
Even
if ICD-10-CM isn’t implemented for years, we’re
moving closer and closer to it every day in ICD-9-CM.
Fact: Many of the changes to ICD-9-CM codes in the past
few years reflect the greater specificity inherent in
ICD-10-CM. And that is essential
NOW in your bid to demonstrate medical necessity to your payers.
Diagnosis code specificity is one of the prime keys you
can use to earn dollars in Medicare’s fast-approaching
pay-for-performance program, for instance. Take this opportunity
to find out how you can use ICD-10-CM to strengthen your
ICD-9-CM skills.
Don’t be overwhelmed … you’re already
using ICD-10-CM more than you know! Let veteran diagnosis
coding consultant
Jo Ann Steigerwald,
RHIT, ACS-OH, ACS-GI, Medical Business Specialists, Baraboo, Wis., show you how
correct use of the current ICD-9-CM codes that puts you
on the fast-track to ICD-10-CM. For example:
- Consider how you’d code
a diabetic ulcer. Under the current ICD-9-CM conventions,
you’d need to turn to 250.8 plus
an additional 707.xx code for the ulcer “manifestation.” The
same concept applies in ICD-10-CM; the
codes just include more specific descriptors.
Goal: Work with providers now to ease
the documentation transition.
- Look at the ICD-10-CM
codes for pregnancy. They’re separated by trimester,
as well as antenatal and postnatal. Get
your providers in the habit of documenting
these facts now … and it can help
increase specificity in your ICD-9-CM
coding!
- Note
the many conditions that will be coded
much as they already are in ICD-9-CM. Take mumps as an example. Mumps
orchitis takes 072.0 in ICD-9-CM;
it simply changes to B26.0 in
ICD-10-CM.
It’s inevitable: The current ICD-9-CM diagnosis coding system eventually will transition to ICD-10-CM, featuring 120,000 6-digit alpha-numeric codes. The key to a smooth transition is preparation. Steigerwald provides preparation pointers so you’ll know what to do now towards keeping ahead of the
ICD-10-CM curve … and hone your ICD-9-CM skills in the process!
To find out about upcoming conferences and
for a complete listing of CDs, please visit www.decisionhealth.com.
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