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ICD-10-CM ICD-10-CM IntroductionIntroduction
Carolyn S White, CCS, CCS-P, CPC, Carolyn S White, CCS, CCS-P, CPC, CUCCUC
September 17, 2009September 17, 2009
91304
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OverviewOverview
Status, Why?, What?Status, Why?, What? Overview of differences/similaritiesOverview of differences/similarities Relationship between increased clinical Relationship between increased clinical
detail needed for increased detail needed for increased anatomy/physiology knowledge and anatomy/physiology knowledge and improved documentationimproved documentation
Status of ICD-10-CM AdoptionStatus of ICD-10-CM Adoption
In August of 2008, the Centers for Medicare and In August of 2008, the Centers for Medicare and Medicaid Services (CMS) issued a notice of Medicaid Services (CMS) issued a notice of proposed rule making (NPRM) that would proposed rule making (NPRM) that would replace the ICD-9-CM code set now used to replace the ICD-9-CM code set now used to report health care diagnosis and procedures with report health care diagnosis and procedures with the greatly expanded ICD-10-CM and ICD-10-the greatly expanded ICD-10-CM and ICD-10-PCS code sets.PCS code sets.
The implementation date will not be before 2011.The implementation date will not be before 2011.
What Is ICD-10-CM? What Is ICD-10-CM?
Clinical modification of the World Health Clinical modification of the World Health Organization’s ICD-10,Organization’s ICD-10,
ICD-10-CM includes the level of detail ICD-10-CM includes the level of detail needed for morbidity classification and needed for morbidity classification and diagnostic specificity. diagnostic specificity.
As with ICD-9-CM, ICD-10-CM is As with ICD-9-CM, ICD-10-CM is maintained by the National Center for maintained by the National Center for Health Statistics. Health Statistics.
Development of ICD-10Development of ICD-10 Goals of the tenth revision: Goals of the tenth revision:
Expand the content, purpose, and scope Expand the content, purpose, and scope of the systemof the system
Include ambulatory care servicesInclude ambulatory care services Increase clinical skillsIncrease clinical skills Capture risk factors in primary careCapture risk factors in primary care Identify emergent diseasesIdentify emergent diseases Group diagnoses for epidemiological Group diagnoses for epidemiological
purposespurposes
Why ICD-10-CM?Why ICD-10-CM? ICD-9-CM is outdated and obsolete due ICD-9-CM is outdated and obsolete due
to HIPAA’s requirements for electronic to HIPAA’s requirements for electronic transactions transactions
ICD-9-CM was originally designed for ICD-9-CM was originally designed for indexing purposes; now, also being used indexing purposes; now, also being used for reimbursement.for reimbursement.
Enhance the efficiency of clinical data Enhance the efficiency of clinical data collection and the quality of collection and the quality of administrative data.administrative data.
Benefits of ICD-10-CMBenefits of ICD-10-CM
Provides greater specificity, Provides greater specificity, Allows the possibility of greater Allows the possibility of greater
expansion of codes.expansion of codes. Extends beyond classification of Extends beyond classification of
diseases and injuries to include risk diseases and injuries to include risk factors in a primary care setting.factors in a primary care setting.
Benefits of ICD-10 (Continued)Benefits of ICD-10 (Continued) Includes recently identified diseases.Includes recently identified diseases. Updates general terminology and Updates general terminology and
disease classification to be consistent disease classification to be consistent with accepted and current clinical with accepted and current clinical practice.practice.
Provides more detailed information to Provides more detailed information to providers, payers, and policy makers.providers, payers, and policy makers.
Improvements in ICD-10-CMImprovements in ICD-10-CM Conditions are grouped more logically.Conditions are grouped more logically. Subcategory titles are more complete.Subcategory titles are more complete. Fifth- and sixth-character Fifth- and sixth-character
subclassifications are incorporated into subclassifications are incorporated into codes.codes.
Laterality of conditions is incorporated at Laterality of conditions is incorporated at the fifth- and sixth-character levels.the fifth- and sixth-character levels.
Specificity has been increased.Specificity has been increased. Extensions provide more information.Extensions provide more information.
What Is ICD-10-CM?What Is ICD-10-CM?
