MASTER THE CODE AN INTRODUCTION TO ICD-10 CODING FOR THE EARLY INTERVENTION POPULATION
|
|
- Hilary Wheeler
- 8 years ago
- Views:
Transcription
1 MASTER THE CODE AN INTRODUCTION TO ICD-10 CODING FOR THE EARLY INTERVENTION POPULATION OCTOBER 23, 2015 KELLY WALSH-HILL, PT GENERAL EQUIVALENCE MAPPINGS (GEMS) ü Convert ICD-9 to ICD-10 codes (Backward map ICD-10 to ICD-9) ü GEMS are limited and not reliable as a Coding Tool Warning: The GEMS tool is not a substitute for learning and Coding from documentation 1
2 OBJECTIVES Understand the difference between ICD-9 and ICD-10 Understand Coding Families, Characters, and Symbols Understand Coding Terminology and Rules OBJECTIVES Understand the Fundamentals of Diagnosis Selection Understand Diagnosis Coding as it relates to EI Assessment Learn Coding strategies relevant to the Birth to Three Population 2
3 WHAT HAS CHANGED? ICD-9 14,000 codes Codes are 3-5 Characters 1 st character is Numeric or Alpha Characters 2-5 are numeric Decimal occurs after 3 rd character No laterality No place holder ICD-10 Over 69,000 codes Codes are 3-7 Characters 1 st Character is always Alpha Second Character is always Numeric Characters 3-7 may be Alpha or Numeric Decimal occurs after 3 rd character Laterality of side affected must be coded Place holder may be used ICD-10 CODING WHAT IS THE BENEFIT TO SWITCHING? Provides more Specific Coding Measuring the quality, efficacy, and safety of care for Public Health Monitoring Better sensitivity for Reimbursement Methodology Allows for Detailing a Clinical Case for Therapy Reimbursement 3
4 WHAT IS OUR GUIDE? ICD-10 CM Stands for Clinical Modification Covers Out-Patient services What will we use in EI ICD-10 PCS Stands for Procedure Coding System Covers In-patient Claims only CONVERTING ICD-9 TO ICD-10 CMS For 12 months after ICD-10 implementation, if a valid ICD-10 code from the right family is submitted, Medicare/Medicaid will process & not audit valid ICD-10 code. Commercial Payors - have to determine whether they will offer similar audit flexibilities ICD-10 Information from the Department of Medical Assistance Services (DMAS) Services should be billed using the most appropriate diagnosis code(s) for the reason of the service being provided. 4
5 WHAT IS A CODING FAMILY? ü A SET OF CODES THAT REPRESENT A SPECIFIC MEDICAL SYSTEM OR CATEGORY ü SHARE THE SAME FIRST CHARACTER ü LOCATED BY CHAPTERS IN THE TABULAR INDEX MOST RELEVANT TO THE BIRTH-3 POPULATION v Ch. 5 (F01-F99) Mental, Behavioral, and Neurodevelopmental Disorders v Ch. 6 (G00-G99.) Diseases of the Nervous System v Ch. 13 (M00-M99) Diseases of the Musculoskeletal System and Connective Tissue v Ch. 16 (P00-P96) Certain Conditions Originating in the Perinatal Period v Ch. 17 (Q00-Q99)Congenital Malformations, Deformities, and Chromosomal Abnormalities v Ch. 18 (R00-R99) Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified 5
6 YOU MAY ALSO NEED TO LOOK HERE! Ch. 7 (H00-H59) Diseases of Eye and Adnexa Ch. 8 (H60-H95) Diseases of Ear and Mastoid Process Ch. 19 (S00-T88) Injury, Poisonings, and Certain Other Consequences of External Causes Ch. 20 (V01-Y99) External Causes of Morbidity CODING CHARACTERS X Alpha Numeric Alpha or Numeric Decimal always after 3 rd character Used as placeholder in order to achieve specificity 6
7 7 TH CHARACTER Allows for coding to the highest level of specificity Used in Chapter 19 which covers injuries and other consequences of external cause such as burns, fractures, and traumatic brain injury 7 TH CODING CHARACTERS A Initial encounter (not likely in EI) D Subsequent encounter (visit after physician during healing phase) S Sequelae (complications that arise as a direct result of a condition). Code Sequelae condition followed by Injury Code. The injury code contains the S in the 7 th character place. Ex. R26.1 Spastic Gait 5G81.11 Spastic hemiparesis affecting right dominant side 7T74.4XXS Shaken Infant Syndrome 7
8 EXTERNAL CAUSES OF MORBIDITY Chapter 20 lists Codes that describe the CAUSE of the injury and require 7 characters: Ø Pedestrian hit by collision with car, pick up, or van (Child hit by a car) Ø Fall into Swimming Pool (accidental drownings) Ø Contact with Hot tap water (accidental burns) Ø Child abuse, neglect or other maltreatment 8
