conjunctiva and corneal abrasion without foreign body, right eye, subsequent encounter S05.01XS Injury of conjunctiva and corneal abrasion without foreign body, right eye, sequela S05.02XA Injury of conjunctiva and corneal abrasion without foreign body, left eye, initial encounter S05.02XD Injury of conjunctiva and corneal abrasion without foreign body, left eye, subsequent encounter S05.02XS Injury of conjunctiva and corneal abrasion without foreign body, left eye, sequela Z Encounter for routine child health examination with abnormal findings Z Encounter for routine child health examination without abnormal findings Z00.00 Encounter for general adult medical examination without abnormal findings Z00.01 Encounter for general adult medical examination with abnormal findings Z02.0 Encounter for examination for admission to educational institution Z02.1 Encounter for pre-employment examination Z02.2 Encounter for examination for admission to residential institution Z02.3 Encounter for examination for recruitment to armed forces Z02.4 Encounter for examination for driving license Z02.89 Encounter for other administrative examinations 22 Family Medicine V77.91 Screening for lipoid disorders Z Encounter for screening for lipoid disorders

23 Polling Question #2 Do you think your practice has the necessary tools in place to excel during the transition? 1. Yes 2. No 23 7/15/2015 McKesson Corporation Confidential and Proprietary

24 Submitted by You I work for an ASC in NJ. This is the one we use that will be more complex with the ICD-10 transition Glaucoma Stage Unspecified. 24

25 Resources Centers for Medicare & Medicaid Services: American Medical Association: /15/2015 McKesson Corporation Confidential and Proprietary

26 Questions Contact Us at /15/2015 McKesson Corporation Confidential and Proprietary

27 Thank you 27 7/15/2015 McKesson Corporation Confidential and Proprietary

Alameda Alliance for Heath ICD-9 to ICD-10 TRANSLATION CODES E10.10

Alameda Alliance for Heath ICD-9 to ICD-10 TRANSLATION CODES E10.10 DIABETES ICD-9 CM ICD-9 CM Volume 1 - Diagnosis Description ICD-10 CM - Diagnosis Code ICD-10 CM - Diagnosis Description 250.00 Diabetes mellitus without mention of complication, type II or unspecified

More information

Diabetes ICD9-CM Crosswalk to ICD10-CM 2015

Diabetes ICD9-CM Crosswalk to ICD10-CM 2015 ICD-9-CM 250.00 Diabetes mellitus w/o mention of complication, type II or unspecified type, not stated as 250.01 Diabetes mellitus w/o mention of complication, type I (juvenile type), not stated as 250.02

More information

Podiatry Specialty ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Podiatry and Top 20 codes

Podiatry Specialty ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Podiatry and Top 20 codes Podiatry Specialty ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Podiatry and Top 20 codes Chapter 1 Certain Infectious and Parasitic Diseases Terminology changes: The term sepsis (ICD-10-CM)

More information

M05.9 Rheumatoid arthritis with rheumatoid factor, unspecified M06.00 Rheumatoid arthritis without rheumatoid factor, unspecified site M06.

M05.9 Rheumatoid arthritis with rheumatoid factor, unspecified M06.00 Rheumatoid arthritis without rheumatoid factor, unspecified site M06. Rheumatology ICD-9 ICD-10 V58.69 Z79.3 Long term (current) use of hormonal contraceptives Z79.891 Long term (current) use of opiate analgesic Z79.899 Other long term (current) drug therapy 714.0 M05.40

More information

Diabetes Mellitus in ICD 10 CM

Diabetes Mellitus in ICD 10 CM ICD 10 Resource: Diabetes Mellitus in ICD 10 CM The diabetes mellitus codes are expanded in ICD 10 CM. The codes for diabetes mellitus are located in chapter 4, Endocrine, Nutritional, and Metabolic Diseases,

More information

Billing and Coding Guidance Co-morbidities associated with morbid obesity

Billing and Coding Guidance Co-morbidities associated with morbid obesity Billing and Coding Guidance Co-morbidities associated with morbid obesity AMA CPT / ADA CDT / AHA NUBC Copyright Statement CPT only copyright 2002-2014 American Medical Association. All Rights Reserved.

More information

Anesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes

Anesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes Anesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant expansions or

More information

Medical Drug Monitoring ICD-10-CM Sign and Symptom Codes

Medical Drug Monitoring ICD-10-CM Sign and Symptom Codes Medical Drug Monitoring ICD-10-CM Sign and Symptom s The ICD-10-CM codes listed below are commonly associated with LabCorp and MedTox Laboratories for medical drug monitoring and were selected based on

More information

ICD-10 Cheat Sheet Frequently Used ICD-10 Codes for Musculoskeletal Conditions *

ICD-10 Cheat Sheet Frequently Used ICD-10 Codes for Musculoskeletal Conditions * ICD-10 Cheat Sheet Frequently Used ICD-10 Codes for Musculoskeletal Conditions * Finding the ICD-10 equivalent for an ICD-9 code can be a challenge. This resource of frequently used codes can help when

More information

Pain Management Top Diagnosis Codes (Crosswalk)

Pain Management Top Diagnosis Codes (Crosswalk) Pain Management Top s (Crosswalk) 274.00 Gout arthropathy, M1000 Idiopathic gout, unspecified site unspecified M10011 Idiopathic gout, right shoulder M10012 Idiopathic gout, left shoulder M10019 Idiopathic

More information

Getting Ready for ICD-10. Dianna Hoskins, OCS Cincinnati Eye Institute

Getting Ready for ICD-10. Dianna Hoskins, OCS Cincinnati Eye Institute Dianna Hoskins, OCS Cincinnati Eye Institute Chart Documentation: Will your documentation stand up to ICD-10? Do you always mark which eye, severity or status of the disease (chronic or acute), site, etiology

More information

RHEUMATOLOGY ICD-10 CROSSWALK

RHEUMATOLOGY ICD-10 CROSSWALK RHEUMATOLOGY ICD-10 CROSSWALK ICD is revised periodically and is currently in its tenth edition and will be implemented in the United States on October 1, 2015. There is an annual minor update and three-yearly

More information

ICD-10 Clinical Documentation Requirements

ICD-10 Clinical Documentation Requirements ICD-10 Clinical Documentation Requirements Presented by: Joe Nichols MD Date: Dec 20, 2013 Agenda Getting beyond resistance Business Impacts Why is good documentation important? Getting from assessment

More information

Basic ICD-10-CM Documentation and Coding. Effective date: October 1, 2015. Presented by: Jenna Glenn, CPC May 6, 2015 1

Basic ICD-10-CM Documentation and Coding. Effective date: October 1, 2015. Presented by: Jenna Glenn, CPC May 6, 2015 1 Basic ICD-10-CM Documentation and Coding Effective date: October 1, 2015 Presented by: Jenna Glenn, CPC May 6, 2015 1 Objectives Overview on what is ICD-10-CM Changes from ICD-9-CM to ICD-10-CM Importance

More information

PHC4 35 Diseases, Procedures, and Medical Conditions for which Laboratory Data is Required Effective 10/1/2015

PHC4 35 Diseases, Procedures, and Medical Conditions for which Laboratory Data is Required Effective 10/1/2015 PHC4 35 Diseases, Procedures, and Medical Conditions for which Laboratory Data is Required Effective 10/1/2015 Laboratory data is to be submitted for discharges in the following conditions: 1. Heart Attack

More information

ICD-10... What Are You Waiting For?

ICD-10... What Are You Waiting For? ICD-10... What Are You Waiting For? What is it? International classification for all general epidemiological, many health management purposes, and clinical use Published by the World Health Organization

More information

E08.621 Diabetes mellitus due to underlying condition with foot ulcer E09.621 Drug or chemical induced diabetes mellitus with foot ulcer E10.10 Type 1 diabetes mellitus with ketoacidosis without coma E10.11

More information

Introduction to ICD- 10 Coding for Eyecare May 3, 2014

Introduction to ICD- 10 Coding for Eyecare May 3, 2014 Introduction to ICD- 10 Coding for Eyecare May 3, 2014 Jeffrey Restuccio, CPC, CPC- H, MBA Coding and Billing Consultant specializing in Eyecare Memphis TN (901) 517-1705 jeff@eyecodingforum.com www.!

More information

Chiropractic ICD-10 Common Codes List

Chiropractic ICD-10 Common Codes List Chiropractic ICD-10 Common Codes List This is a preliminary list of common ICD-10 codes for chiropractic diagnoses. This is a common code list to be used as a guide for coding and is not intended to represent

More information

ICD-10 Codes for Optometry. Eric Botts, OD Macomb, IL drvision@claimdoctor.net

ICD-10 Codes for Optometry. Eric Botts, OD Macomb, IL drvision@claimdoctor.net ICD-10 Codes for Optometry Eric Botts, OD Macomb, IL drvision@claimdoctor.net Disclosures I am a member of Speakers Bureau for Zeissmeditec and ALCON but have no financial interest in these companies.

More information

October 1, 2014 for Medicare

October 1, 2014 for Medicare Implementation Date William M. Rogoway, O. D. Coping with Coding: The ICD-10 s are Coming October 1, 2014 for Medicare A date to remember Most other insurances will follow some sooner than later. Why Coding

More information

Rheumatology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Rheumatology

Rheumatology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Rheumatology Rheumatology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Rheumatology Chapter 12: Diseases of Skin and Subcutaneous Tissue ICD-10-CM introduces a new term, androgenic alopecia. Pressure

More information

Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes

Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E99) ICD-10-CM diabetes mellitus

More information

Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website.

Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Local Coverage Determination (LCD): NERVE Blockade for Treatment of Chronic Pain and Neuropathy (L35457) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website.

More information

Preparing for ICD-10 Advance Preparation for Implementation Charles Brownlow, OD drbrownlow@pmi-eyes.com

Preparing for ICD-10 Advance Preparation for Implementation Charles Brownlow, OD drbrownlow@pmi-eyes.com Preparing for ICD-10 Advance Preparation for Implementation Charles Brownlow, OD drbrownlow@pmi-eyes.com International Classification of Diseases (ICD-9, ICD-10) Both include codes for all medical conditions,

More information

Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes

Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant

More information

ICD-10 IS COMING OCTOBER 1, 2014

ICD-10 IS COMING OCTOBER 1, 2014 ICD-10 IS COMING OCTOBER 1, 2014 WHAT IS THE IMPACT ON THERAPY PRACTICES? CHET DESHMUKH, MBA, OTR/L, CPC, CHDA Overview Understanding the language of clinical diagnosis What is ICD? About ICD-9 CM Good

More information

Criteria: CWQI HCS-123 (This criteria is consistent with CMS guidelines for External Infusion Insulin Pumps)

Criteria: CWQI HCS-123 (This criteria is consistent with CMS guidelines for External Infusion Insulin Pumps) Moda Health Plan, Inc. Medical Necessity Criteria Subject: Origination Date: 05/15 Revision Date(s): 05/2015 Developed By: Medical Criteria Committee 06/24/2015 External Infusion Insulin Pumps Page 1 of

More information

DIABETES SCREENING FOR PEOPLE WITH SCHIZOPHRENIA OR BIPOLAR DISORDER WHO ARE USING ANTIPSYCHOTIC MEDICATIONS (SSD)

DIABETES SCREENING FOR PEOPLE WITH SCHIZOPHRENIA OR BIPOLAR DISORDER WHO ARE USING ANTIPSYCHOTIC MEDICATIONS (SSD) DIABETES SCREENING FOR PEOPLE WITH SCHIZOPHRENIA OR BIPOLAR DISORDER WHO ARE USING ANTIPSYCHOTIC MEDICATIONS (SSD) APPLICATIONS OBJECTIVE Purpose of Measure: ELIGIBLE POPULATION Which members are included?

More information

Aetna Nerve Conduction Study Policy

Aetna Nerve Conduction Study Policy Aetna Nerve Conduction Study Policy Policy Aetna considers nerve conduction velocity (NCV) studies medically necessary when both of the following criteria are met: 1. Member has any of the following indications:

More information

Rheumatology ICD-10 documentation

Rheumatology ICD-10 documentation Rheumatology documentation Seven key impacts to documentation 1. Disease or disorder site 2. Acuity and/or encounter status of treatment 3. Etiology, causative agent, or disease type and injury/ poisoning

More information

Introduction to ICD - 10. Andrea Devlin, CPMA, CPC Alta Partners, LLC 2015

Introduction to ICD - 10. Andrea Devlin, CPMA, CPC Alta Partners, LLC 2015 Introduction to ICD - 10 Andrea Devlin, CPMA, CPC Alta Partners, LLC 2015 Agenda Introduction Benefits of ICD-10 Features of ICD-10 ICD-9 vs. ICD-10 ICD-10 Structure Question & Answer Introducing ICD-10

More information

ICD-10 Provider Preparation

ICD-10 Provider Preparation ICD-10 Provider Preparation After browsing this slide deck, the viewer will become more familiar with the following information: What are the origins of ICD-10? Why transition to ICD-10? Why ICD-10 matters.

More information

Guidelines Most Significantly Affected Under ICD-10-CM. May 29, 2013

Guidelines Most Significantly Affected Under ICD-10-CM. May 29, 2013 Guidelines Most Significantly Affected Under ICD-10-CM May 29, 2013 Guidelines Most Significantly Affected Under ICD-10-CM A look at the new system and how it compares to ICD-9-CM Presented by Therese

More information

EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN

EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN MEDICAL POLICY EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN Policy Number: 2015T0004W Effective Date: December 1, 2015 Table of Contents BENEFIT CONSIDERATIONS COVERAGE RATIONALE APPLICABLE CODES..

More information

Extended Disability Income. Fixed cease age. Extended Disability Income. Whole Life UP TO 24 MONTHS. Pre-retirement.

