1. ICD-9 Coding to ICD-10 Coding WINMED HIS Version 8 Intermed Systems, Inc.

2. ICD-10-CM/PCS CPT coding is used for outpatient and office procedures. It is not affected by the transition to ICD-10. ICD-10-PCS is used for inpatient procedure coding in hospital settings. It provides detailed information on procedures and distinct codes for all types of devices. ICD-10-CM is used for diagnosis coding in all health care settings. It describes left vs. right, initial vs. subsequent encounter, routine vs. delayed healing, and non-union vs. mal-union. ICD-10 consists of two parts, CM and PCS:

3. Partial Code Freeze On Oct. 1, 2012 there will be only limited code updates to both ICD-9-CM and ICD-10-CM/PCS code sets. On Oct. 1, 2013 there will be only limited updates to the ICD-10 code sets. These limited updates will capture new technology and new diseases only. On Oct. 1, 2014 regular updates to ICD-10 will begin, ending the freeze.

4. ICD-10 vs. ICD-9 Coding Outline DescriptionICD-10ICD-9 Certain infectious and parasitic diseasesA00 - B99001 - 139 NeoplasmsC00 - D49140 - 239 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism D50 - D89280 - 289 Endocrine, nutritional and metabolic diseasesE00 - E89240 - 279 Mental and behavioral disordersF01 - F99290 - 319 Diseases of the nervous systemG00 - G99320 - 359 Diseases of the eye and adnexaH00 - H59360 - 379

5. ICD-10 vs. ICD-9 Coding Outline DescriptionICD-10ICD-9 Diseases of the ear and mastoid processH60 - H95380 - 389 Diseases of the circulatory systemI00 - I99390 - 459 Diseases of the respiratory systemJ00 - J99460 - 519 Diseases of the digestive systemK00 - K94520 - 579 Diseases of the skin and subcutaneous tissueL00 - L99680 - 709 Diseases of the musculoskeletal system and connective tissue M00 - M99710 - 739 Diseases of the genitourinary systemN00 - N99580 - 629

6. ICD-10 vs. ICD-9 Coding Outline DescriptionICD-10ICD-9 Pregnancy, childbirth and the puerperiumO00 - O99630 - 676 Certain conditions originating in the perinatal period P00 - P96760 - 779 Congenital malformations, deformations and chromosomal abnormalities Q00 - Q99740 - 759 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified R00 - R99780 - 789 Injury, poisoning and certain other consequences of external causes S00 - T88800 - 999 External causes of morbidityV00 - Y99E800 - E999 Factors influencing health status and contact with health services Z00 - Z99V01 - V82

7. ICD-10-PCS codes are composed of seven characters. Each character represents a category about the procedure: Each character can have one of 34 possible values: The numbers 0 through 9 The letters of the alphabet (except I and O) ICD-10-PCS Code Design Section Root Operation Approach Qualifier 2 Body System Body Part Device 1st2nd3rd4th5th6th7th

8. 1st CharacterDescription 0Medical Surgical 1Obstetrics 2Placement 3Administration 4Measurement and Monitoring 5Extracorporeal Assistance and Performance 6Extracorporeal Therapies 7Osteopathic 8Other Procedures 9Chiropractic ICD-10-PCS Medical Surgical

9. 1st CharacterDescription BImaging CNuclear Medicine DRadiation Oncology F Physical Rehabilitation and Diagnostic Audiology GMental Health HSubstance Abuse Treatment ICD-10-PCS Ancillary Sections

10. Medical and Surgical 61,896 Obstetrics 300 Placement 861 Administration1,384 Measurement and Monitoring 339 Extracorporeal Assistance and Performance41 Extracorporeal Therapies42 Osteopathic100 Other Procedures60 Chiropractic90 Imaging2,934 Nuclear Medicine463 Radiation Oncology1,939 Rehabilitation and Diagnostic Audiology1,380 Mental Health30 Substance Abuse Treatment59 Total71,918 ICD-10-PCS Code Totals

11. There are currently 17,170 ICD-9 Diagnosis codes.7,418 of them have no direct ICD-10 equivalent.There are currently 4,604 ICD-9 Operative codes.2,185 of them have no direct ICD-10 equivalent.Example: 426.10 Atriovent block NOS, Primary Diagnosis in MDC 05.Example: 00.50 Impl CRT pacemaker sys, OR Procedure in MDC 05.Intermed will supply an Excel Spreadsheet listing of these codes. ICD-9 Codes That Have No ICD-10

12. WinMed HIS ICD9-to-ICD10 Coding

17. End Of Presentation ICD-9 Coding to ICD-10 Coding Intermed Systems, Inc. WINMED HIS Version 8