9 CODING SYMBOLS WHEN YOU SEE A DASH FOLLOW A CODE IN THE ALPHABETICAL LISTING, IT MEANS THAT MORE SPECIFICITY IS REQUIRED. Ex. Pervasive Developmental Disorder F84.0- GO TO THE TABULAR SECTION: 4 F84. Pervasive Developmental Disorders Note: Use additional codes to identify associated medical conditions and intellectual disabilities. F84.0 Autistic Disorder F84.2 Rett s Syndrome F84.3 Other Childhood Disintegrative Disorder F84.5 Asperger s Syndrome F84.8 Other Pervasive Developmental Disorders Overactive Disorder associated with intellectual disabilities and stereotyped movements CODING TERMINOLOGY EXCLUDES 1: Means the Code excluded should never be used with the code above. The two conditions cannot occur together. Ex. F81.9 Specific Developmental Disorder of Motor Function Excludes 1: Abnormality of gait and mobility(r26.-) Lack of Coordination (R27.-) 9
10 CODING TERMINOLOGY EXCLUDES 2 Indicates that the condition excluded (listed) is not part of the condition coded above and the patient may have both conditions at the same time. The two codes may be used together. Ex. F80.1 Mixed Receptive-Expressive Language Disorder Excludes 2: Pervasive Developmental Disorders (F84.-) CODING RULES (N Use Specificity First if you have documentation When sufficient clinical information isn t known or available about a condition, it is acceptable to use the Unspecified or Other code. Not Elsewhere Classified Not Otherwise Specified 10
11 NOT ELSEWHERE CLASSIFIED NEC AKA as Other or Other Specified Use this when the medical information provides detail for which a specific code does not exist. Ex. R26.89 Other abnormality of gait and mobility Q99.8 Other specified chromosome abnormalities NOT OTHERWISE SPECIFIED NOS AKA Unspecified Used when the information in the medical record is insufficient to assign a more specific code. Acceptable: S06.2X9 Diffuse TBI w/ loss of consciousness of unspecified duration. Avoid using (NOS) Unspecified codes unless required to achieve specificity Not Acceptable: Q35.9 Cleft palate, unspecified When in doubt? Select (NEC) Other 11
12 WHERE DO YOU START? CODING GUIDELINES Ø Codes that describe symptoms and signs are acceptable for reporting purposes when a diagnosis has not been established/confirmed Ø Only Licensed Medical Professionals may diagnose and assign codes within their realm of expertise, training, and in accordance with their Practice Act: OT, PT, SLP, Licensed Clinical Psychologist, Licensed Clinical Social Worker, Licensed Clinical RN, and Nurse Practitioners 12
13 CODING GUIDELINES Ø For patients receiving therapeutic services, sequence first the condition, problem, or other reason chiefly responsible for the service provided Ø Tell the Story - Use all codes, as applicable, to show the complexity of the patient and what you are addressing Ø Avoid using only one code 3 WAYS TO GET DIAGNOSIS 1. Medical Referral Source (Hospital, Clinic, Pediatrician) 2. Parent Report Listen to their concern (not sitting, walking, talking) 3. OT, PT, Speech Evaluation 13
14 NO SPECIFIC DIAGNOSIS? Let Your Assessment Guide You SYMPTOMS, SIGNS, AND ABNORMAL FINDINGS Symptoms and signs involving the nervous and musculoskeletal system R26.0 Ataxic gait R26.1 Spastic gait R26.2 Difficulty walking, NEC (walking disability) R Other abnormality of gait and mobility (cautious gait, toe-walking gait, gait disorder due to weakness, postural instability, pain, or multi-factoral) R27.8 Other lack of Coordination R29.3 Abnormal Posture 14
15 SYMPTOMS, SIGNS, AND ABNORMAL FINDINGS Symptoms and signs involving cognitive function and awareness R Attention and Concentration Deficit Excludes 1: ADHD R41.89 Unspecified symptoms and signs involving cognitive function and awareness Symptoms and Signs involving speech and voice 5R47 Speech disturbance, NEC Excludes 1: Autism R47.01 Aphasia R47.81 Slurred Speech R47.02 Dysphagia R47.89 Other Speech R48.2 Apraxia Disturbance SYMPTOMS, SIGNS, AND ABNORMAL FINDINGS General Symptoms and signs R62.0 Delayed Milestone in Childhood* R Unspecified lack of expected normal physiological development in childhood* R62.51 Failure to Thrive (infant/child > 28 dys. of age) R63.3 Feeding Difficulties (infant/child > 28 dys. of age) *Do not use as single code Ask yourself What are you addressing? 15
16 SYMPTOMS, SIGNS, AND ABNORMAL FINDINGS Sensory Processing Difficulties? R 27.8 Other lack of coordination R Attention and concentration deficit R41.841Cognitive communication deficit R41.89 Other symptoms and signs involving cognitive function and awareness R45.1 Restlessness and agitation R45.87 Impulsiveness R46.3 Overactivity R46.4 Slowness and poor responsiveness R43.8 Other disturbance of smell and taste Accurate Reporting = Use Key words in your Assessment to link it to the diagnosis code 16