The system consists of more than 68,000 The system consists of more than 68,000 codes, compared to approximately 13,000 codes, compared to approximately 13,000 ICD-9-CM codes. ICD-9-CM codes.
ICD-10-CM codes have the potential to ICD-10-CM codes have the potential to reveal more about quality of care, reveal more about quality of care,
ICD-10-CM incorporates greater specificity ICD-10-CM incorporates greater specificity and clinical detail to provide information for and clinical detail to provide information for clinical decision making and outcomes clinical decision making and outcomes research. research.
What Is ICD-10-CM?What Is ICD-10-CM?
ICD-10-CM codes may consist of up to ICD-10-CM codes may consist of up to seven digits, with the seventh digit seven digits, with the seventh digit extensions representing visit encounter or extensions representing visit encounter or sequelae for injuries and external causes. sequelae for injuries and external causes. The difference in code structure is shown The difference in code structure is shown in the figure above. in the figure above.
ICD-9-PCSICD-9-PCS
ICD-10-PCS is a procedural coding ICD-10-PCS is a procedural coding system developed under contract by the system developed under contract by the Center for Medicare & Medicaid Services Center for Medicare & Medicaid Services (CMS) (CMS)
Replacement of the ICD-9-CM procedural Replacement of the ICD-9-CM procedural coding system for hospital reporting of coding system for hospital reporting of inpatient procedures. inpatient procedures.
7-character alphanumeric code structure. 7-character alphanumeric code structure.
Brief Comparison of ICD-10-CM Brief Comparison of ICD-10-CM
with ICD-9-CMwith ICD-9-CM General/overall improvements:General/overall improvements: ICD-10-CM codes are alphanumeric and ICD-10-CM codes are alphanumeric and
include all letters except U.include all letters except U. ICD-9-CM’s V and E codes are ICD-9-CM’s V and E codes are
incorporated into the main classification in incorporated into the main classification in ICD-10-CM.ICD-10-CM.
Maximum length of codes in ICD-10-CM is Maximum length of codes in ICD-10-CM is seven characters.seven characters.
ICD-10-CM offers information relative to ICD-10-CM offers information relative to ambulatory and managed care encounters.ambulatory and managed care encounters.
Comparing ICD-9-CMComparing ICD-9-CM and ICD-10-CM and ICD-10-CM
Similarities in Structure and Similarities in Structure and TermsTerms
ICD-10-CM has the same type of ICD-10-CM has the same type of hierarchy in its structure as ICD-9-CM. hierarchy in its structure as ICD-9-CM.
All codes have the same first three digits All codes have the same first three digits describing common traits, describing common traits, each character beyond the first three each character beyond the first three
providing more specificity providing more specificity
ICD-10-CM Structure ICD-10-CM Structure
ICD-10-CM has an index and tabular list ICD-10-CM has an index and tabular list similar to those of ICD-9-CM. similar to those of ICD-9-CM.
ICD-10-CM index is much longer. ICD-10-CM index is much longer. As with ICD-9-CM, ICD-10-CM uses an As with ICD-9-CM, ICD-10-CM uses an
indented format for both the index and indented format for both the index and tabular list. tabular list.
Categories, subcategories, and codes are Categories, subcategories, and codes are contained in the tabular list contained in the tabular list
Organizational Changes Organizational Changes While ICD-10-CM has the same type of hierarchical While ICD-10-CM has the same type of hierarchical structure as ICD-CM, some differences in organization:structure as ICD-CM, some differences in organization:
ICD-10-CM consists of 21 chapters. ICD-10-CM consists of 21 chapters.
Some chapters include the addition of a sixth Some chapters include the addition of a sixth character. character.
ICD-10-CM includes full code titles for all codes (no ICD-10-CM includes full code titles for all codes (no references back to common fourth and fifth digits). references back to common fourth and fifth digits).
V and E codes are no longer supplemental V and E codes are no longer supplemental classifications.classifications.
Organizational ChangesOrganizational Changes
Sense organs have been separated Sense organs have been separated from nervous system disorders. from nervous system disorders.
Injuries are grouped by anatomical site Injuries are grouped by anatomical site rather than injury category. rather than injury category.
Postoperative complications have been Postoperative complications have been moved to procedure-specific body moved to procedure-specific body system chapter.system chapter.
