1. Introduction to ICD-10-CM 2015
Teresa L. Martin, C.P.C.
Revenue Cycle Management
Coding Supervisor
Are we all ready for ICD-10? The key to mastering ICD-10 lies in the documentation. If the documentation does not truly paint a picture of the patients condition you will not be able to code to the highest specificity. Causing unnecessary denials and lots of frustration.

3. Guidelines a Good Read
ICD-10-CM Official Guidelines for Coding and Reporting accompany and complement ICD-10-CM conventions and instructions
Adherence to the official coding guidelines in all healthcare settings is required under the Health Insurance Portability and Accountability Act
Any person dealing with coding or claims would benefit from reading the front pages/introduction/ in your diagnosis book. When I teach my coding class this is the very first thing we review. There is a bounty of information on proper coding and what all of the notes and abbreviation and symbols mean and what to do with them. By definition does anyone know when “acute” is used? Acute is used for the primary reason the patient was seen that day. Not the 100 other chronic conditions the patient is being followed for.

4. ICD-10 Final RuleCMS-9998-FC
Published December 7, 2011
•October 1, 2015 –Compliance date for implementation of ICD-10-Clinical
Modification (CM) and ICD-10-Procedure Coding System (PCS)
We are all waiting on pins and needles but it looks like we are finally going to get to experience a new world of coding
It's a new way of coding to a higher lever of specificity. Specialty coders are used to this type of coding but medical practices generally have a “cheat sheet” if you will and providers are used to the “encounter” forms and what they generally mark/recurring conditions or chronic

5. ICD-10 Implementation
•Single implementation date for all users (Oct. 1, 2015)
–Date of service for ambulatory and physician reporting
–Date of discharge for inpatient settings
•ICD-9-CM Codes will not be accepted for services provided on or after
October 1, 2015*
•ICD-9-CM Claims for services prior to implementation date will continue to flow through systems for a period of time
•No grace period
*Non-covered entities, which are not covered by HIPAA such as Workers’ Compensation and auto insurance companies, that use ICD-9-CM may choose not to implement ICD-10- CM/PCS.
Because ICD-9-CM will no longer be maintained after ICD-10-CM/PCS is implemented, it is in non-covered entities’ best interest to use the new coding system. The increased detail in ICD-10-CM/PCS is of significant value to non-covered entities. The Centers for Medicare & Medicaid Services (CMS) will work with non-covered entities to encourage them to use ICD-10-CM/PCS.
Prior to OCT1 we will still use ICD-9. If you code physician hospital services and your admit is on 9-30 you will use dx from ICD-9 all subsequent dates will be coding using ICD-10. Coding guidelines state that you do not code a combination of months on one claim. Sept will be on one and any services on October will be on another claim

8. WHY ICD-10-CM?
We are running out of codes. ICD-9 is not expandable in the current format.
ICD-9 codes are not specific enough and do not reflect current terminology or practice. ICD-9-CM has been in use for almost 30 years.
To provide health care statistics that are more easily comparable worldwide.
One of the huge benefits we will see with the change in diagnosis is more progressive data for statistical information regarding origination of diseases. When used appropriately diagnosis can indicate the origin of an outbreak and give valuable information to pinpoint the source.
This move to the higher level of coding specificity is necessary for clinical trials and tracking of disease processes for study to help find cures for progression and manifestation of diseases and pinpointing the origin of an outbreak.

9. ICD-10: MORE CODES ICD-9-CM has roughly 13,000± diagnosis codes
ICD-10-CM has around 78,000 diagnosis codes and growing
One of the biggest challenge for providers and payers is that there is not a one-to-one correlation of the codes. No direct mapping for many commonly used codes.

10. ICD-10: MORE CHAPTERS
The codes are organized into 21 chapters in ICD-10-CM compared to 17 chapters in ICD-9-CM.
Chapters are classified differently due to the changes in code formats.
Reorganized to give subdivision to body systems.
Injuries are now organized by site and then type of injury.