17 HANG IN THERE! THE PERINATAL PERIOD Newborn = the first 28 days of life NEWBORN CODES MAY BE USED THROUGHOUT THE LIFE OF THE PATIENT IF THE CONDITION WAS NOTED AS PRESENT DURING THE FIRST 28 DAYS AND IF THE CONDITION REMAINS PRESENT >28 DAYS. List Birthweight before Gestational Age Gestational Age Each WEEK has Separate Code P P07.26 (less than 23 weeks to 27 completed weeks) P P07.39 (28 to 36 completed weeks) Low birthweight is different than SGA SGA (P P05.18) Low Birthweight (P07.01-P07.03) (P07.10-P07.18) 17
18 THE PERINATAL PERIOD Code Together: P04.49 Newborn suspected to be affected by maternal use of other drugs of addiction Excludes 2 P96.1 Withdrawal symptoms from maternal use of drugs of addiction Code Separate: P14.0 Erb s Palsy P14.3 Other Brachial Plexus birth injuries P94.1 Congenital Hypertonia Ex. SGA/IUGR, NAS P94.2 Congenital Hypotonia Ex. Premie, Cardiac, RDS THE PERINATAL PERIOD P78.83 Newborn Esophageal Reflux 4 P92. Feeding Problems of the Newborn P92.0 Vomiting P92.2 Regurgitation P92.3 Slow feeding P92.4 Overfeeding P92.5 Neonatal difficulty feeding at the breast P92.6 Failure to Thrive in newborn P92.8 Other feeding problems of newborn Add: What are you addressing weakness, tone, coordination? 18
19 MUSCULOSKELETAL SYSTEM Replace ICD and with: M62.81 Muscle Weakness, generalized R29.3 Abnormal Posture R26.89 Other abnormality of gait and mobility (add if working on delayed walking) R27.8 Other lack of coordination (add if there are sensorimotor concerns) Fracture defaults - Closed and Displaced Laterality defaults Right side affected = Dominant Left side affected = Non-dominant Ambidextrous = Dominant CONGENITAL MALFORMATIONS, DEFORMITIES, AND CHROMOSOMAL ABNORMALITIES Q90.0 Trisomy 21, meiotic (93-99% of cases) Q04.0 Congenital Malformations of brain Ex. Agenesis of the Corpus Callosum Congenital not Cardiac: Q21.3 Tetralogy of Fallot Q23.4 Hypoplastic left heart Syndrome Each lists specific kinds: 4Q35 Cleft Palate 4Q36 Cleft Lip 4Q37 Cleft Palate and Lip 19
20 CONGENITAL MALFORMATIONS, DEFORMITIES, AND CHROMOSOMAL ABNORMALITIES Congenital not Musculoskeletal Q78.2 Osteogenesis Imperfecta Increased Specificity Q93.4 Deletion of short arm of Chromosome 5 Ex. Cri-Du-Chat Syndrome Q93.5 Other Deletions of part of a Chromosome Ex. Angelman s Syndrome Q93.7 Deletions with other Complex Rearrangements Q99.8 Other Specified Chromosome Abnormalities Congenital not PDD Q99.2 Fragile X Syndrome MENTAL, BEHAVIORAL, AND NEURODEVELOPMENTAL DISORDERS 4F80. Specific developmental disorders of Speech and Language F80.0 Phonological Disorders (lalling, lisping, speech articulation Dev. Disorder) Excludes 1 Aphasia, Apraxia Excludes 2 impairment due to hearing loss F80.1 Expressive Language Disorder (Dev. Dysphagia or aphasia) Excludes 1 Mixed Receptive-Expressive language disorder Excludes 2 Intellectual Disabilities F80.2 Mixed Receptive-Expressive Language Disorder Excludes 1 Central Auditory Processing Disorder Excludes 2 Intellectual Disabilities F80.4 Speech and Language Dev. Delay due to Hearing Loss (Code type of hearing loss) F80.8 Other Developmental Disorders of Speech and Language F80.81 Childhood Onset Fluency Disorder (Cluttering, Stuttering) F80.89 Other Developmental Disorders of Speech and Language 20
21 MENTAL, BEHAVIORAL, AND NEURODEVELOPMENTAL DISORDERS 4 F84.Pervasive Developmental Disorders (Autism, Other PDD, Rett s, Asperger s, Other Child Disintegrative Disorder) Use Speech and Language F80 Codes only Speech delay with another primary dx such as CP or Down Syndrome Can use F80 or R47 Codes, not both Speech delay with No other known diagnosis Can use F80 or R47 codes, not both R47 and R 48 Codes (Aphasia, Apraxia) Exclude the F80 Codes MENTAL, BEHAVIORAL, AND NEURODEVELOPMENTAL DISORDERS Behavioral and Emotional Disorders 4F91. Conduct Disorders 4F93. Emotional Disorders 4F94. Disorders of Social Functioning with onset specific to Childhood 4F95. Tic Disorders 4F98. Other behavioral and emotional disorders Must be confirmed by a Physician, Psychiatrist, or Clinical Psychologist 21
22 MENTAL, BEHAVIORAL, AND NEURODEVELOPMENTAL DISORDERS Confirmed Disorder or Sign, Symptom, Abnormal Clinical Finding? Think about it 5F98.2 Feeding Disorder of Infancy/Childhood Excludes 1 R63.3 Feeding Difficulty of infant/child F82. Specific Developmental Disorder of Motor Function (Clumsy Child Syndrome, Developmental Coordination Disorder, Developmental dyspraxia) Excludes 1 Abnormality of gait and mobility (R26.-) Ask yourself, could it resolve with Intervention? CODING GUIDELINES Ø Code the condition to the highest degree of certainty Ø Code all documented conditions that coexist at the time of your encounter if they are relevant ü Do not code conditions that were previously treated and no longer exist Ø Do not code diagnoses listed as probable or suspected 22
23 ICD-10 RESOURCES Use the ICD-10 Coding Book for your Coding: ICD-10 CM 2016 the Complete official Draft Set, AMA, CMS ICD-10 Website index.html (sign up for newsletter for updates) PH
24 CHEERS! YOU ARE ON YOUR WAY TO MASTERING THE CODE! 24
ICD 10 ICD 9. 14, 000 codes No laterality Limited severity parameters No placeholders 3-5 digits
ICD 10 Conversion 1 Why Change? ICD 9 14, 000 codes No laterality Limited severity parameters No placeholders 3-5 digits 1 2 3 4 5 ICD 10 69,000+ codes Indicates Rt or Lt Extensive severity parameters
More informationUsing 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 informationMEDICAL POLICY No. 91336-R9 SPEECH THERAPY I. POLICY/CRITERIA
SPEECH THERAPY MEDICAL POLICY No. Effective Date: November 25, 2014 Review Dates: 1/93,12/99, 8/01, 12/01, 5/02, 5/03, 5/04, 5/05, 4/06, 4/07, 7/07, 2/08, 2/09, 2/10, 2/11, 2/12, 8/12, 8/13, 12/13, 11/14,
More informationDISABILITY-RELATED DEFINITIONS
DISABILITY-RELATED DEFINITIONS 1. The Americans with Disabilities Act (ADA) of 1990 is a civil rights law, which makes it unlawful to discriminate on the basis of disability. It covers employment in the
More informationICD-10 in the Provider Newsletter
ICD-10 in the Provider Newsletter ICD-10 CM Code Structure, July 2013 ICD-10 Implementation, April 2013 ICD-10 Manual, January 2013 ICD-10 Back on Track, October 2012 ICD-10 Training, July 2012 ICD-10
More informationICD-10 Coding for Audiology
ICD-10 Coding for Audiology Mary Sue Fino-Szumski, Ph.D., M.B.A. Vanderbilt University School of Medicine Vanderbilt Bill Wilkerson Center Department of Hearing and Speech Sciences Disclosure Financial
More informationCoding Transition Tip Sheet ICD-9 to ICD-10
Coding Transition Tip Sheet ICD-9 to ICD-9 Consists of three to five digits Consists of three to seven digits First digit numeric or alpha (E or V codes) First character always alpha (all letters used
More information2FORMATS AND CONVENTIONS
2FORMATS AND CONVENTIONS OF DIAGNOSIS CODING SYSTEMS Learning Outcomes After completing this chapter, students should be able to 2.1 Explain the layout of the ICD-9-CM and ICD-10-CM manuals. 2.2 Differentiate
More informationICD-10-CM/PCS Transition Fact Sheet
ICD-10-CM/PCS Transition Fact Sheet Reed Group 10155 Westmoor Drive, Suite 210 Westminster, CO 80021 Notice: 2014 Reed Group, Ltd. All rights reserved. This document is made available for informational
More informationIntroduction to ICD-10. Frederic F. Little, MD Department of Medicine ICD-10 Physician Champion Boston Medical Center
Introduction to ICD-10 Frederic F. Little, MD Department of Medicine ICD-10 Physician Champion Boston Medical Center Outline ICD-10 and BMC History and Background Physician Impact ICD-10 transition: General
More informationICD-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 informationADEPT Glossary of Key Terms
ADEPT Glossary of Key Terms A-B-C (Antecedent-Behavior-Consequence) The three-part equation for success in teaching. Antecedents (A) Anything that occurs before a behavior or a skill. When teaching a skill,
More informationICD 10: Final Steps for Successful Implementation
ICD 10: Final Steps for Successful Implementation Gayle R. Lee, JD Matt Elrod, PT, DPT, MEd, NCS Presenters Gayle Lee, JD, has more than 15 years of experience working on health care issues impacting the
More informationTraumatic Brain Injury
Traumatic Brain Injury NICHCY Disability Fact Sheet #18 Updated, July 2014 Susan s Story Susan was 7 years old when she was hit by a car while riding her bike. She broke her arm and leg. She also hit her
More informationChapter 4: Eligibility Categories
23 Chapter 4: Eligibility Categories In this chapter you will: learn the different special education categories 24 IDEA lists different disability categories under which children may be eligible for services.
