1. Transition to ICD 10 CM Diagnostic Code Set
June 2014

2. Workshop Agenda - June 23rd 2014
Highlights of the Previously Shared ICD10 CM Presentation
Stakeholder Preparation for Transition
Phases: Transition to ICD 10 CM
Establishing ICD 10 Transition Working Group.

3. Workshop Agenda - June 23rd 2014
Providers and payers were invited to a 2 hour workshop – about 100 members came
HAAD presented the “Transition to ICD 10 Diagnostic Code Set presentation” and answered related questions
HAAD invited volunteers to represent payers and providers to create a working group to facilitate the transition
Supporting material for each of the transition phases is published on Shafafiya

4. Arial Stakeholders’ Transition Working
Group Representatives (pending contact s*)
HAAD
Lina Jichi (Chair)
Michelea Peech
Marwan Al Naboulsi
Mohammad Al Haj
Luis Perfetti
Providers
Public Providers:
Seha
Mubadala Health Care
Private Providers
Al Noor
Ahlia
NMC
Burjeel
Oasis
Advanced Cure Diag. Ctr.
Western Region??
Payers
Public Payers:
Daman
Private Payers
ADNIC
TPA
NAS
Vendors and others 3M
Accumed
Abu Dhabi Police

5. Highlights ICD-10-CM/PCS:
Incorporates much greater specificity and clinical information, which results in:
Improved ability to measure health care services;
Increased sensitivity when refining grouping and reimbursement methodologies;
Enhanced ability to conduct public health surveillance; and
Decreased need to include supporting documentation with claims;
Includes updated medical terminology and classification of diseases;
In the US as of 2014
ICD-10-CM (Diagnosis)
Will affect inpatient and outpatient
ICD-10-PCS ( Procedures)
Will only affect inpatient in the U.S.
NOT UAE -We have CPT for outpatient & inpatient reimbursement

6. Highlights ICD-10-CM In the US as of 2014
Provides codes to allow comparison of mortality and morbidity data; and
Provides better data for:
Measuring care furnished to patients;
Designing payment systems;
Processing claims;
Providers making clinical decisions;
Tracking public health;
Identifying fraud and abuse; and
Conducting research.
In the US as of 2014
All software will be ICD 10 based
All certified coders will be ICD 10 based
All RVU’s will be ICD 10 based
ICD 9 CM will no longer be updated after 2012

7. DSP voted to retain 1st October, 2015 Deadline
Upgrade to ICD 10 CM
June 2014
DSP voted to retain 1st October, 2015 Deadline
EncouterStart date 1/10/ :01

8. Is it a big change? Comparison ICD-10-CM ICD-9-CM
Mechanical complication of other vascular grafts
156 codes, including
T – Breakdown (mechanical) of aortic
(bifurcation) graft (replacement)
T – Breakdown (mechanical) of carotid arterial
graft (bypass)
T – Breakdown (mechanical) of femoral arterial
T – Breakdown (mechanical) of other vascular grafts
T – Breakdown (mechanical) of unspecified
vascular grafts
T – Displacement of aortic (bifurcation) graft
(replacement)
T – Displacement of carotid arterial graft (bypass)
T – Displacement of femoral arterial graft
(bypass)
T – Displacement of other vascular grafts
ICD-9-CM
Mechanical complication of other vascular device,
implant and graft
1 code (996.1)

9. Comparisons ICD-9 Code Format ICD-10 Code Format ICD-10-CM 68,069
14,025
Diagnosis Codes
ICD-9 Code Format
ICD-10 Code Format X X X X X X X X X X X X
extension
category
etiology, anatomic site, manifestation
category
etiology, anatomic site, severity

10. Comparisons

11. Tentative Timeline

12. Make Your Plan to ICD 10 CM
Phase 1: Implementation plan development and potential impact assessments
Establish interdisciplinary steering committee to develop ICD‐10 implementation strategy
Development of potential impact assessments
Implementation budget
Systems inventory
Identifying the impact from vendors and payer contracts
Vendors and Contracts

13. Make Your Plan to ICD 10 CM Phase 2: Implementation preparation
Training/awareness on Codes and Code uses (data etc) AND documentation
Education on the available GEM and how to use
Phase 3: “Go live” preparation
Confirm with systems vendor(s)
Finalize all systems - testing of systems changes, and provide intensive ICD‐10 education to coding staff.
Complete all in‐house systems changes and testing.
Claims on or after Deadline must use ICD‐10‐CM

14. Any Questions Please Contact
Make Your Plan to ICD 10 CM
ICD-9-CM to data coded under ICD-10-CM due to the differences in the code sets. This will impact reports that compile statistical data for trend analysis
Download GEM from CMS website
Any Questions Please Contact