11. 17 Chapters in ICD-9/21 Chapters in ICD-10 - V codes for ICD-9 have changed to Z in ICD-10 – E codes in ICD-9 are now classified to V-Y
4 new chapters, due to the restructuring, are H00-H59 eye and Adnexa/H60-H95 Ear and Mastoid Process/V00-Y99 External Causes or Morbidity/Z00-Z99
POINT OUT THE EASY USE OF THE TIPS RIGHT SIDE

12. ICD-9 vs ICD-10
ICD-9-CM
First character is numeric or alpha (E-External Causes of Injury and Poisoning or V-Factors Influencing Health Status and contact with Health Services)
3 -5 characters
Characters 2-5 are numeric
Always at least 3 characters
Use of decimal after 3 characters
ICD-10-CM
3 -7 characters
Character 1 is alpha (all letters except U are used)
Character 2 is numeric
Characters 3 -7 are alpha or numeric
Use of decimal after 3 characters
Use of dummy placeholder “X”
Alpha characters are not case-sensitive
The set up is all new to us but the flow is much the same. The letter U is not utilized to make room for future expansion of diagnoses.
17 Chapters in ICD-9/21 Chapters in ICD-10 In a slide to follow I have included the chapter comparison

13. ICD-10-CM: Similarities to ICD-9-CM
Tabular List is a chronological list of codes divided into chapters based on body system or condition
Tabular List is presented in code number order
Same hierarchical structure
Codes are invalid if they are missing an applicable character (use of place holder X required)
Codes are looked up the same way
–Look up diagnostic terms in Alphabetic Index
–Then verify code number in Tabular List
Never code from the alphabetic index. This does not always include the full extension of digits required to complete the diagnosis code.
If your code requires the 7th digit but there is no descriptive digit that would go in 5th and 6th position you will have to use the place holder X to complete your code.

14. ICD-10-CM Injury Changes
–Fractures ( )
–Dislocations ( )
–Sprains and strains( )
ICD-10-CM
–Injuries to the head (S00-S09)
–Injuries to the neck (S10-S19)
–Injuries to the thorax (S20-S29)
10 Specific Body Areas in this category
ICD-10-CM, injuries are grouped by body part rather than by category, so all injuries of a specific site (such as head and neck) are grouped together rather than groupings of all fractures or all open wounds. Categories grouped by injury in ICD-9-CM such as fractures (800–829), dislocations (830–839), and sprains and strains (840–848) are grouped in ICD-10-CM by site, such as injuries to the head (S00–S09), injuries to the neck (S10–S19), and injuries to the thorax (S20–S29).
This is where I like to tell you that until I started teaching potential CPC's I didn’t fully realize how similar both ICD and CPT are in the respect that both follow the body. Top to bottom, in to out. And with the restructuring of the injury section in ICD-10, even thought we know the codes have quadrupled, you will become familiar with the chapter just by knowing anatomical layout of the body. Very important for coders to be up on Anatomy!!!!!

15. ICD-10-CM: Differences from ICD-9-CM
All codes are alphanumeric
–1st character is always alpha and alpha characters may appear elsewhere in the code as well
C50.9 Malignant neoplasm of breast of unspecified site
C50.91 Malignant neoplasm of breast of unspecified site, female
C Malignant neoplasm of unspecified site of right female breast
C Malignant neoplasm of unspecified site of left female breast
C Malignant neoplasm of unspecified site of unspecified female breast
Codes can be up to 7 characters in length
O32.1 Maternal care for breech presentation
O32.1XX0 …… not applicable or unspecified
O32.1XX1 …… fetus 1
O32.1XX2 …… fetus 2
Codes are more specific (as indicated above)
Code titles are more complete (no need to refer back to a category, subcategory, or sub-classification level to determine complete meaning of code)
Some of the chapters make remembering where to look kind of easy: C-cancer-O obstetrics-E endocrine
New Features
ICD-10-CM has numerous new features allowing for a greater level of specificity and clinical detail. These include:
· Combination codes for conditions and common symptoms or manifestations
· Combination codes for poisonings and external causes
· Added laterality
· Added extensions for episode of care
· Expanded codes (injury, diabetes, alcohol/substance abuse, postoperative complications)
· Inclusion of trimester in obstetrics codes and elimination of fifth digits for episode of care
· Expanded detail relevant to ambulatory and managed care encounters
· Changes in timeframes specified in certain codes
· External cause codes no longer a supplementary classification