New Features New Features
ICD-10-CM has numerous new featuresICD-10-CM has numerous new features
allowing for greater level of specificityallowing for greater level of specificity Combination codes for conditions and Combination codes for conditions and
common symptoms or manifestations common symptoms or manifestations Combination codes for poisonings and Combination codes for poisonings and
external causes external causes Added laterality Added laterality
New FeaturesNew Features
Added extensions for episode of care Added extensions for episode of care Expanded codes (injury, diabetes, Expanded codes (injury, diabetes,
alcohol/substance abuse, postoperative alcohol/substance abuse, postoperative complications) complications)
Inclusion of trimester in obstetrics codes Inclusion of trimester in obstetrics codes and elimination of fifth digits for episode of and elimination of fifth digits for episode of care care
New FeaturesNew Features
Expanded detail relevant to ambulatory Expanded detail relevant to ambulatory and managed care encounters and managed care encounters
Changes in timeframes specified in certain Changes in timeframes specified in certain codes codes
External cause codes no longer a External cause codes no longer a supplementary classification supplementary classification
Inclusion of trimester in obstetrics codes Inclusion of trimester in obstetrics codes and elimination of fifth digits for episode of and elimination of fifth digits for episode of care care
New FeaturesNew Features
Expanded detail relevant to ambulatory Expanded detail relevant to ambulatory and managed care encounters and managed care encounters
Changes in timeframes specified in certain Changes in timeframes specified in certain codes codes
External cause codes no longer a External cause codes no longer a supplementary classificationsupplementary classification
New FeatureNew Feature
An additional feature is the expansion of An additional feature is the expansion of codes for certain conditions. codes for certain conditions.
Two examples are diabetes mellitus and Two examples are diabetes mellitus and postoperative complication codes. postoperative complication codes.
New Features—DiabetesNew Features—Diabetes
Diabetes mellitus codes are expanded to Diabetes mellitus codes are expanded to include the classification of the diabetes include the classification of the diabetes and the manifestation. and the manifestation.
The category for diabetes mellitus has The category for diabetes mellitus has been updated to reflect the current clinical been updated to reflect the current clinical classification of diabetes classification of diabetes
No longer classified a controlled or No longer classified a controlled or uncontrolled: uncontrolled:
New Features--DiabetesNew Features--Diabetes
E08.22, Diabetes mellitus due to an E08.22, Diabetes mellitus due to an underlying condition with diabetic chronic underlying condition with diabetic chronic kidney disease kidney disease
E09.52, Drug or chemical induced diabetes E09.52, Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy mellitus with diabetic peripheral angiopathy with gangrene with gangrene
E10.11, Type 1 diabetes mellitus with E10.11, Type 1 diabetes mellitus with ketoacidosis with coma ketoacidosis with coma
E11.41, Type 2 diabetes mellitus with E11.41, Type 2 diabetes mellitus with diabetic mononeuropathydiabetic mononeuropathy
New Features--ComplicationsNew Features--Complications ICD-10-CM provides 50 different codes for “complications of foreign body accidently left in ICD-10-CM provides 50 different codes for “complications of foreign body accidently left in
body following a procedure,” compared to only one code in ICD-9-CM. body following a procedure,” compared to only one code in ICD-9-CM. Examples include: (next) Examples include: (next)
New Features--ComplicationsNew Features--Complications
T81.535, Perforation due to foreign body T81.535, Perforation due to foreign body accidently left in body following heart accidently left in body following heart catheterization catheterization
T81.530, Perforation due to foreign body T81.530, Perforation due to foreign body accidently left in body following surgical accidently left in body following surgical operation operation
T81.524, Obstruction due to foreign body T81.524, Obstruction due to foreign body accidently left in body following endoscopic accidently left in body following endoscopic examination examination
New Features- Fracture ExtensionsNew Features- Fracture Extensions
Code extensions (seventh character) have Code extensions (seventh character) have been added for injuries and external been added for injuries and external causes to identify the encounter:causes to identify the encounter: A Initial encounter A Initial encounter D Subsequent encounter D Subsequent encounter S SequelaeS Sequelae
Fracture codes require a seventh character that Fracture codes require a seventh character that identifies if the fracture is open or closed for an identifies if the fracture is open or closed for an initial encounter or if a subsequent encounter is initial encounter or if a subsequent encounter is for routine healing, delayed healing, nonunion, for routine healing, delayed healing, nonunion, malunion, or sequelae. malunion, or sequelae.
