1. ICD-10 Transition August 7, 2013

2. Some Statistics October 1, 2014 – ICD-10 Day US is the only country using ICD-9 today ICD-9ICD-10 Code Length3 to 5 digits3 to 7 digits Diagnosis Codes 14,00068,000 Procedure Codes 4,00087,000 CM Manual Chapters 1721

3. What is the Difference? ICD-10 codes contain greater detail and many codes have laterality as part of the code description in addition to the type of encounter. Example: S61.142A denotes a puncture wound with foreign body of left thumb with damage to nail, initial encounter. (The “A” denotes an initial encounter.)

4. How Do We Choose? No practice will use all 68,000 General Equivalency Mappings (GEMS) are available to perform ‘crosswalks’ to see the coding structure differences Codes still need to be selected using the Index and Tabular lists. Coders may need additional training in terminology and/or anatomy for accuracy

5. Sounds Like a lot of Work Short answer: YES Overall increase in documentation, resulting in: – More time required – Fewer patients seen – Additional payer interaction to verify appropriate, billable codes

6. Resources EHR as a Powerful Tool in ICD- 10 Conversion How to Survive the ICD-10- CM/5010 Transition Make ICD-10 Easier MGMA anticipates problems, disruptions with ICD-10: Q&A