16. ICD-10-CM: Differences from ICD-9-CM
Laterality (side of the body affected) has been added to relevant codes
S62.501A …… initial encounter for closed fracture phalanx rt thumb
S62.502A …… initial encounter for closed fracture phalanx lt thumb
Expanded use of combination codes
Certain conditions and associated common symptoms or manifestations (Diabetes with Neurological manifestation)
E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy
Injuries grouped by anatomical site rather than type of injury
S00-S09 Injuries to the head
S10-S19 Injuries to the neck
S20-S29 Injuries to the thorax
Codes reflect modern medicine and updated medical terminology
In chapters where laterality play a part the numeric character is continued thru the book. The 6th digit 1 in the example above is right and the 6th digit 2 is left.
Expansion of diabetes codes with manifestations has expanded greatly
Injury codes will be by anatomical site and follow the body head to toe. Did you know that both ICD and CPT follow the body????????/

17. ICD-10-CM Laterality Examples
C Malignant neoplasm of lower-outer quadrant of right female breast
C Malignant neoplasm of lower-outer quadrant of left female breast
C Malignant neoplasm of lower-outer quadrant of unspecified female breast
In the examples the 6th digit identifies the laterality, remember 1 is always right and 2 is always left.
On laterality the main thing to remember is 1 indicates the right side and 2 indicates the left side.
Laterality coding:
There are actually 4 distinctive laterality codes:
In ICD-10, laterality code descriptions include right, left, bilateral, or unspecified designations:
· Right side = character 1;
· Left side = character 2;
· Bilateral = character 3;
· Unspecified side/region = character 0 or 9 (depending on whether it is a 5th or 6th character).

20. ICD-9-CM Structure –Format
496-Chronic Airway Obstruction
Coronary Atherosclerosis Unsp Native/Graft
V55.3-Attention to Colostomy
Codes longer than 3 characters always have decimal point after first 3 characters
Codes are 3 to 5 in character length
1st character: alpha or numeric
2nd through 5th characters: numeric
With the exception of V codes (Factors influencing health status and contact with health services) and E codes (External causes of injury and poisoning) all codes in ICD-9 are Numeric

21. ICD-10-CM Structure – Format
P09-Abnormal Findings on Neonatal Screening
S32.010A-Wedge Compression Fracture of First Lumbar Vertebra, Initial Encounter for Closed Fracture
Codes longer than 3 characters always have decimal point after first 3 characters
Codes are longer in character length
1st character: alpha
2nd through 7th characters: alpha or numeric
7th character used in certain chapters (obstetrics, musculoskeletal, injuries, and external causes of injury)
7th character are found in many coding sections but primarily can be found in Obstetrics (O) identifying fetus #/ Injury and Poisoning ( S and T) identifying the visit as initial-subsequent or sequela

22. ICD-10-CM Code Structure
Category
first three
characters
Etiology, anatomic site, severity, laterality for fourth, fifth, sixth characters (if applicable)
Extension
seventh
character
(if applicable)
Disorder or Disease/Manifestation-Severity-Laterality moving on to encounter
M84 Disorders of continuity of bone
M Stress Fracture, right shoulder
M84.311A Stress fracture, right shoulder; initial encounter

23. ICD-10-CM: Differences from ICD-9-CM
Addition of 7th character
Used in certain chapters to provide information about the characteristic of the encounter
S62.501A …… initial encounter for closed fracture phalanx rt thumb
S62.502A …… initial encounter for closed fracture phalanx lt thumb
Must always be used in the 7th character position
O32.1 Maternal care for breech presentation
O32.1XX1 …… fetus 1
If a code has an applicable 7th character, the code must be reported with an appropriate 7th character value in order to be valid. If no descriptive characters for placement of 5th and 6th then you must use the placeholder X
And now we have to tell the carrier is this the first time this patient is seen for this or are they returning for aftercare etc, We will code the 7th digit as A Initial encounter D Subsequent encounter S Sequelae
And it gets better: Fracture codes require a seventh character that identifies if the fracture is open or closed for an initial encounter or if a subsequent encounter is for routine healing, delayed healing, nonunion, malunion, or sequelae. The fracture extensions are:
· A Initial encounter for closed fracture
· B Initial encounter for open fracture
· D Subsequent encounter for fracture with routine healing
· G Subsequent encounter for fracture with delayed healing
· K Subsequent encounter for fracture with nonunion
· P Subsequent encounter for fracture with malunion
· S Sequelae
First, compare and contrast the code choices for a typical prenatal visit for a woman having a normal first pregnancy.
In ICD-9-CM, you would report V22.0 (supervision of normal first pregnancy).
Z34.03, Encounter for supervision of normal first pregnancy, third trimester
First trimester, less than 14 weeks 0 days Second trimester, 14 weeks 0 days through less than 28 weeks 0 days Third trimester, 28 weeks 0 days until delivery, At the beginning of this chapter you will find ICD-10 definition of trimester aging