The fracture extensions are: The fracture extensions are: A Initial encounter for closed fracture A Initial encounter for closed fracture B Initial encounter for open fracture B Initial encounter for open fracture D Subsequent encounter for fracture with routine D Subsequent encounter for fracture with routine
healing healing
Laterality in Fracture CodingLaterality in Fracture Coding
G Subsequent encounter for fracture with delayed G Subsequent encounter for fracture with delayed healing healing
K Subsequent encounter for fracture with nonunion K Subsequent encounter for fracture with nonunion P Subsequent encounter for fracture with malunion P Subsequent encounter for fracture with malunion S Sequelae S Sequelae
An example is code S42.321A, Displaced An example is code S42.321A, Displaced transverse fracture of shaft of humerus, right transverse fracture of shaft of humerus, right arm, initial encounter for closed fracture. arm, initial encounter for closed fracture.
ICD-10-CM Code ExamplesICD-10-CM Code Examples
ICD-10-CM consists of new features and ICD-10-CM consists of new features and greater specificity greater specificity
Combination Codes for Poisonings and Combination Codes for Poisonings and the External Cause the External Cause T39.011, Poisoning by aspirin, accidental T39.011, Poisoning by aspirin, accidental
(unintentional) (unintentional) T39.012, Poisoning by aspirin, intentional self T39.012, Poisoning by aspirin, intentional self
harm harm T39.013, Poisoning by aspirin, assault T39.013, Poisoning by aspirin, assault T39.014, Poisoning by aspirin, undetermined T39.014, Poisoning by aspirin, undetermined
ICD-10-CM Code ExamplesICD-10-CM Code Examples
Combination Codes for Conditions and Combination Codes for Conditions and Common Symptoms Common Symptoms I25.110, Arteriosclerotic heart disease of I25.110, Arteriosclerotic heart disease of
native coronary artery with unstable angina native coronary artery with unstable angina pectoris pectoris
K50.013, Crohn’s disease of small intestine K50.013, Crohn’s disease of small intestine with fistula with fistula
K71.51, Toxic liver disease with chronic active K71.51, Toxic liver disease with chronic active hepatitis with ascites hepatitis with ascites
ICD-10-CM Code ExamplesICD-10-CM Code Examples
Laterality Laterality C50.212, Malignant neoplasm of upper-C50.212, Malignant neoplasm of upper-
inner quadrant of left female breast inner quadrant of left female breast H02.835, Dermatochalasis of left lower H02.835, Dermatochalasis of left lower
eyelid eyelid I80.01, Phlebitis and thrombophlebitis of I80.01, Phlebitis and thrombophlebitis of
superficial vessels of right lower extremity superficial vessels of right lower extremity L89.213, Pressure ulcer of right hip, stage III L89.213, Pressure ulcer of right hip, stage III
Coding System ChangesCoding System Changes
CPT and HCPCS Level II will continue to CPT and HCPCS Level II will continue to be used for:be used for: Physician and other professional servicesPhysician and other professional services Procedures performed in hospital outpatient Procedures performed in hospital outpatient
departments and other outpatient facilitiesdepartments and other outpatient facilities
Improvements in ICD-10-CM Improvements in ICD-10-CM CodesCodes
Etiologies and manifestations are grouped in Etiologies and manifestations are grouped in combination codes.combination codes.
Code titles have been changed to reflect new Code titles have been changed to reflect new technology and recent terminology.technology and recent terminology.
Codes have been added to describe Codes have been added to describe postoperative or postprocedural conditions.postoperative or postprocedural conditions.
Trimester specificity has been added.Trimester specificity has been added. Many new codes have been added.Many new codes have been added.
Combination Codes Solve Combination Codes Solve Sequencing Dilemmas Sequencing Dilemmas
A single code may be used to classify two A single code may be used to classify two diagnoses, a diagnosis with an associated diagnoses, a diagnosis with an associated sign or symptom, or a diagnosis with an sign or symptom, or a diagnosis with an associated complication. associated complication.