Extended Disability Income. Fixed cease age. Extended Disability Income. Whole Life UP TO 24 MONTHS. Pre-retirement. For intermediaries Sanlam Risk Cover January 2015 Temporary Disability Income benefit (OIT3) Primary Income Protector benefits Waiting period Sickness Temporary Disability Income Including fixed payment

More information

ICD-10 Transition & Implementation Information

ICD-10 Transition & Implementation Information ICD-10 Transition & Implementation Information I ICD-10 Implementation Compliance Date: October 1, 2015 ICD-10-CM diagnoses codes will be used by all providers in every health care setting. ICD-10-PCS

More information

Top 50 ICD-10-Codes Description ICD-9-CM Code ICD-10-CM Code 724.5 727.3

Top 50 ICD-10-Codes Description ICD-9-CM Code ICD-10-CM Code 724.5 727.3 Description ICD-9-CM Code ICD-10-CM Code Backache unspecified 724.5 M54.89 Other dorsalgia Excludes1: o dorsalgia in thoracic region (M54.6) o low back pain (M54.5) M54.9 Dorsalgia, unspecified Other bursitis

More information

Impact of ICD-10-CM on Your Practice

Impact of ICD-10-CM on Your Practice Impact of ICD-10-CM on Your Practice From Apprehension to Comprehension Presented by Kelley Lipsey Today s Goal Brief overview of recent ICD-10-CM webinar series for providers Discuss ICD-10s impact on

More information

ICD10 Chiropractic Diagnosis Codes

ICD10 Chiropractic Diagnosis Codes ICD10 Chiropractic Diagnosis Codes Disclaimer: When the ICD-10 code requires a 7th character, the code shown assumes "initial." Disclaimer: This information is based on the General Equivalency Mapping

More information

ICD-10 for Ophthalmology

ICD-10 for Ophthalmology June 2015 ICD-10 for Ophthalmology UConn Health Introduction Dr. Frank Turner ICD-10 Implementation Physician Advisor 2 Agenda After attending this session, participants will be able to: Describe the challenges

More information

Cardiology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Cardiology

Cardiology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Cardiology Cardiology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Cardiology Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00-E89) The diabetes mellitus codes are combination codes

More information

Tips on ICD-10 Clinical Documentation for Providers

Tips on ICD-10 Clinical Documentation for Providers Tips on ICD-10 Clinical Documentation for Providers Objectives To reinforce quality clinical documentation guidelines To provide examples of documentation necessary to support ICD-10 To outline the granularity

More information

CMS Limitations Guide - Radiology Services

CMS Limitations Guide - Radiology Services CMS Limitations Guide - Radiology Services Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations

More information

Common Pathology Diagnoses: ICD-9 to ICD-10 Mapping

Common Pathology Diagnoses: ICD-9 to ICD-10 Mapping PERFORMANCE THAT MATTERS NUMBER OF CODES 14,000 69,000 ICD-9 DIAGNOSIS CODES ICD-10 DIAGNOSIS CODES CODE STRUCTURE ICD-9-CM CODE FORMAT ICD-10-CM CODE FORMAT X X X X X X X X X X X X CATEGORY ETIOLOGY,

More information

David J. Freedman, DPM, FASPS, CPC, CPMA,CSFAC

David J. Freedman, DPM, FASPS, CPC, CPMA,CSFAC David J. Freedman, DPM, FASPS, CPC, CPMA,CSFAC Certified Professional coder Certified Professional Medical Auditor Certified Surgical Foot & Ankle Coder www.icdtenhelp.com APMA Coding Committee, member

More information

ICD-10-CM KEVIN SOLINSKY, CPC, CPC-I, CEDC, CEMC PRESIDENT HEALTHCARE CODING CONSULTANTS, LLC 480-200-4590

ICD-10-CM KEVIN SOLINSKY, CPC, CPC-I, CEDC, CEMC PRESIDENT HEALTHCARE CODING CONSULTANTS, LLC 480-200-4590 ICD-10-CM KEVIN SOLINSKY, CPC, CPC-I, CEDC, CEMC PRESIDENT HEALTHCARE CODING CONSULTANTS, LLC 480-200-4590 ICD-10 FINAL RULE Implementation date October 1, 2014. ICD-9-CM codes will not be accepted by

More information

ICD-9-CM to ICD-10-CM Resource Guide

ICD-9-CM to ICD-10-CM Resource Guide Prescription Drug Monitoring and Toxicology ICD-9-CM to ICD-10-CM Resource Guide Provided as a service of Quest Diagnostics ICD-9-CM to ICD-10-CM Resource Guide 1 Disclaimer This list is intended to assist

More information

When services are covered 1 2 We cover insulin pumps and insulin pump supplies, in accordance with the Massachusetts Mandate, Chapter 175.