24. 7th Character’s A-D-S
A-Initial encounter: As long as patient is receiving active treatment for the condition.
Examples of active treatment are: surgical treatment, emergency department encounter, and evaluation and treatment by a new physician.
D-Subsequent encounter: After patient has received active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase.
Examples of subsequent care are: cast change or removal, removal of external or internal fixation device, medication adjustment, other aftercare and follow up visits following treatment of the injury or condition.
S-Sequela: Complications or conditions that arise as a direct result of a condition (e.g., scar formation after a burn).
Example of sequela care: A patient suffers a low back injury that heals on its own. The patient isn’t seeking intervention for the initial injury, but for the pain that persists long after. The chronic pain is sequela of the injury.

25. ICD-10-CM 7th Character – Fractures
A Initial encounter for closed fracture
B Initial encounter for open fracture
D Subsequent encounter for fracture with routine
healing
G Subsequent encounter for fracture with delayed
K Subsequent encounter for fracture with nonunion
P Subsequent encounter for fracture with malunion
S Sequela
I want to give a high five to any coder or provider in the room that will be coding orthopedic encounters. The addition of laterality and the seventh character requirement above makes this chapter challenge for those of us willing to jump in the pool.
If you can master this chapter of diagnosis coding you are my hero!!!

26. DIAGNOSIS CODE COMPARISON

27. ICD-10-CM: Placeholder “X”
Addition of dummy placeholder “X” is used with certain codes:
–Allows for future expansion
–Fill out empty characters when a code contains fewer than 6 characters and a 7th character is required
When a placeholder character is required, it must be used in order for the code to be considered valid
S90.01 Contusion of right ankle (not a valid diagnosis code)
S90.01xA ……initial encounter (valid diagnosis code)
“X” is not case-sensitive
If you leave it out it will deny. Seventh character and placeholders
Some codes require the use of a seventh character for codes in chapters M, O, R, S, T, V, W, X, Y. If there are fewer than six characters in the code (not counting the decimal point) the placeholder "x" is used to ensure that the seventh character is always in the seventh position. For example, "A" (for initial encounter) is in the seventh position in "S03.4xxA Sprain of jaw, initial encounter".
Lots of chapters with seventh characters but not all codes in the chapter will have seven digits
M-Musculoskeletal/O-Obstetrics/S- Injury etc.

28. INCREASED SPECIFICITY
Laterality (left, right, unilateral, bilateral) There have been modifiers for CPT® codes to report laterality, but never captured in the diagnosis before.
Etiology (cause, organism)
Specific Anatomical Site
Characteristics/Manifestations of the Disease
Presence of Complications
Use of Combination Codes

29. ICD-10-CM Specificity Examples
S72.044G Non-displaced fracture of base of neck of right femur, subsequent encounter for closed fracture with delayed healing
I Sequela of cerebral infarction, Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side (in this example sequela is used differently as the actual effect of the condition not an affect of the condition)
Z47.81 Encounter for orthopedic aftercare following surgical amputation
Z48.21 Encounter for aftercare following heart transplant
ICD-9-CM Code Format ICD-10-CM Code Format :
The first three characters of an ICD-10 code designate the category of the diagnosis. In this instance, the letter “S” designates that the diagnosis relates to “Injuries, poisoning and certain other consequences of external causes related to single body regions.” “S,” used in conjunction with the numerals “7” and “2” indicates that the diagnosis falls into the category of “Fracture of base of neck of the femur non displaced.” A three-character category that has no further subdivision (i.e., no greater specificity) can stand alone as a code. In this case, however, greater specificity is possible, and you should fill in as many “blanks” as you can. The next three characters (characters three through six) correspond to the related etiology (i.e., the cause, set of causes, or manner of causation of a disease or condition), anatomic site, severity, or other vital clinical details. So, in this case, the numbers “0,” “4,” and “4” indicate a diagnosis of “closed fracture with delayed healing of the right femur.” The 7th character G is for the subsequent “return” visit for treatment.

