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Confidential & proprietary ICD-10. Background ICD-10 is part of Health Care Reform and is the coding World Standard. The US is only industrialized nation.

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Presentation on theme: "Confidential & proprietary ICD-10. Background ICD-10 is part of Health Care Reform and is the coding World Standard. The US is only industrialized nation."— Presentation transcript:

1 confidential & proprietary ICD-10

2 Background ICD-10 is part of Health Care Reform and is the coding World Standard. The US is only industrialized nation not using ICD10. WHO utilizes it to analyze epidemics and health trends

3 Disadvantages of ICD-9 ICD-9 has been around for 30 yearsNot CurrentDoesn’t reflect current understanding of diseasesCannot be updated easily

4 Advantages of ICD-10 ICD-10 uses updated terminologyGreater level of detail within the codesEnhanced accuracy and specificityProvides increased flexibility Supports new and refined reimbursement and payment models Allows for better fraud detection and investigation

5 Specific Body System Body Part Characters Each character is independent The value is the same across the code set Terminology All terms have same meaning in both code sets Code Sets are Uniform

6 Clinical Management Codes (CM) = Diagnosis Codes

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8 1234567 S82.844A Nondisplaced bimalleolar fracture of right lower leg, initial encounter for closed fracture 824.4 Bimalleolar fracture ICD-10-CM:

9 Alcohol Abuse and Dependency ICD9 - 14 codes ICD10 - 46 codes

10 Procedural Coding System Codes (PCS) = ICD Procedure Codes

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12 1234567 Section Body system Root operation Body partApproachDeviceQualifier Med/SurgGI systemResectionAppendix Perc/Endoscopic None 0DTJ4ZZ ICD-10: Laparoscopic Appendectomy 0DTJ4ZZ 47.01 Laparoscopic Appendectomy ICD-10-PCS: ICD-9:

13 Repair of skin and subcutaneous tissue ICD9 – 1 code ICD10 – 21 codes


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