This allows one code to be assigned, This allows one code to be assigned, resulting in fewer cases requiring more resulting in fewer cases requiring more than one code and reducing sequencing than one code and reducing sequencing problems problems
Sequencing Dilemmas contd.Sequencing Dilemmas contd.
Manifestation/etiology conditions require Manifestation/etiology conditions require two codes with sequencing mandated by two codes with sequencing mandated by ICD-9-CM.ICD-9-CM.
Brackets in the index identified that the Brackets in the index identified that the etiology (diabetes mellitus) code was etiology (diabetes mellitus) code was sequenced before the manifestation sequenced before the manifestation (diabetic nephropathy).(diabetic nephropathy).
Sequencing Dilemmas contdSequencing Dilemmas contd
In cases when ICD-9-CM did not indicate In cases when ICD-9-CM did not indicate correct sequencing, coding was not clear-correct sequencing, coding was not clear-cut, and cut, and Coding ClinicCoding Clinic advice was needed advice was needed to sequence conditions appropriately. to sequence conditions appropriately.
The ICD-10-CM use of combination codes The ICD-10-CM use of combination codes has greatly simplified this process has greatly simplified this process
Sequencing Dilemmas contdSequencing Dilemmas contd
Combination codes are also available for Combination codes are also available for external causes and poisonings, with external causes and poisonings, with information combined into one code information combined into one code (including the drug involved) making those (including the drug involved) making those difficult sequencing rules obsolete.difficult sequencing rules obsolete.
Combination Code ExamplesCombination Code Examples
Examples of these combination codes include:Examples of these combination codes include: I25.110, Atherosclerotic heart disease of native I25.110, Atherosclerotic heart disease of native
coronary artery with unstable angina coronary artery with unstable angina pectoris pectoris
E10.21, Type 1 diabetes mellitus with diabetic E10.21, Type 1 diabetes mellitus with diabetic nephropathy nephropathy
N30.01, Acute cystitis with hematuria N30.01, Acute cystitis with hematuria T39.011A, Poisoning by aspirin, accidental T39.011A, Poisoning by aspirin, accidental
(unintentional), initial encounter (unintentional), initial encounter
Full Descriptions Reduce Cross-Full Descriptions Reduce Cross-ReferencingReferencing
ICD-10-CM has made every attempt to ICD-10-CM has made every attempt to write out the full code title for all codes, write out the full code title for all codes, decreasing cross-references. decreasing cross-references.
This change provides greater This change provides greater comprehension of the meaning of the comprehension of the meaning of the code, as well as facilitates computer code, as well as facilitates computer applications. applications.
Choosing Sides with Laterality Choosing Sides with Laterality
ICD-10-CM includes codes for laterality ICD-10-CM includes codes for laterality (unclassified in ICD-9-CM). (unclassified in ICD-9-CM).
Codes for left side, right side, and in some Codes for left side, right side, and in some cases bilateral are available in appropriate cases bilateral are available in appropriate chapters. chapters.
If the side is not documented in the If the side is not documented in the medical record, an unspecified side code medical record, an unspecified side code is available. is available.
Choosing Sides with LateralityChoosing Sides with Laterality
The majority of the affected codes are in The majority of the affected codes are in the neoplasm and injury chapters. The the neoplasm and injury chapters. The classification of this information can be classification of this information can be very beneficial in reporting claims for very beneficial in reporting claims for payment, payment,
Examples of these types of codes Examples of these types of codes include:include:
C50.511, Malignant neoplasm of lower-C50.511, Malignant neoplasm of lower-outer quadrant of right female breast outer quadrant of right female breast
M21.722, Unequal limb length (acquired), M21.722, Unequal limb length (acquired), left humerus left humerus
S72.344A, Nondisplaced spiral fracture of S72.344A, Nondisplaced spiral fracture of shaft of right femur, initial encounter for shaft of right femur, initial encounter for closed fracture closed fracture
Expanded Codes Capture More Expanded Codes Capture More DetailDetail
Expanded codes are available in many Expanded codes are available in many sections of ICD-10-CM, particularly in the sections of ICD-10-CM, particularly in the injury, diabetes, alcohol and substance injury, diabetes, alcohol and substance abuse, and postoperative complication abuse, and postoperative complication sections. sections.