When services are covered 1 2 We cover insulin pumps and insulin pump supplies, in accordance with the Massachusetts Mandate, Chapter 175. MEDICAL POLICY Policy #: 332 Original policy date: 4/96 Page: 1 of 8 Revised date: 6/27/2014 Title Insulin Delivery Devices Pumps, Pens, and Jet Injectors Related policies: Diabetic Supplies, #202 CGMS,

More information

THE BASICS OF ICD-10-CM CODING

THE BASICS OF ICD-10-CM CODING THE BASICS OF ICD-10-CM CODING June 9, 2015 Continuing Education for Long-Term Care Facilities Marla Dumm, CPC, CCS-P Managing Consultant mdumm@bkd.com 1 TO RECEIVE CPE CREDIT Participate in entire webinar

More information

ICD-10-CM Overview and Coding Guidelines. Presented by: Katherine Abel/Rhonda Buckholtz

ICD-10-CM Overview and Coding Guidelines. Presented by: Katherine Abel/Rhonda Buckholtz ICD-10-CM Overview and Coding Guidelines Presented by: Katherine Abel/Rhonda Buckholtz 1 No part of this presentation may be reproduced or transmitted in any form or by any means (graphically, electronically,

More information

Classification of Diseases and Disorders and Guidelines Chapters 4-7. Rebecca Herrera, CCS, CCS-P, CPC

Classification of Diseases and Disorders and Guidelines Chapters 4-7. Rebecca Herrera, CCS, CCS-P, CPC Classification of Diseases and Disorders and Guidelines Chapters 4-7 Rebecca Herrera, CCS, CCS-P, CPC Overview of. Endocrine, Nutritional and Metabolic Diseases Mental and Behavioral Disorders Diseases

More information

EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN

EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN CLINICAL POLICY EPIDURAL STEROID AND FACET INJECTIONS FOR SPINAL PAIN Policy Number: PAIN 019.16 T2 Effective Date: December 1, 2015 Table of Contents CONDITIONS OF COVERAGE... BENEFIT CONSIDERATIONS..

More information

ICD-10-CM for Ophthalmology. Presented by:

ICD-10-CM for Ophthalmology. Presented by: ICD-10-CM for Ophthalmology Presented by: No part of this presenta.on may be reproduced or transmi5ed in any form or by any means (graphically, electronically, or mechanically, including photocopying,

More information

AMERICAN VENOUS FORUM

AMERICAN VENOUS FORUM Revised Venous Clinical Severity Score AMERICAN VENOUS FORUM Pain : 0 Mild: 1 or other discomfort (ie, aching, heaviness, fatigue, soreness, burning) origin Occasional pain or other discomfort (ie, not

More information

For non-superficial eye injuries an individual may be considered an incident case only once per lifetime.

For non-superficial eye injuries an individual may be considered an incident case only once per lifetime. 1 OPHTH_15 EYE INJURIES Background This case definition was developed by the Armed Forces Health Surveillance Branch (AFHSB) and the Tri-Service Vision Conservation and Readiness Program (TSVCRP) at the

More information

Please Bypass The Screen Below For audio call 1-877-669-3239 Event number: 663 841 450 MUTE YOUR PHONE

Please Bypass The Screen Below For audio call 1-877-669-3239 Event number: 663 841 450 MUTE YOUR PHONE Please Bypass The Screen Below For audio call 1-877-669-3239 Event number: 663 841 450 MUTE YOUR PHONE ICD-10 August 9, 2013 Presenter: Miki Hoppe, Manager ICD-10 Business Solutions ICD10@HMSA.com Agenda

More information

Hyperbaric and Topical Oxygen Wound Therapies HYPERBARIC AND TOPICAL OXYGEN WOUND THERAPIES HS-032. Policy Number: HS-032

Hyperbaric and Topical Oxygen Wound Therapies HYPERBARIC AND TOPICAL OXYGEN WOUND THERAPIES HS-032. Policy Number: HS-032 Easy Choice Health Plan, Inc. Harmony Health Plan of Illinois, Inc. Missouri Care, Inc. Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. WellCare Health Insurance of Illinois,

More information

ICD-10 Workshop. Financial Disclosure. Quick Guide (if you missed Part I) Tool Box. GEM Files. 2014 Corcoran Consulting Group (800) 399-6565

ICD-10 Workshop. Financial Disclosure. Quick Guide (if you missed Part I) Tool Box. GEM Files. 2014 Corcoran Consulting Group (800) 399-6565 Financial Disclosure ICD-10 Workshop Mary Pat Johnson is a Senior Consultant at Corcoran Consulting Group and acknowledges a financial interest in the subject matter of this presentation. Mary Pat Johnson,

More information

ICD-10-CM Official Guidelines for Coding and Reporting

ICD-10-CM Official Guidelines for Coding and Reporting 2013 Narrative changes appear in bold text Items underlined have been moved within the guidelines since the 2012 version Italics are used to indicate revisions to heading changes The Centers for Medicare

More information

ICD-10 CM & Audits Dr. Karen Walters Graduated: New York Chiropractic College in 1982 Chiropractic & Physical Therapy clinic for over 25 years

