Filippa Pretty - IHPA · National Centre for Classification in Health. 2 ... 0030 Organ, tissue and...

ICD-10-AM/ACHI/ACS Tenth Edition Overview

HIMAA Conference – November 2016

Filippa PrettyClassification Specialist

National Centre for Classification in Health

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© Copyright Commonwealth of Australia 2012

~ Classification Changes ~

Implementation: 01/07/2017

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~ ICD-10-AM ~

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CODES New Deleted

ICD-10-AM 223 68

ICD-10-AM Tenth Edition:

Overview

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Major changes:

• Revised classification and standardisation of Obstetrics –including a major revision of all ACS in Chapter 15 Pregnancy, childbirth and the puerperium

• Revised classification of same-day endoscopy episodes of care, with consolidation of related ACS for standardisation

• Revised classification of procedural complications -including a major revision of ACS 1904 Procedural complications

ICD-10-AM

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Major changes (continued):

• Revised classification of chronic pain including revision of content and title of ACS 1807 Acute and chronic pain

• Revised classification of health supervision and care of infant and child to include those awaiting adoption or foster care placement including abandoned infants (deletion of ACS 1608 Adoption and ACS 1609 Newborns affected by maternal causes and birth trauma)

• Expansion of codes for abnormal findings of blood chemistry (includes revision to ACS 0303 Abnormal coagulation profile due to anticoagulants)

ICD-10-AM

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• Revision of instructions within the Conventions relating to Excludes notes and the principle of translating medical statements into code

• Revision of guidelines regarding passive smoking with a new ACS 2118 Exposure to tobacco smoke

• New place of occurrence codes to identify health service area, this facility

ICD-10-AM

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• Expansion of codes for Obesity to reflect grades of body mass index (BMI)

• Revised classification of cachexia

• New code for latent tuberculosis

ICD-10-AM

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Major changes from ICD-10 updates

• Neonatal diarrhoea• Malignant neoplasms of ectopic tissue• Intraepithelial lesions• Multiple system atrophy (MSA)• Orthostatic hypotension• Zoonotic or pandemic influenza• Death from obstetric causes• Abdominal compartment syndrome • Haddad syndrome

ICD-10-AM

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• Revision of tabular notes/references

• Additional/revised indexing

• Minor code title revisions

Minor changes:

ICD-10-AM

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~ ACHI ~

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CODES New Deleted

ACHI 112 250

ACHI Tenth Edition:

Overview

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• Medicare Benefits Schedule (MBS) updates (ophthalmology)

• Mental Health interventions

• Thrombolytic therapy

• Destruction procedures

• New cardiac procedures

ACHI

Major changes:

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~ ACS ~

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• New ACS 10

• Deleted ACS 34

• Revised ACS 49

ACS

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0051 Same-day endoscopy - diagnostic0052 Same-day endoscopy – surveillance0053 Robotic-assisted intervention0054 Specific interventions related to mental health care

services0943 Thrombolytic therapy1012 Influenza due to identified influenza virus1500 Diagnosis sequencing in delivery episodes of care1505 Delivery and assisted delivery codes 1924 Difficult intubation2118 Exposure to tobacco smoke

ACS - new

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0046 Diagnosis selection for same-day endoscopy0246 Familial adenomatous polyposis0247 Hereditary non-polyposis colon cancer0731 Corneal graft rejection or failure1301 Back strain 1302 Chronic low back pain syndrome1331 Soft tissue injuries1344 Postlaminectomy syndrome1415 Young’s syndrome1417 Percutaneous resection of kidney pelvis tumour via

nephrostomy1435 Female genital mutilation1436 Admission for trial of void

ACS - deleted

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1501 Definition of puerperium1503 ‘Complete’ and ‘incomplete’ abortion1509 Falling oestriols1510 Pregnancy with abortive outcome1513 Induction and augmentation1519 Delivery prior to admission 1520 Multiple births1534 Forceps delivery1537 Decreased fetal movements1538 Postnatal breastfeeding attachment difficulties1539 Suppressed lactation1541 Elective and emergency caesarean section1542 Breech delivery and extraction

ACS – deleted cont…

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1546 Fetal heart decelerations1547 Meconium in liquor1608 Adoption1609 Newborns affected by maternal causes and birth trauma1802 Signs and symptoms1804 Ataxia1921 Sprains and strains2111 Screening for specific disorders2113 Follow-up examinations for specific disorders

ACS – deleted cont…

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0030 Organ, tissue and cell procurement and transplantation0505 Mental illness in pregnancy, childbirth and the

puerperium1521 Conditions and injuries in pregnancy1548 Puerperal/postpartum condition or complication1807 Acute and chronic pain1908 Open wound with artery, nerve and tendon damage1916 Superficial and soft tissue injuries

ACS – revised (sample)

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• 31 October 2016 – Electronic code lists and maps were

released

• 30 November 2016 – anticipated approval by the

Independent Hospital Pricing Authority (IHPA)

• 31 January 2017 – print ready version to be delivered to

IHPA

• May-June 2017 – online education to be delivered

• 30 June 2017 - Chronicle released

• 1 July 2017 – Tenth Edition implemented

ICD-10-AM/ACHI/ACS Tenth Edition Production Phase

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~ Thank you ~

Filippa Pretty - IHPA · National Centre for Classification in Health. 2 ... 0030 Organ, tissue and...

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