Expanded Codes Capture More Expanded Codes Capture More DetailDetail
There are five categories for diabetes inThere are five categories for diabetes inICD-10-CM: ICD-10-CM: E08, Diabetes due to underlying condition; E08, Diabetes due to underlying condition;
E09, Drug or chemical induced diabetes; E09, Drug or chemical induced diabetes; E10, Type 1 diabetes;E10, Type 1 diabetes;
E11, Type 2 diabetes; and E11, Type 2 diabetes; and E13, Other specified diabetes mellitus. E13, Other specified diabetes mellitus. Controlled or uncontrolled is not a Controlled or uncontrolled is not a
classification in ICD-10-CM.classification in ICD-10-CM.
Expanded CodesExpanded Codes
Injuries are grouped by body part rather Injuries are grouped by body part rather than by categories of injury, so that all than by categories of injury, so that all injuries of the specific site (such as head injuries of the specific site (such as head and neck) are grouped together rather and neck) are grouped together rather than groupings of all fractures or all open than groupings of all fractures or all open wounds.wounds.
Extensions Specify EncounterExtensions Specify Encounter
ICD-9-CM limitations have created ICD-9-CM limitations have created challenges in assigning codes for specific challenges in assigning codes for specific aftercare encounters in the outpatient and aftercare encounters in the outpatient and postacute care settings. postacute care settings.
ICD-10-CM has added code alpha ICD-10-CM has added code alpha character extensions (seventh character) character extensions (seventh character) in appropriate sections to provide specific in appropriate sections to provide specific information about the characteristics of the information about the characteristics of the encounter.encounter.
Extensions Specify EncounterExtensions Specify Encounter
In the injury and external cause sections, In the injury and external cause sections, the extension classifies an initial the extension classifies an initial encounter, subsequent encounter, or encounter, subsequent encounter, or sequelae of an encounter. sequelae of an encounter.
Extensions have different meanings Extensions have different meanings depending on the section, but common depending on the section, but common extensions are:extensions are:
Extensions Specify EncounterExtensions Specify Encounter
A, Initial encounter A, Initial encounter D, Subsequent encounter D, Subsequent encounter S, Sequelae S, Sequelae
In code S81.012, Laceration without In code S81.012, Laceration without foreign body, left knee, the seventh foreign body, left knee, the seventh character would be A for an initial character would be A for an initial encounter, D for subsequent encounter, or encounter, D for subsequent encounter, or S for sequelae.S for sequelae.
Structure of ICD-10-CMStructure of ICD-10-CM The international ICD-10 classification is The international ICD-10 classification is
published in three volumes:published in three volumes: Volume 1: Tabular ListVolume 1: Tabular List
Volume 2: GuidelinesVolume 2: Guidelines
Volume 3: Alphabetic IndexVolume 3: Alphabetic Index
ICD-10-CM includes only two volumes:ICD-10-CM includes only two volumes: Volume 1: Tabular List Volume 1: Tabular List
Volume 2: Alphabetic IndexVolume 2: Alphabetic Index
ICD-10-CM Alphabetic IndexICD-10-CM Alphabetic Index
The Alphabetic Index for ICD-10-CM is The Alphabetic Index for ICD-10-CM is similar to the Alphabetic Index for ICD-9-similar to the Alphabetic Index for ICD-9-CM. CM.
The index is a list of terms related to The index is a list of terms related to diseases, disorders, conditions, diseases, disorders, conditions, poisonings and adverse effects, and poisonings and adverse effects, and external causes. external causes.
The function of the index is to help users The function of the index is to help users locate codes in the classification.locate codes in the classification.
Mapping Between Old and NewMapping Between Old and New
General equivalency maps (GEMS) have General equivalency maps (GEMS) have been developedbeen developed
GEMS are not crosswalks—they are GEMS are not crosswalks—they are reference mapsreference maps Backward & forward maps available on CMS Backward & forward maps available on CMS
websitewebsite Between ICD9CM and ICD10PCSBetween ICD9CM and ICD10PCS Between ICD9CM and ICD10CMBetween ICD9CM and ICD10CM
Mapping Between Old and NewMapping Between Old and New
Reimbursement map was added to the Reimbursement map was added to the CMS website in 2009CMS website in 2009 Intended for use by payers as a temporaryIntended for use by payers as a temporary
mechanism to allow claims to be processed mechanism to allow claims to be processed by legacy systems until internal systems have by legacy systems until internal systems have been fully converted.been fully converted.
