October 2015
Be more clinically specific. ICD 10 requires more knowledge in Anatomy & Physiology, Medical Terminology, Pharmacology, and Medical Science, thus expecting more details when reporting.
- 13,000 ICD 9 diagnosis codes expand to 69,000 ICD 10 diagnosis codes
- 25% of ICD 9 CM diagnosis codes have an exact match to ICD 10 CM
- 3% ICD 9 have no match to ICD 10
- 12% of ICD 10 have no match to ICD 9
Codes now reference (for example);
Type: Describes a condition
Malignant, neoplasm, pathological fracture
Temporal factors: relates to a condition to a particular time parameter
Acute, chronic, recurrent
Cause or Contributing factors: describes any contributing factors to the current condition
Allergy, history of tobacco use, infection, trauma
Symptoms, findings, manifestations: describes symptoms as a result of the condition
Insomnia, tenderness, vomiting
Anatomy: identifies the anatomical location related to the condition
Femur, knee, maxillary, ulna
External cause; identifies the cause of injury, poisoning or other consequence of an external factor
Locations of laterality: related to the location of the body
Bilateral, left, right, upper, lower
Complications: any factors that have complicated the condition
Episode: initial, sequel, subsequent
Remember documentation and complete descriptions are key for proper coding. Proper coding is required for proper billing and proper billing equates to proper payment.
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Reasonable attempts have been made to be accurate. However, medical billing, collections, coding and compliance are part science, part art, and even experts sometimes differ. Neither Anesthesia Billing, Inc., the editors, publisher, contributors, or consultants warrant or guarantee the information contained will be applicable or appropriate in all situations. For information specific to your practice, consult a qualified professional.
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Editor: Philip Blann (pblann@anesthesiabilling.com).
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