ICD-10 CM & Audits Dr. Karen Walters Graduated: New York Chiropractic College in 1982 Chiropractic & Physical Therapy clinic for over 25 years ICD-10 CM & Audits Dr. Karen Walters Graduated: New York Chiropractic College in 1982 Chiropractic & Physical Therapy clinic for over 25 years Advised practice management consultants on setup & maintenance

More information

Kathryn DeVault, RHIA, CCS, CCS-P Director, HIM Solutions, AHIMA

Kathryn DeVault, RHIA, CCS, CCS-P Director, HIM Solutions, AHIMA ICD-10-CM: Let s Code, Part II Kathryn DeVault, RHIA, CCS, CCS-P Director, HIM Solutions, AHIMA Agenda Coding questions answered Review of ICD-10-CM coding scenarios ICD-10-CM Coding Questions Coding Questions...

More information

Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario

Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario Page 1 Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario Injury Descriptions Developed from Newfoundland claim study injury definitions No injury Death Psychological

More information

ICD-10 Dx Edit Code Lists

ICD-10 Dx Edit Code Lists Integrated Outpatient Code Editor Software ICD-10 Dx Edit Code Lists v15.0 ICD-10 Pilot 3M Health Information Systems 100 Barnes Road Wallingford, CT 06492 CPT codes, descriptions and material only are

More information

Colossus Important Diagnoses. Instructions for How to List Diagnoses

Colossus Important Diagnoses. Instructions for How to List Diagnoses 1 Colossus Important Diagnoses Instructions for How to List Diagnoses 1. Only list diagnoses on HCFA-1500 or CMS-1500 billing forms 2. Use as many billing forms/pages as necessary (4 diagnoses per billing

More information

ICD 10 CM IMPLEMENTATION DATE OCT 1, 2015

ICD 10 CM IMPLEMENTATION DATE OCT 1, 2015 Presented by: Teri Romano, RN, MBA, CPC, CMDP ICD 10 CM IMPLEMENTATION DATE OCT 1, 2015 Source: http://journal.ahima.org/2015/02/04/us house committee to hold hearing on icd 10 implementation/ 2 2015 Web_Non

More information

Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes

Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes Chapter 2 Neoplasms (C00-D49) Classification improvements Code expansions Significant expansions or revisions

More information

Breeze Your Way To ICD - 10. Presented by Fred Melroy

Breeze Your Way To ICD - 10. Presented by Fred Melroy Breeze Your Way To ICD - 10 Presented by Fred Melroy Disclaimer The materials and the information contained in the webinar are provided as is, and CureMD makes no express or implied representations or

More information

ICD-10 Transition: Challenges and Opportunities for the 21 st Century

ICD-10 Transition: Challenges and Opportunities for the 21 st Century ICD-10 Transition: Challenges and Opportunities for the 21 st Century May 2015 The Montana Hospital Discharge Data System International Classification of Diseases (ICD) Statistical classification of diseases

More information

DIAGNOSIS CODING TIPS INDEX

DIAGNOSIS CODING TIPS INDEX 4665 Business Center Drive Fairfield, California 94534 DIAGNOSIS CODING TIPS INDEX Coding Tip Page 1. Diabetes 3 2. Asthma 3 3. Hypertention 3 4. Highest Specificity 5 th Digit Pain or Arthritis 3 5. Neoplasm

More information

UTILIZING STRAPPING AND TAPING CODES FOR HEALTH CARE REIMBURSEMENT:

UTILIZING STRAPPING AND TAPING CODES FOR HEALTH CARE REIMBURSEMENT: UTILIZING STRAPPING AND TAPING CODES FOR HEALTH CARE REIMBURSEMENT: A GUIDE TO BILLING FOR SPIDERTECH PRE-CUT APPLICATIONS AND TAPE Billing and coding taping and strapping services can be a complex issue.

More information

ICD-9 and ICD-10 ORTHOPEDIC

ICD-9 and ICD-10 ORTHOPEDIC ICD-9 and ICD-10 ORTHOPEDIC Payers and Providers Partnering for Success Shannon Chase, CPC, AHIMA Approved ICD-10-CM/PCS Trainer July 2014 ICD-9 & ICD-10 - ORTHOPEDIC AGENDA Importance of Documentation

More information

ICD-10-CM For Orthopedics. Lynn M. Anderanin, CPC, CPC-I, COSC, AHIMA ICD-10-CM Certified Trainer

ICD-10-CM For Orthopedics. Lynn M. Anderanin, CPC, CPC-I, COSC, AHIMA ICD-10-CM Certified Trainer ICD-10-CM For Orthopedics Lynn M. Anderanin, CPC, CPC-I, COSC, AHIMA ICD-10-CM Certified Trainer Healthcare Information Services (HIS) HIS is a physician management company based in Chicago, IL specializing

