NEXT: Are you prepared for the transition? It cannot detail right versus left otitis media detail the cause of a medical condition or factors contributing to it or determine whether a visit is for an initial evaluation of a medical problem or a subsequent encounter. The ICD-9 has been limited regarding many of the details needed to qualify a patient encounter. Designing payment systems/processing claims systems.Īdditionally, US adoption of ICD-10 will facilitate the comparison of our morbidity and mortality data to those published internationally.Measuring outcomes and care provided to patients.Improved data for epidemiological research (severity of illness, comorbidities).Tracking public health conditions (complications, anatomical location).This data is used to monitor compliance with national programs such as meaningful use, the medical home initiative, and others, and can facilitate the comparison of physician “quality.”įree EHR E-Book | 12 Step ICD-10 Preparation GuideĪccording to the Centers for Disease Control and Prevention website, the ICD-10 code set will enhance the quality of data for: We now practice in an era of “big data,” in which patient care is monitored by government agencies such as the Centers for Medicare and Medicaid Services and Health and Human Services, as well as insurance companies. There are many reasons why ICD-10 was developed. Note that NCHS also developed a procedure code set for hospitals to bill for inpatient services, called ICD-10 PCS, which is unique to the United States. For the remainder of this article, I will refer to ICD-10-CM as ICD-10. The updated code set is called the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). More: Will ICD-10 mean a financial hit for pediatricians? In 1993, the National Center for Health Statistics (NCHS) modified WHO’s version of the ICD-10 code set to more appropriately meet the needs of the American system. The ICD-10 has more than 69,000 codes- 55,000 more diagnosis codes than ICD-9. The WHO developed ICD-10 in 1990 as a more technically capable coding system to replace ICD-9, and most industrial nations already have adopted this coding set. Therefore, pediatricians must learn the nuances of the new coding system and prepare for the transition now! In this month’s article, I present the reasons behind ICD-10 implementation as well as key elements of ICD-10 adoption to assure a smooth transition for your practice. The start date for ICD-10 already has been delayed twice over the past 2 years, but at this point the transition date of October 1, 2015, appears to be firm. By October 1 of this year, we are required to begin using the International Classification of Diseases, version 10 (ICD-10). These are the billing codes we use for every patient encounter (eg, 382.9, V20.2), and pediatricians know many of these by heart. Per the ICD-10-CM Tabular List of Diseases and Injuries, January 1 Tabular Addenda, when reporting code J12.82 or M35.81, coders must first report code U07.1 for COVID-19, if applicable.The United States adopted its version of the World Health Organization’s (WHO) International Classification of Diseases version 9 (ICD-9) coding system over 30 years ago. Contact with and (suspected) exposure to SARS-CoV-2.Z20.822, contact with and (suspected) exposure to COVID-19.Z11.52, encounter for screening for COVID-19.M35.89, other specified systemic involvement of connective tissue.Pediatric inflammatory multisystem syndrome.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |