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ICD-10 Transition
August 7, 2013
Some Statistics
• October 1, 2014 – ICD-10 Day• US is the only country using
ICD-9 todayICD-9 ICD-10
Code Length 3 to 5 digits 3 to 7 digits
Diagnosis Codes
14,000 68,000
Procedure Codes
4,000 87,000
CM Manual Chapters
17 21
What is the Difference?
ICD-10 codes contain greater detail and many codes have laterality as part of the code description in addition to the type of encounter. Example: S61.142A denotes a puncture wound with foreign body of left thumb with damage to nail, initial encounter. (The “A” denotes an initial encounter.)
How Do We Choose?
• No practice will use all 68,000• General Equivalency Mappings
(GEMS) are available to perform ‘crosswalks’ to see the coding structure differences
• Codes still need to be selected using the Index and Tabular lists.
• Coders may need additional training in terminology and/or anatomy for accuracy
Sounds Like a lot of Work
• Short answer: YES• Overall increase in
documentation, resulting in:–More time required– Fewer patients seen– Additional payer interaction to
verify appropriate, billable codes
Resources
EHR as a Powerful Tool in ICD-10 Conversion
How to Survive the ICD-10-CM/5010 Transition
Make ICD-10 Easier
MGMA anticipates problems, disruptions with ICD-10: Q&A
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