Maps should not be used for coding Maps should not be used for coding
Training for ICD-10-CM Training for ICD-10-CM (Continued(Continued))
Because ICD-10-CM coding requires a Because ICD-10-CM coding requires a higher level of specificity than ICD-9-CM higher level of specificity than ICD-9-CM coding, experts and planners coding, experts and planners recommend users will need a strong recommend users will need a strong background in anatomy and physiology, background in anatomy and physiology, medical terminology, pharmacology, and medical terminology, pharmacology, and medical science to apply the revised medical science to apply the revised classification system.classification system.
Learning the ICD-10-CM Learning the ICD-10-CM System System
National Center for Health Statistics Web National Center for Health Statistics Web site, site, http://www.cdc.gov/nchs/icd/icd10cm.htm
ICD-10-CM GuidelinesICD-10-CM Guidelines
The ICD-10-CM index and tabular list were The ICD-10-CM index and tabular list were released in July 2007; the “Draft ICD-10-released in July 2007; the “Draft ICD-10-CM Official Guidelines” were released in CM Official Guidelines” were released in June 2003 (available at June 2003 (available at www.cdc.gov/nchs/data/icd9/draft_i10guideln.pdf).).
Monitor the National Center for Health Monitor the National Center for Health Statistics Web site for any new versions of Statistics Web site for any new versions of the guidelines, index, and tabular list the guidelines, index, and tabular list before implementation. before implementation.
NCHSNCHS
National Center for Health Statistics. “ICD-10-National Center for Health Statistics. “ICD-10-CM Index and Tabular.” 2007. Available online CM Index and Tabular.” 2007. Available online at at www.cdc.gov/nchs/about/otheract/icd9/icd10cm.htm. .
National Center for Health Statistics. “Draft ICD-National Center for Health Statistics. “Draft ICD-10-CM Official Guidelines.” 2003. Available 10-CM Official Guidelines.” 2003. Available online at online at www.cdc.gov/nchs/data/icd9/draft_i10guideln.pdf. .
ReferencesReferences
ICD-10-CM and ICD-10-PCS Preview, ICD-10-CM and ICD-10-PCS Preview, Anita Anita
Hazelwood, MLS, RHIA, FAHIMA, Carol A Venable, MPH, RHIA, FAHIMA Hazelwood, MLS, RHIA, FAHIMA, Carol A Venable, MPH, RHIA, FAHIMA AHIMA, 2009AHIMA, 2009
ICD-10-CM and ICD-10-PCS Preview, ICD-10-CM and ICD-10-PCS Preview, Ann Ann
Barta, MSA, RHIA, AHIMABarta, MSA, RHIA, AHIMA
ICD-10-CM Field Testing Project, Report ICD-10-CM Field Testing Project, Report on Findings, on Findings, AHA, AHIMA, September 23, 2003AHA, AHIMA, September 23, 2003
ReferencesReferences
National Center for Health Statistics. “ICD-10-National Center for Health Statistics. “ICD-10-CM Index and Tabular.” 2007. Available online CM Index and Tabular.” 2007. Available online at at www.cdc.gov/nchs/about/otheract/icd9/icd10cm.htm..
Article citationArticle citation::Zeisset, Ann. "ICD-10-CM Enhancements: A Zeisset, Ann. "ICD-10-CM Enhancements: A Look at the Features That Will Improve Coding Look at the Features That Will Improve Coding Accuracy" Accuracy" Journal of AHIMAJournal of AHIMA 80, no.2 (February 80, no.2 (February 2009): 55-58. 2009): 55-58.
ReferencesReferences
Barta, Ann; et al.. "ICD-10-CM Primer." Barta, Ann; et al.. "ICD-10-CM Primer." Journal of AHIMAJournal of AHIMA 79, no.5 (May 2008): 79, no.5 (May 2008): 64-66. 64-66.