More information

Hyperbaric Oxygen Therapy HYPERBARIC OXYGEN THERAPY HS-032. Policy Number: HS-032. Original Effective Date: 7/17/2008

Hyperbaric Oxygen Therapy HYPERBARIC OXYGEN THERAPY HS-032. Policy Number: HS-032. Original Effective Date: 7/17/2008 Easy Choice Health Plan, Inc. Harmony Health Plan of Illinois, Inc. M issouri Care, Inc. Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc. WellCare Health Insurance of Illinois,

More information

Electronic Health Records Next Chapter: Best Practices, Checklists, and Guidelines ICD-10 and Small Practices April 30, 2014.

Electronic Health Records Next Chapter: Best Practices, Checklists, and Guidelines ICD-10 and Small Practices April 30, 2014. Electronic Health Records Next Chapter: Best Practices, Checklists, and Guidelines ICD-10 and Small Practices April 30, 2014 Fallon Health Plan Christine Grondalski, Director Risk Adjustment & Analytics

More information

Evaluating muscle injuries and residuals of shell fragment and gunshot wounds

Evaluating muscle injuries and residuals of shell fragment and gunshot wounds Evaluating muscle injuries and residuals of shell fragment and gunshot wounds Training conducted by: Michael Fishman and Sandrine Fisher 1 Objectives To become familiar with the application of the rating

More information

ICD-10-CM Coding Overview AHCA Spring Convention & Trade Show April 21-23, 2015

ICD-10-CM Coding Overview AHCA Spring Convention & Trade Show April 21-23, 2015 ICD-10-CM Coding Overview AHCA Spring Convention & Trade Show April 21-23, 2015 1 Why the Conversion to ICD-10-CM? ICD-10-CM provides more specific data than ICD-9-CM Better reflection of current medical

More information

are you reaching your full potential...

are you reaching your full potential... T h e r e s n o s u c h t h i n g a s b a d e x e r c i s e - j u s t e x e r c i s e d o n e b a d l y FIT for sport are you reaching your full potential... These tests are a series of exercises designed

More information

ISOMETRIC EXERCISE HELPS REVERSE JOINT STIFFNESS, BUILDS MUSCLE, AND BOOSTS OVERALL FITNESS.

ISOMETRIC EXERCISE HELPS REVERSE JOINT STIFFNESS, BUILDS MUSCLE, AND BOOSTS OVERALL FITNESS. ISOMETRIC EXERCISE HELPS REVERSE JOINT STIFFNESS, BUILDS MUSCLE, AND BOOSTS OVERALL FITNESS. By Askari A. Kazmi KazmisBioscienceLabs exercise helps reverse joint stiffness, builds muscle, and boosts overall

More information

Using the ICD-10-CM. The Alphabetic Index helps you determine which section to refer to in the Tabular List. It does not always provide the full code.

Using the ICD-10-CM. The Alphabetic Index helps you determine which section to refer to in the Tabular List. It does not always provide the full code. Using the ICD-10-CM Selecting the Correct Code To determine the correct International Classification of Diseases, 10 Edition, Clinical Modification (ICD-10-CM) code, follow these two steps: Step 1: Look

More information

Hospital-based SNF Coding Tip Sheet: Top 25 codes and ICD-10 Chapter Overview

Hospital-based SNF Coding Tip Sheet: Top 25 codes and ICD-10 Chapter Overview Hospital-based SNF Coding Tip Sheet: Top 25 codes and Chapter Overview Chapter 5 - Mental, Behavioral and Neurodevelopmental Disorders (F00-F99) Classification improvements (different categories) expansions:

More information

Acute Rehab Hospital Outpatient ICD-10 documentation

Acute Rehab Hospital Outpatient ICD-10 documentation Acute Rehab Hospital Outpatient documentation Seven key impacts to documentation 1. Disease or disorder site 2. Acuity and/or status of treatment 3. Etiology, causative agent, or disease type and injury/

More information

Range of Motion Exercises

Range of Motion Exercises Range of Motion Exercises Range of motion (ROM) exercises are done to preserve flexibility and mobility of the joints on which they are performed. These exercises reduce stiffness and will prevent or at

More information

ICD-10. Clinical Concepts for Orthopedics

ICD-10. Clinical Concepts for Orthopedics ICD-10 Clinical Concepts for Orthopedics ICD-10 Clinical Concepts Series Common Codes Clinical Documentation Tips Clinical Scenarios ICD-10 Common Codes for Orthopedics is a feature of Road to 10, a CMS

More information

Pain Quick Reference for ICD 10 CM

Pain Quick Reference for ICD 10 CM Pain Quick Reference for ICD 10 CM Coding of acute or chronic pain in ICD 10 CM are located under category G89, Pain, not elsewhere classified. The subcategories are broken down by type, temporal parameter,