More informationDevelopmental Disabilities
RIGHTS UNDER THE LAN TERMAN ACT Developmental Disabilities Chapter 2 This chapter explains: - What developmental disabilities are, - Who is eligible for regional center services, and - How to show the
More information2016 CODING FOR FETAL ALCOHOL SPECTRUM DISORDERS
2016 CODING FOR FETAL ALCOHOL SPECTRUM DISORDERS Listed below are the most commonly used codes applicable to FASD patient care. Code Description ICD-10-CM Primary Diagnosis P04.3 Newborn (suspected to
More informationDevelopmental delay and Cerebral palsy. Present the differential diagnosis of developmental delay.
Developmental delay and Cerebral palsy objectives 1. developmental delay Define developmental delay Etiologies of developmental delay Present the differential diagnosis of developmental delay. 2. cerebral
More informationGuidelines for Medical Necessity Determination for Speech and Language Therapy
Guidelines for Medical Necessity Determination for Speech and Language Therapy These Guidelines for Medical Necessity Determination (Guidelines) identify the clinical information MassHealth needs to determine
More informationICD-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 informationSpeech Pathology Funding Information for Clients
Speech Pathology Funding Information for Clients www.communicatespeech.com.au Private Health Cover - All Ages Children and Adults Speech Pathology Assessment and Therapy sessions can be claimed through
More informationCerebral palsy can be classified according to the type of abnormal muscle tone or movement, and the distribution of these motor impairments.
The Face of Cerebral Palsy Segment I Discovering Patterns What is Cerebral Palsy? Cerebral palsy (CP) is an umbrella term for a group of non-progressive but often changing motor impairment syndromes, which
More informationAn overview of Intellectual Developmental Disability Functioning levels of Mental Retardation/Intellectual Disability Autism
An overview of Intellectual Developmental Disability Functioning levels of Mental Retardation/Intellectual Disability Autism Intellectual/Developmental Disability (IDD) - indicates an overall intellectual
More informationCelebrating ICD-10: A New Tradition of Codes.
Celebrating ICD-10: A New Tradition of Codes. Delayed. Now What? Stop training entirely? Continue training as originally planned? Alter the course of training? Important Dates January 16, 2009 February
More informationThe Thirteen Special Education Classifications. Part 200 Regulations of the Commissioner of Education, Section 4401(1)
The Thirteen Special Education Classifications Part 200 Regulations of the Commissioner of Education, Section 4401(1) Student With a Disability: A student as defined in section 4401(1), who has not attained
More informationClinical Medical Policy Outpatient Rehab Therapies (PT & OT) for Members With Special Needs
Benefit Coverage Rehabilitative services, (PT, OT,) are covered for members with neurodevelopmental disorders when recommended by a medical provider to address a specific condition, deficit, or dysfunction,
More informationTraumatic Brain Injury
Traumatic Brain Injury NICHCY Disability Fact Sheet #18 Resources updated, March 2011 Susan s Story Susan was 7 years old when she was hit by a car while riding her bike. She broke her arm and leg. She
More informationDocumentation Requirements ADHD
Documentation Requirements ADHD Attention Deficit Hyperactivity Disorder (ADHD) is considered a neurobiological disability that interferes with a person s ability to sustain attention, focus on a task
More informationDSM-5. Presented by CCESC School Psychologist Interns: Kayla Dodson, M.Ed. Ellen Doll, M.S. Rich Marsicano, Ph.D. Elaine Wahl, Ph.D.
DSM-5 Presented by CCESC School Psychologist Interns: Kayla Dodson, M.Ed. Ellen Doll, M.S. Rich Marsicano, Ph.D. Elaine Wahl, Ph.D. Introduction Lifespan approach to diagnosis Diagnoses occurring in children
More informationMedical Policy Original Effective Date: 07-22-09 Revised Date: 01-27-16 Page 1 of 5
Disclaimer Medical Policy Page 1 of 5 Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on all plans or the plan may have broader or
More informationICD-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 informationGetting 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 informationElectronic 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 informationUnderstanding Pervasive Developmental Disorders. Page 1 of 10 MC5155-09 Pervasive Developmental Disorders
Understanding Pervasive Developmental Disorders Page 1 of 10 MC5155-09 Pervasive Developmental Disorders Page 2 of 10 MC5155-09 Pervasive Developmental Disorders This information is intended to help you
More informationCoding with. Snayhil Rana
Coding with ICD-9-CM CM Snayhil Rana ICD-9-CM CM Index Pre-Test Introduction to ICD-9-CM Coding The Three Volumes of the ICD-9-CM ICD-9-CM Coding Conventions Other ICD-9-CM Sections ICD-9-CM for Claim
More informationPreparation "Speech Language Pathologist Overview"
Speech Language Pathologist Overview The Field - Preparation - Day in the Life - Earnings - Employment - Career Path Forecast - Professional Organizations The Field Speech-language pathologists, sometimes
More informationComprehensive Special Education Plan. Programs and Services for Students with Disabilities
Comprehensive Special Education Plan Programs and Services for Students with Disabilities The Pupil Personnel Services of the Corning-Painted Post Area School District is dedicated to work collaboratively
More informationICD-10 for the Chiropractic Procrastinator
ICD-10 for the Chiropractic Procrastinator Presented By Chiropractic Care of Minnesota, Inc. (CCMI) Authored By Dr. Evan Gwilliam, DC, MBA, BS, CPC, CCPC, NCICS, CCCPC, CPC-I, CPMA, MCS-P Introduction
More informationThe Pediatric Program at Marianjoy
MARIANJOY Rehabilitation Hospital Wheaton Franciscan Healthcare The Pediatric Program at Marianjoy Celebrating Even the Smallest Steps, One Step at a Time The Pediatric Program at Marianjoy Celebrating
More informationAPPENDIX A GLOSSARY OF TERMS AND ABBREVIATIONS
APPENDIX A GLOSSARY OF TERMS AND ABBREVIATIONS GLOSSARY OF TERMS AND ABBREVIATIONS Special Education Terms/Legal Terms Annual Goals Educational performance to be achieved by a student within one year.
More informationCerebral Palsy: Intervention Methods for Young Children. Emma Zercher. San Francisco State University
RUNNING HEAD: Cerebral Palsy & Intervention Methods Cerebral Palsy & Intervention Methods, 1 Cerebral Palsy: Intervention Methods for Young Children Emma Zercher San Francisco State University May 21,
More informationICD-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 informationHow To Code In Icd10
www.aptahpa.org HPA The Catalyst is the Section on Health Policy & Administration of APTA Presented by: Jean Jurek, MS, RHIA, CPC & Karen Hughes, PT, MS, ATC 4/29/14 1 Understanding & Utilization of ICD
More information3030. Eligibility Criteria.
3030. Eligibility Criteria. 5 CA ADC 3030BARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS Barclays Official California Code of Regulations Currentness Title 5. Education Division 1. California Department
More informationROLE OF SCHOOL PSYCHOLOGIST AS A RELATED SERVICE PROVIDER
ROLE OF SCHOOL PSYCHOLOGIST AS A RELATED SERVICE PROVIDER I. Related Services Definition - IDEA According to the Individuals with Disabilities Education Act, psychological services include: Administering
More informationCerebral Palsy. www.teachinngei.org p. 1
Cerebral Palsy What is cerebral palsy? Cerebral palsy (CP) is a motor disability caused by a static, non-progressive lesion (encephalopathy) in the brain that occurs in early childhood, usually before
More informationGetting Ready for ICD-10. Part 2: ICD-10 Coding
Getting Ready for ICD-10 Part 2: ICD-10 Coding Introduction In the United States, on October 1, 2015 the ICD 9 code set used to report medical diagnoses and inpatient procedures will be replaced by International
More informationOccupational Therapy Program
Health Care Authority Occupational Therapy Program Billing Instructions [WAC 182-545-0300] About This Publication This publication supersedes all previous Agency Occupational Therapy Program Billing Instructions
More informationICD- 10- CM Coding for Sleep Medicine
ICD- 10- CM Coding for Sleep Medicine American Thoracic Society Clinical Prac3ce Commi4ee Webinar September 23, 2015 Michael Nelson, MD, FACP, FCCP, FAASM Director of Sleep Laboratory Shawnee Mission Medical
More informationAllied, Therapeutic and Psychology Extender Benefit
Allied, Therapeutic and Psychology Extender Benefit 2013 The Allied, Therapeutic and Psychology Extender Benefit is available on the Enhanced Option only. Overview This document tells you about the Allied,
More informationAUTISM SPECTRUM DISORDERS
AUTISM SPECTRUM DISORDERS JAGWINDER SANDHU, MD CHILD, ADOLESCENT AND ADULT PSYCHIATRIST 194 N HARRISON STREET PRINCETON, NJ 08540 PH: 609 751 6607 Staff Psychiatrist Carrier clinic Belle Mead NJ What is
More informationSchool of Health Sciences HEALTH INFORMATION TECHNOLOGY
School of Health Sciences HEALTH INFORMATION TECHNOLOGY Course: HIT 1020 - Basic Diagnosis Coding Credit Hours: 3cr hours Instructor: TBA Office Phone: Division of Allied Health (801) 957-6200 Office Hours:
More informationReferral Form & Instructions Questions? Call 1 888 284 5433 and press 7
Therapist Name: Phone: Referral Form & Instructions Questions? Call 1 888 284 5433 and press 7 1 2 Indicate all products that might be appropriate for your patient. Please check all products that might
More informationIt s Time to Transition to ICD-10
July 22, 2015 It s Time to Transition to ICD-10 What do the changes mean to your SNF? Presented by: Linda S. Little, RN-BSN Clinical Consultant HMM Consulting Office: (631) 265-6289 E-Mail: llittle@horanmm.com
More informationSpecialist Children s Service
Specialist Children s Service Information and Guidelines for Referrers March 2009, Version 3.0 Contents CONTENTS... 2 INTRODUCTION... 3 TEAMS BASED AT THE WOOD STREET HEALTH CENTRE:... 3 TEAMS BASED ELSEWHERE
More informationHospital-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 informationCerebral Palsy. 1995-2014, The Patient Education Institute, Inc. www.x-plain.com nr200105 Last reviewed: 06/17/2014 1
Cerebral Palsy Introduction Cerebral palsy, or CP, can cause serious neurological symptoms in children. Thousands of children are diagnosed with cerebral palsy every year. This reference summary explains
More informationAllied, Therapeutic and Psychology Extender Benefit
Allied, Therapeutic and Psychology Extender Benefit 2015 Allied, Therapeutic and Psychology Extender Benefit The Allied, Therapeutic and Psychology Extender Benefit is available on the Executive and Comprehensive
More informationICD-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 informationIntroduction to ICD-10-CM. An Introduction to the Transition from ICD-9-CM to ICD-10-CM
Introduction to ICD-10-CM An Introduction to the Transition from ICD-9-CM to ICD-10-CM 1 Purpose Explain why the transition from ICD-9-CM to ICD- 10-CM is needed Describe the differences between ICD-9-CM
More informationCerebral Palsy. In order to function, the brain needs a continuous supply of oxygen.
Cerebral Palsy Introduction Cerebral palsy, or CP, can cause serious neurological symptoms in children. Up to 5000 children in the United States are diagnosed with cerebral palsy every year. This reference
More informationMEDICAL POLICY No. 91579-R4
*Note: This policy incorporates the previously separate policy Pervasive Developmental Disabilities #91543. Summary of Changes Due to the Patient Protection and Affordable Care Act (PPACA), applied behavioral
More informationICD-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 information65G-4.014 Eligibility for Agency Services Definitions. (1) Autism means any condition which is part of the autism spectrum disorder and which meets
65G-4.014 Eligibility for Agency Services Definitions. (1) Autism means any condition which is part of the autism spectrum disorder and which meets the requirements of Florida Statute 393.063, which are
More informationInsurance Tips. Obtaining Services
Insurance Tips The information below is designed to provide an overview of how to obtain insurance coverage for speech-language pathology (speech therapy) and audiology services. The American Speech-Language-Hearing
More informationGuidelines 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 informationREHABILITATION SERVICES
REHABILITATION SERVICES Table of Contents GENERAL... 2 TERMS AND ABBREVIATIONS... 2 PRIOR AUTHORIZATION REQUIREMENTS FOR MEDICAID REIMBURSEMENT OF INPATIENT REHABILITATION SERVICES (Updated 4/1/11)...
More informationCategories of Exceptionality and Definitions
7. CATEGORIES and DEFINITIONS of EXCEPTIONALITIES Purpose of the standard To provide the ministry with details of the categories and definitions of exceptionalities available to the public, including parents
More informationAttachment 5 Arizona s Crosswalk for DC: 0-3R, DSM-IV-TR and ICD-10-CM 1
Arizona Department of Health Services/Division of Behavioral Health Services Practice Tool, Working with the Birth to Five Population Attachment 5 Arizona s Crosswalk for DC: 0-3R, DSM-IV-TR and ICD-10-CM
More informationApplied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder
Applied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder Policy Number: Original Effective Date: MM.12.022 01/01/2016 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration
More informationPreparing 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 informationICD-10: Navigating the Change. Presented by: Shelley Garrett, CPC, CMC, CMOM, CMIS
ICD-10: Navigating the Change Presented by: Shelley Garrett, CPC, CMC, CMOM, CMIS A journey of a thousand miles begins with a single step -Confucius 5010 Conversion January 1, 2012 5010 Conversion Version
More informationMedicaid Disability Manual
Part B The following sections apply to individuals under age 18. If the criteria in Part B do not apply, Part A criteria may be used when those criteria give appropriate consideration to the effects of
More informationC CS. California Children Services Alameda County
C CS California Children Services Alameda County The California Children Services (CCS) Program strives to assure access to medical services essential to the health and well-being of children with catastrophic
More informationICD-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 informationSpeech-Language Pathology (SLP)
Speech-Langu Pathology (SLP) Services Chapter.1 Enrollment..................................................................... -2.2 Benefits, Limitations, and Authorization Requirements...........................
