ICD-10 Transition

August 7, 2013

Some Statistics

• October 1, 2014 – ICD-10 Day• US is the only country using

ICD-9 todayICD-9 ICD-10

Code Length 3 to 5 digits 3 to 7 digits

Diagnosis Codes

14,000 68,000

Procedure Codes

4,000 87,000

CM Manual Chapters

17 21

What is the Difference?

ICD-10 codes contain greater detail and many codes have laterality as part of the code description in addition to the type of encounter. Example: S61.142A denotes a puncture wound with foreign body of left thumb with damage to nail, initial encounter. (The “A” denotes an initial encounter.)

How Do We Choose?

• No practice will use all 68,000• General Equivalency Mappings

(GEMS) are available to perform ‘crosswalks’ to see the coding structure differences

• Codes still need to be selected using the Index and Tabular lists.

• Coders may need additional training in terminology and/or anatomy for accuracy

Sounds Like a lot of Work

• Short answer: YES• Overall increase in

documentation, resulting in:–More time required– Fewer patients seen– Additional payer interaction to

verify appropriate, billable codes

Resources

EHR as a Powerful Tool in ICD-10 Conversion

How to Survive the ICD-10-CM/5010 Transition

Make ICD-10 Easier

MGMA anticipates problems, disruptions with ICD-10: Q&A