2017 ICD-10-CM: Updates and Challenges for Orthopedics

2017 ICD-10-CM:Updates and Challenges for

Orthopedics

Presented By:Rachel M. Kaser, BS, CPC, MHSA

AHIMA-Approved ICD-10-CM/PCS TrainerAuditor; The Coding Institute (TCI)

Course Objectives

Recognize new, revised, deleted ICD-10-CM codes taking effect October 1, 2016 pertaining to Orthopedic practices

Avoid setbacks to reimbursement

Utilize expert orthopedic specific tools to accurately select codes necessary for compliance and maximum reimbursement

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ICD-10-CM Updates

Of Note:

The Addenda that was published in June is the complete, final list of code changes going into effect this October

Ensure your Orthopedic practice reviews the Addenda and makes note of any and all changes!

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ICD-10-CM Updates

Much needed ICD-10-CM changes/clarifications:

885 new codes added to Chapter 19 (Injuries Chapter) Increased site specificity for fracture codes of the following sites: neck,

base of skull, facial bones, Salter-Harris calcaneal fractures, and other fractures.

152 new codes added to Chapter 13 (Musculoskeletal Chapter) Additional classifications for bunions, temporomandibular joint

conditions, cervical spine disorders and atypical femoral fractures

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ICD-10-CM Updates

Much needed ICD-10-CM changes/clarifications:

Guidance on the 7th character applications in Chapter 19

When aftercare Z codes are appropriate instead of injury codes as it pertains to Orthopedics

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Medical Necessity

Ensure medical necessity is met for:

Hip and knee replacements

Arthoscopic femoral acetabular impingement repairs

Knee Arthroscopies

Pelvic ring fractures

Hip fractures

Femur fractures

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Seventh Characters

Youll apply a seventh character to these codes from the following list:

A initial encounter for fracture

D subsequent encounter for fracture with routine healing

G subsequent encounter for fracture with delayed healing

K subsequent encounter for fracture with nonunion

P subsequent encounter for fracture with malunion

S sequela

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Atypical Fractures

Rationale: Atypical fracture

Fosamax fracture May refer to an atypical fracture

Track all such atypical femoral fractures

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Atypical Fractures

Defining as Fosamax Fracture: Large population of patients may be missed

These fractures can occur in absence of taking these drugs

Review clinical documentation to verify codes are not unspecified

Best practice includes: Providing ongoing clinical documentation improvement

Providing feedback to the physician including guidance on capturing the specific data requirements

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Atypical Fracture Codes

ICD-10: Adopt These New Atypical Fracture Diagnoses Starting October 1: M84.750: Atypical femoral fracture, unspecified

M84.751: Incomplete atypical femoral fracture, right leg

M84.752: Incomplete atypical femoral fracture, left leg

M84.753: Incomplete atypical femoral fracture, unspecified leg

M84.754: Complete transverse atypical femoral fracture, right leg

M84.755: Complete transverse atypical femoral fracture, left leg

M84.756: Complete transverse atypical femoral fracture, unspecified leg

M84.757: Complete oblique atypical femoral fracture, right leg

M84.758: Complete oblique atypical femoral fracture, left leg

M84.759: Complete oblique atypical femoral fracture, unspecified leg

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ICD-10-CM Updates

FY 2017: The new codes are M and S for Orthopedics

Over thousands of new codes added to this specialty!

Brand new codes for Salter-Harris fractures

Addition of completely new, necessary codes within this specialty

New syntax for existing codes

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https://www.supercoder.com/medical-coding-webinars/2017-icd-10-cm-updates-and-challenges-for-orthopedics?utm_source=webinar-pdf&utm_medium=icd-10-orthopedics&utm_campaign=scc-org

2017 ICD-10-CM: Updates and Challenges for Orthopedics

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2017 ICD-10-CM: Updates and Challenges for Orthopedics

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