More information

X-Plain Rheumatoid Arthritis Reference Summary

X-Plain Rheumatoid Arthritis Reference Summary X-Plain Rheumatoid Arthritis Reference Summary Introduction Rheumatoid arthritis is a fairly common joint disease that affects up to 2 million Americans. Rheumatoid arthritis is one of the most debilitating

More information

ACEP Reimbursement & Coding WEBINAR. November 19, 2013. Countdown to ICD-10: Physician Documentation Education and Preparedness

ACEP Reimbursement & Coding WEBINAR. November 19, 2013. Countdown to ICD-10: Physician Documentation Education and Preparedness *Michael A. Granovsky, MD, CPC, FACEP ACEP Reimbursement & Coding WEBINAR November 19, 2013 Countdown to ICD-10: Physician Documentation Education and Preparedness Your group s success requires an understanding

More information

Highlights of the Revised Official ICD-9-CM Guidelines for Coding and Reporting Effective October 1, 2008

Highlights of the Revised Official ICD-9-CM Guidelines for Coding and Reporting Effective October 1, 2008 Highlights of the Revised Official ICD-9-CM Guidelines for Coding and Reporting Effective October 1, 2008 Please refer to the complete ICD-9-CM Official Guidelines for Coding and Reporting posted on this

More information

ICD-10 CM Training. Family Practice

ICD-10 CM Training. Family Practice ICD-10 CM Training Family Practice ICD-10-CM Compliance Dates ICD-10-CM will be valid for dates of service on or after October 1, 2015 Outpatient dates of service of October 1, 2015 and beyond. Inpatient

More information

NCD for Lipids Testing

NCD for Lipids Testing Applicable CPT Code(s): NCD for Lipids Testing 80061 Lipid panel 82465 Cholesterol, serum or whole blood, total 83700 Lipoprotein, blood; electrophoretic separation and quantitation 83701 Lipoprotein blood;

More information

Where Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association

Where Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association Where Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association ICD-10 Final Rule On January 16, 2009, the U.S. Department of Health and Human Services (HHS)

More information

ICD-9 Basics Study Guide

ICD-9 Basics Study Guide Board of Medical Specialty Coding ICD-9 Basics Study Guide for the Home Health ICD-9 Basic Competencies Examination Two Washingtonian Center 9737 Washingtonian Blvd., Ste. 100 Gaithersburg, MD 20878-7364

More information

CMS Limitations Guide - Laboratory Services

CMS Limitations Guide - Laboratory Services CMS Limitations Guide - Laboratory Services Starting October 1, 2015, CMS will update their exisiting medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitattions

More information

(*) Awards for all burns include compensation for any residual scarring or pigmentation and take into account any skin grafting.

(*) Awards for all burns include compensation for any residual scarring or pigmentation and take into account any skin grafting. Table 1 Burns (*) Item Column (a) Level 1 4 2 5 3 6 4 6 5 7 6 8 7 9 8 11 9 12 10 12 11 13 12 14 13 15 Column (b) Injury Burns, with deep second degree, third degree, or full thickness burns affecting 70

More information

Elbow Injuries and Disorders

Elbow Injuries and Disorders Elbow Injuries and Disorders Introduction Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. There are many injuries and disorders that

More information

The information contained in these notes is for educational purposes and is not intended to be and is not legal advice.

The information contained in these notes is for educational purposes and is not intended to be and is not legal advice. PART 3: ICD-10 Coding of Diseases and Conditions (2 Hours) With Mario Fucinari DC, MCS-P Certified Insurance Consultant Certified Medical Compliance Specialist (MCS-P) Presented by Foot Levelers The information

More information

Rehabilitation Best Practice Documentation

Rehabilitation Best Practice Documentation Rehabilitation Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: Reason for Admission to Inpatient Rehab CVA Deficits Fractures Secondary

More information

CHAPTER 19 INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S00-T88)

CHAPTER 19 INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S00-T88) INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S00-T88) March 2014 2014 MVP Health Care, Inc. CHAPTER SPECIFIC CATEGORY CODE BLOCKS S00-S09 Injuries to the head S10-S19 Injuries to

More information

RESEARCH UPDATE. California Workers Compensation Reform Monitoring. Part 3: Temporary Disability Outcomes Accident Years 2002 2007 Claims Experience

RESEARCH UPDATE. California Workers Compensation Reform Monitoring. Part 3: Temporary Disability Outcomes Accident Years 2002 2007 Claims Experience January 2009 RESEARCH UPDATE California Workers Compensation Reform Monitoring Part 3: Temporary Disability Outcomes Accident Years 2002 2007 Claims Experience by Alex Swedlow, MHSA and John Ireland, MHSA

More information