More informationA Guide for Enabling Scouts with Cognitive Impairments
A Guide for Enabling Scouts with Cognitive Impairments What cognitive impairments are discussed in this manual? Autism Spectrum Disorder Attention Deficit Hyper Activity Disorder Depression Down Syndrome
More informationDyslexia and Co-occurring Specific Learning Difficulties Pamela Deponio, University of Edinburgh
Dyslexia and Co-occurring Specific Learning Difficulties Pamela Deponio, University of Edinburgh Let s Read! Reading and Print Disabilities in Young People Tallinn, Estonia. August 7 9, 2012 Key message
More informationNEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES PROCEDURE CODES & FEE SCHEDULE
NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES PROCEDURE CODES & FEE SCHEDULE Table of Contents General Rules and Information... 3 Occupational Therapist, Physical Therapist and Speech Language
More informationTransitioning to ICD-10 Behavioral Health
Transitioning to ICD-10 Behavioral Health Jeri Leong, R.N., CPC, CPC-H, CPMA Healthcare Coding Consultants of Hawaii LLC 1 Course Objectives Review of new requirements to ICD-10-CM Identify the areas of
More informationHow To Enroll In The Cson Services Program
34Speech-Langu Pathology (SLP) Services Chapter 34 34.1 Enrollment..................................................................... 34-2 34.2 Benefits, Limitations, and Authorization Requirements...........................
More informationWhat is cerebral palsy?
What is cerebral palsy? This booklet will help you to have a better understanding of the physical and medical aspects of cerebral palsy. We hope it will be a source of information to anyone who wishes
More informationThe Role of Occupational Therapy for Children with ACC
These articles were originally published in The Callosal Connection, Fall 2007. The Callosal Connection is a publication of the ACC Network The Role of Occupational Therapy for Children with ACC By Erin
More informationICD-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 informationBilling, Coding, & Calculating Fees: Finding Success
Billing, Coding, & Calculating Fees: Finding Success Janet McCarty American Speech-Language-Hearing Association Today s Agenda BILLING: Learn how to bill for your services. CODING: Learn the codes that
More informationASDIN 8th Annual Scientific Meeting
WHO World Health Organization Developed in 1994 AN INITIAL UNDERSTANDING OF Sarah Reed, CPC Coding and Compliance Coordinator Meritas Health Corporation Implementation 138 countries mortality 99 countries
More informationCEREBRAL PALSY AND MENTAL RETARDATION DEFINITION
CEREBRAL PALSY AND MENTAL RETARDATION DEFINITION It is a disorder of posture movement and tone due to a static encephalopathy acquired during brain growth in fetal life infancy or early childhood. Though
More informationSkate Australia Concussion Guidelines
Skate Australia Concussion Guidelines Introduction Forces strong enough to cause concussion are common in all roller sports. Even though helmets are worn in most disciplines, the risk of concussion is
More informationClinical Medical Policy Cognitive Rehabilitation
Benefit Coverage Outpatient cognitive rehabilitation is considered to be the most appropriate setting for members who have sustained a traumatic brain injury or an acute brain insult. Cognitive rehabilitation
More informationCLINICAL DOCUMENTATION ICD-9 and ICD-10
CLINICAL DOCUMENTATION ICD-9 and ICD-10 Payers and Providers Partnering for Success Shannon Chase, CPC, AHIMA Approved ICD-10-CM/PCS Trainer June 2014 CLINICAL DOCUMENTATION ICD-9 & ICD-10 AGENDA Importance
More informationICD10 for Therapy Ready, Set, Go!
ICD10 for Therapy Ready, Set, Go! June, 2015 2015 Optima Healthcare Solutions Training Objectives Define ICD10 Discuss Purposes of ICD10 Compare/Contrast ICD9 / ICD10 Discuss Code Selection Apply ICD10
More informationDSM-5 to ICD-9 Crosswalk for Psychiatric Disorders
DSM-5 to ICD-9 Crosswalk for Psychiatric s The crosswalk found on the pages below contains codes or descriptions that have changed in the DSM-5 from the DSM-IV TR. DSM-5 to ICD-9 crosswalk is available
More informationICD 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 informationAdministrative Guide
Community Plan KanCare Program Physician, Health Care Professional, Facility and Ancillary Provider Administrative Guide Doc#: PCA15026_20150129 UHCCommunityPlan.com Welcome to UnitedHealthcare This administrative
More informationSpecial Education Process
Special Education Process Special education is intended to provide services to students who have disabilities, and who, because of those disabilities, need help to make progress in the general education
More informationClinical Medical Policy Cognitive Rehabilitation
Benefit Coverage Outpatient cognitive rehabilitation is considered to be the most appropriate setting for members who have sustained a traumatic brain injury or an acute brain insult. Covered Benefit for
More informationICD-10 for Rural Health. A review of the ICD-10 code sets and Implementation Tips
ICD-10 for Rural Health A review of the ICD-10 code sets and Implementation Tips Patty Harper is CEO of InQuiseek, LLC, a business and healthcare consulting company based in Louisiana. She has over 16
More informationWHAT IS CEREBRAL PALSY?
WHAT IS CEREBRAL PALSY? Cerebral Palsy is a dysfunction in movement resulting from injury to or poor development of the brain prior to birth or in early childhood. Generally speaking, any injury or disease
More informationThe ICD-9-CM uses an indented format for ease in reference I10 I10 I10 I10. All information subject to change. 2013 1
Section I. Conventions, general coding guidelines and chapter specific guidelines The conventions, general guidelines and chapter-specific guidelines are applicable to all health care settings unless otherwise
More information