1. PREPARING FOR ICD-10 PRESENTED BY: EILEEN SEAGRAVES,
COT
2. Introduction Learn what ICD-10 is Learn to search for ICD-10
codes and convert from ICD-9 to ICD-10 Discuss staff implementation
plan
3. What is ICD-10 ICD, International Classification of Diseases
created by World Health Organization (WHO) We currently use ICD-9
codes; Sweden began using ICD-10 in 1997! The WHO deemed ICD-9
codes to be too vague and so created ICD-10 codes The
implementation deadline is October 1, 2015 We need to take this
time to practice and send out test claims
4. Overview Learn about ICD-10 Practice, Test, and Implement!
Learn Practice Test Implement
5. Vocabulary Glossary of terms Laterality has a left, right,
or bilateral side Sequela - a further condition that is different
to, but a consequence of, the first condition (time has no bearing)
Side note: we now have specificity for upper and lower lids, as
well
7. ICD-9 vs. ICD-10 ICD-9 format: 111.1 or 111.11 ICD-10
format: H11.1, H11.11, or H11.1- Example for Hyperopia H52.0-
H52.01 Hypermetropia right eye H52.02 Hypermetropia left eye H52.03
Hypermetropia bilateral Presbyopia is only H52.4! No dash means
there is no additional instructional materials so always look up
codes thoroughly
8. ICD-10 Format
9. Chapters Chapter Topic ICD-10 Codes 1 Certain Infectious and
Parasitic Diseases A00-B99 2 Neoplasms C00-D49 3 Diseases of the
blood and blood forming organs and certain disorders involving the
immune mechanism D50-D89 4 Endocrine, Nutrional, and Metabolic
Diseases E00-E89 5 Mental and behavioral disorders F01-F99 6
Diseases of the Nervous System G00-G99 7 Diseases of the Eye and
Adnexa H00-H59 8 Diseases of the Ear and Mastoid Process H60-H95 9
Diseases of Circulatory System I00-I99 10 Dieseases of Respiratory
System J00-J99 11 Diseases of the Digestive System K00-K94
10. Chapters Contd Chapter Topic ICD-10 Codes 12 Diseases of
Skin and Subcutaneous System L00-L99 13 Diseases of Musculoskeletal
System and Connective Tissue M00-M99 14 Diseases of the
Genitourinary System N00-N99 15 Pregnancy, Childbirth, and the
Puerperium O00-O99 16 Certain conditions originating in the
perinatal period P00-P96 17 Congenital malformations, deformations,
and chromosomal abnormalities Q00-Q99 18 Symptoms, Signs, and
abnormal clinical lab findings, NEC R00-R99 19 Injury, poisoning,
and certain other consequences of external causes of mobidity
S00-T88 20 External causes of morbidity V00-Y99 21 Factors
influencing health status and contact with health services
Z00-Z99
11. Subchapters H00 Hordeolum & Chalazion H31 Other
disorders of choroid H01 Other inflammation of eyelid H33 Retinal
detachments and breaks H02 Other disorders of eyelid H34 Retinal
vascular occlusions H04 Disorders of lacrimal system H35 Other
retinal disorders H05 Disorders of orbit H40 Glaucoma H10
Conjunctiva H42 Glaucoma in diseases classified elsewhere H11 Other
disorders of conjunctiva H43 - Disorders of vitreous body and globe
H15 Disorders of sclera H44 Disorders of globe H16 Keratitis H46
Optic Neuritis H17 Corneal scars and opacitities H47 Other
disorders of optic (2nd) nerve and visual pathways H18 Other
disorders of the cornea H49 Paralytic strabismus H20 Iridocyclitis
H50 Other strabismus H21 Other disorders of iris and ciliary body
H51 Other disorders of binocular movement H22 Disorders of iris and
ciliary body in diseases classified elsewhere H52 Disorders of
refraction and accommodation H25 Age related cataract H53 Visual
disturbances H26 Other cataract H54 Blindness and low vision H27
Other disorders of lens H55 Nystagmus and other irregular eye
movements H28 Cataract in diseases classified elsewhere H57 Other
disorders of eye and adnexa H30 Chorioretinal inflammation H59
Intraoperative and postprocedural complications and disorders of
eye and adnexa, NOC
12. Learn - How to Look Up ICD-10 Codes You may start in the
Alphabetic Index or Tabular Index; however, to code appropriately,
use the Tabular Index Alphabetic Index Tabular Index
13. Learn - How To Look Up ICD-10 Codes 1. Look up the main
term in the Alphabetic Index (it does not always use common sense)
Example: Age related nuclear sclerotic cataract is: Cataract senile
Nuclear (sclerosis) H25.1- H25.11 Age-related nuclear cataract,
right eye H25.12 Age-related nuclear cataract, left eye H25.13
Age-related nuclear cataract, bilateral
14. Learn - How To Look Up ICD-10 Codes 2. Observe the
punctuation and cross-reference any notation 3. Add the appropriate
seventh character, when indicated The seventh character may be one
of the following: A initial encounter D subsequent encounter S
sequel or sequel (condition resulting from a disease, injury, or
other trauma) X is used as a placeholder in the 6th position
15. ICD-10 Format
16. Learn - How To Look Up ICD-10 Codes 4. For glaucoma,
staging is required. Add the appropriate final seventh character,
when indicated 0 stage unspecified 1 mild stage 2 moderate stage 3
severe stage 4 indeterminate stage
17. Practice Primary Open Angle Glaucoma Alphabetic Index
Tabular Index Answer: H40.11X0, H40.11X1, H40.11X2, H40.11X3 or
H40.11X4
18. Practice Multiple chalazia are excised for RUL, LUL, and
LLL Alphabetic Index Tabular Index Answer: 1. H00.11 2. H00.14 3.
H00.15
19. Practice Nuclear sclerotic cataract bilateral Alphabetic
Index Tabular Index
20. Team Exercise Look up the diagnosis codes for the following
(assume it is not secondary to any other systemic disease and that
there is proper documentation): 1. A patient who has chronic iritis
OD 2. A patient with a secondary cataract (PCO) OD 3. A patient
with moderate POAG 4. A patient who is bilaterally pseudophakic 5.
A patient with a corneal abrasion OS
22. Implement Hands on practice Test in Test database Consider
use of mobile devices (tablets, phones, etc) Use pocket quick
reference guides Utilize EHR lookup code module