30. SPECIFICITY REDEFINED

31. Combination Codes – Examples
I Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
ICD and 411.1
E Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
ICD , and
K71.51 Toxic liver disease with chronic active hepatitis with ascites
ICD , and
K Crohn’s disease of small intestine with intestinal obstruction
ICD and 560.9
A combination code is a single code used to classify:
· Two diagnoses, or
· A diagnosis with an associated secondary process (manifestation)
· A diagnosis with an associated complication
To allow for a greater level of specificity and clinical detail, ICD-10-CM has expanded combination coding for:
Examples:
· E10.21 Type 1 diabetes mellitus with diabetic nephropathy
· I Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
· K Crohn’s disease of large intestine with intestinal obstruction
Examples:
· T36.0x1D Poisoning by penicillin's, accidental (unintentional), subsequent encounter
· T42.4x5A Adverse effect of benzodiazepines, initial encounter

32. SPECIFICITY: COMPLICATIONS OR SEVERITY OF ILLNESS

33. ICD-10-CM: BE AWARE OF “NOTES”
Many conventions have same meaning
–Abbreviations, punctuation, symbols, notes such as “code first” and “use additional code”
Nonspecific codes (“unspecified” or “not otherwise specified”) are available to use when detailed documentation* to support a more specific code is not available
*Documentation should be reviewed to determine if more details could or should be included to code to a higher level of specificity.
Code first: this note is used for codes not intended to be used as a principal dx, or not to come before the underlying dx polyneuropathy in diabetes will req .
you to code the diabetes first.
Use additional code: this is an indicator for you to add further information 042 hiv notes to use addt'l codes to id all manifestation
Non specific are only used when documentation is vague or no supportive of a more specific diagnosis. All diagnosis should be used to the highest specificity according to the documented record.

34. ICD-10-CM: Excludes Notes
–Indicates that code identified in the note and code where the note appears cannot be reported together because the 2 conditions cannot occur together
Example:
E10 Type 1 Diabetes mellitus
Excludes1: diabetes mellitus due to underlying condition (E08.-)
drug or chemical induced diabetes mellitus (E09.-)
gestational diabetes (O24.4-)
hyperglycemia NOS (R73.9)
neonatal diabetes mellitus (P70.2)
type 2 diabetes mellitus (E11.-)
If the patient has diabetes and is pregnant you would not code gestational diabetes
Most of the codes where Excludes 1 note appears are pretty easy to follow. Always read what is above and below the codes that you are choosing. There is valuable information included in both the ICD-10 and CPT
Excludes1
A type 1 Excludes note is a pure excludes. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

35. ICD-10-CM: Excludes Notes
–Indicates that condition identified in the note is not part of the condition represented by the code where the note appears, so both codes may be reported together if the patient has both conditions
Example:
L89 Pressure ulcer
Excludes2: diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
non-pressure chronic ulcer of skin (L97.-)
skin infections (L00-L08)
varicose ulcer (I83.0, I83.2)
Coding example: Pressure ulcer rt buttock stage 1 L89.311
Type II Diabetes w/other skin ulcer E11.622
Excludes2
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together if applicable.
NOTE THE EXAMPLE CODE ABOVE

36. Tabular Format
Chapters in Tabular are structured similarly to ICD-9-CM, with minor exceptions
RESTRUCTURE–A few chapters have been restructured:
As an example Chapter 2 Neoplasms has key updates
Classification improvements
Code expansions
Significant expansions or revisions related to:
Identifying laterality for some of the neoplasm sites; and
Malignant neoplasm of male breast codes
NEW–Sense organs (eye and ear) separated from Nervous System and moved to their own chapters:
Eye and Adnexa (H00-H59)
Ear and mastoid Process(H60-H95)
External Causes of Morbidity (V00-Y99)
Factors Influencing Health Status (Z00-Z99)
Not much difference in the formatting with the exception of some restructured chapters. The flow of the book remains the same

38. Tabular Example

39. Index Structure THERE ARE TWO INDEXES WITH TWO TABLES:
–Alphabetic Index of Diseases and Injuries
From A to Z; Hypertension table is not included in ICD-10. Main terms in alphabetic order with sub terms indented
under main terms
–External Causes of Injuries
From A to Z; last section of the index for ICD-10
–Table of Neoplasms
Contains Neoplasm and Neoplastic diseases by anatomical location. Many codes will not be complete as used in the table as they require coding for laterality; Neoplasm of Breast central portion (in table C50.1 is not a complete code)
–Table of Drugs and Chemicals
More definition to the drug and chemical tables

40. Alphabetic Index Example

42. How to Assign an ICD-10 Code YES, you will need a code manual even if you use EHR!
Start with the Index. Look up the main term for the condition, disease or symptom. Codes should NOT be assigned from the Index without verifying the code selection in the Tabular volume.
Next, find the chapter & code set block for the condition.
Locate the condition in the Tabular section.
Consider the “includes”, “excludes”, “code first” and “use additional code” notes.
Is a 7th character needed? If so, look at the key at the beginning of the code chapter or block.
6. Select the most detailed code which is supported in the clinical documentation. Code to the highest specificity and the highest number of characters.

44. ICD-10-CM Coding Example:
Type 2 diabetes mellitus with diabetic neuropathy
Step 1
Look up term in Alphabetic Index:
Diabetes, diabetic (mellitus) (sugar) E11.9
type 2 E11.9
with nephropathy E11.21
Step 2
Verify code in Tabular:
E11.21 Type 2 diabetes mellitus with diabetic nephropathy
Type 2 diabetes mellitus with intercapillary
glomerulosclerosis
Type 2 diabetes mellitus with intracapillary
glomerulonephrosis
Type 2 diabetes mellitus with Kimmelstiel-Wilson
disease
If we were using the code books today these are great examples of how to process and find your diagnosis. Please take a few minutes when you have your books handy and use these examples to locate these codes it will make you more comfortable with the process. I promise!!!!

45. ICD-9-CM Coding Example
Malignant Neoplasm of Female Breast: – (no laterality)
Malignant Neoplasm of Male Breast: or (no laterality)
(Female)
Look up term in Alphabetic Index: Neoplasms Table
Breast, female (pg 1444)
(Male)
Breast, male (pg 1445)
More coding examples for you to practice with in ICD-9

46. ICD-10-CM Coding Examples
Malignant neoplasm of nipple and areola, right female breast Breast Cancer Step 1 Look up term in Alphabetic Index: Neoplasm Table Breast, female, areola – C50.01 Step 2 Verify code in Tabular: C50.0 – Malignant neoplasm of nipple and areola C50.01 – Malignant neoplasm nipple and areola, female breast C – Malignant neoplasm of nipple and areola, right female breast C – Malignant neoplasm of nipple and areola, right male breast Code range C Malignant neoplasm of nipple and areola, female breast to C – Malignant neoplasm of breast of unspecified site of unspecified male breast
Just to make it more interesting your documentation cannot be skimpy. If you have the information use it. When you get the radiology report back it indicated where the cyst is located. If the carriers get picky and ask for records you could be seeing revenue flow decreases for them to see if you are documenting and coding to the highest level of specificity. Always reference any reports, ultrasounds, mammo etc to indicate specificity of your diagnosis.

47. Why is ICD-10 Better
ICD-10 has many more diagnosis codes—about 68,000+ to ICD-9’s 13,000—and in this case, more is definitely better.
Why? Because with more codes, medical providers, including rehab therapists, can more accurately document clinical information, including patient diagnoses.
Evaluate patient care
Support research initiatives
Construct payment systems
Process claims
Make clinical decisions
Observe public health trends
Uncover fraud
The ICD-10-CM coding system provides a significantly increased amount of options for coding medical diagnoses that reflect modern medical knowledge and terminology. The increased availability of codes allows for much greater precision and specificity within the choice of diagnosis codes. ICD-10-CM also has built-in flexibility for future expansion to add new codes for medical diagnoses From 13,000 to almost 70,000 codes to help us identify the specificity of the patients care

48. CMS Resources
ICD-10
Medicare Learning NetworkICD-10 Myths and Facts
mythsandfacts.Pdf
MS-DRG Conversion Report
ICD-10 General Information

49. Additional Resources ICD-10 Tenth Revision Volume 2 Second Edition
The following organizations offer providers and others ICD-10 resources and information
ICD-10 Tenth Revision Volume 2 Second Edition
Tabular list-Instruction manual-Alphabetical Index
AHIMA (American Health Information Management Association)
HIMSS (Health Information and Management Systems Society)

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