Tutorial Background Get ready for the ICD-10 coding transition on October 1st, 2014 The International Classification of Diseases (ICD) is the standard diagnostic tool for epidemiology, health management and clinical purposes. The existing version ICD-9 is currently used extensively for coding and billing purposes by the US healthcare constituents: providers, payers and administrative / government regulatory bodies. ICD-9 is going to be retired on October 1st, 2014 and will be replaced by a completely different and non-backward compatible coding system - ICD-10. The impact of this transition from ICD-9 to ICD-10, on the financial bottom-line of both hospitals and outpatient clinics is considered by many as significant. The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA) and will affect all components of the US health care industry. There is an important difference between INPATIENTS and OUTPATIENTS: Hospitals will need to code both diagnosis and procedures for INPATIENTS beginning October 1, 2014. OUTPATIENT facilities will need to code only diagnosis in ICD-10 CM beginning October 1, 2014. (CPT and HCPCS II will continue to be used for reporting physician, other professional services and procedures performed in the hospital outpatient department and other outpatient facilitates). You can read more about this coming transition at CMS web site ICD10Doc On October 1st, 2014, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10-CM (diagnoses) and ICD-10-PCS (procedures) code sets in the USA (see background above). Whether you are a physician or a coder - ICD10Doc will help you swiftly and accurately code patients ICD-10 Diagnosis and Procedures. ICD10Doc codes are at the right level of specificity in order to minimize payment denials, billing rework and physicians queries while helping you achieve timely and accurate reimbursement with ICD-10 compliant documentation. This application is based on ICD-10 codes version 2014 and it works perfectly well in any modern browser, on Windows / Mac computers, desktop, laptop, tablet or mobile phone For a limited time only, ICD10Doc is offered FREE of charge. By using it, you completely agree to the attached disclaimer Search Diagnosis or Procedure with Free Text Click on the Search Diagnosis or Procedure with Free Text button on the Welcome page of ICD10Doc or click on the Free Text Search on the top menu bar. Enter one or more search term(s) in the search box. You may use terms that appear in ICD-9 or ICD-10 definitions, be it Diagnosis or Procedure terminology. For example, the procedure term Trabeculectomy does not exist in ICD-10 terminology, but it does in ICD-9. ICD10Doc will find the term Trabeculectomy and using General Equivalence Mapping (GEM) will translate into the correct ICD-10 code and definition, which may be: 08133Z4 - Medical and Surgical. Eye. Bypass. Anterior Chamber, Left. Percutaneous. No Device. Sclera Search is case / caps insensitive You need enter minimum 3 characters to search You can search using partial terms, such as psor arth and the results will include: Arthropathic psoriasis...Psoriatic arthropathy...etc No need to use any logic operators such as AND or + or , etc. ICD10Doc will automatically conduct a search assuming the AND logical operator between the terms youve entered. The more search terms you use the smaller the results set is going to be For example, if you search for streptococcus - you will receive 20 resulting codes. Searching for strep staph will quickly find only one code: B95 Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases classified elsewhere The initial list of results may include both diagnosis and procedures, as it may happen searching with the terms bypass coronary Select the relevant diagnosis or procedure Once youve picked a tentative result and have clicked on its hyperlink - you will be redirected to the last page: On this page the title will display the ICD-10 code and its description. If the specific ICD-10 diagnosis code needs documentation with a seventh character on Initial Encounter - A or Subsequent Encounter - D or Sequelae - S then ICD10Doc will suggest the appropriate codes. Since not all ICD-10 diagnosis codes need this seventh character, ICD10Doc will mention if there is no such documentation need. Immediately underneath there will be the equivalent ICD-9 codes according to the General Equivalence Mapping (GEM) Following you will find all the necessary additional information related to the ICD-10 code - so you will code at the right level of specificity and achieve accurate and timely reimbursement: Code First, Code Also, Include, Exclude type 1 and type 2, Seven character definitions, Notes, etc. If the search doesnt find any additional information - it will mention none found. If on the other hand additional information is found - the definition of this information will be displayed, such as: EXCLUDES1 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 used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. Consider the following:... Example: searching for heart fail chr dias will find 4 codes: I50.32 Chronic diastolic (congestive) heart failure I50.33 Acute on chronic diastolic (congestive) heart failure I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure I50.43 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure Select and click on the one diagnosis which is the most apporpriate to your patient condition and ICD10Doc will finalize the process and display all the information necessary for coding the diagnosis correctly in ICD-10 Watch a short YouTube movie and see how easy it is to code an ICD-10 diagnosis using ICD10Doc in less than 20 seconds. Reverse Search with a Code You can use Reverse Search with a Code - click on the button on the Welcome page or the Reverse Search option on the top menu bar. Reverse search will work with either an ICD-9 or ICD-10 code, Diagnosis or Procedure. For ICD-9 search the app will use the General Equivalence Mapping (GEM) Use between 3 and 8 characters when searching with a code You may search using the dot notation H40.053 or you may search without the dot like H40053 Use ONLY ONE code at a time. The initial list of results may include both diagnosis and procedures, as it may happen searching with the terms 0010 Select the relevant diagnosis or the procedure Once youve picked a tentative result and have clicked on its hyperlink - you will be redirected to the last page: On this page the title will display the ICD-10 code and its description. For example, enter V91.07 and ICD10DOc will find the always fascinating and very common diagnosis of... V91.07 Burn due to water-skis on fire Watch a short YouTube movie on how to use the reverse search functionality in ICD10Doc. You can also reverse search for a procedure, with a given 7 characters ICD-10 PCS code. Watch this brief YouTube movie and see how to reverse search an ICD-10 procedure using ICD10Doc. Guided Structured Search for a Procedure Beginning October 1st, 2014 - ICD-10 PCS Procedures coding is relevant for INPATIENTS procedures ONLY. Click on the Guided Structured Search for a Procedure button on the Welcome page of ICD10Doc or the Structured Procedure Search option on the top menu bar. The ICD-10 PCS codes are arranged around exactly 7 alphanumeric axis or positions: 1. Section 2. Body system 3. Operation 4. Body part 5. Approach 6. Device 7. Qualitfier (Note: sometimes the above axis name may be be slightly different, depending on the body system selected - such as Treatment Site instead of Body Part etc.) ICD10Doc will walk you through the steps mentioned above: just select the appropriate axis and ICD10Doc will filter the next list of options accordingly. This process has 7 steps / screens. Once the coding is done - ICD10Doc will present a 7 characters ICD-10 PCS code. Below the ICD-10 code for the procedure, ICD10Doc will suggest the equivalent ICD-9 codes according to the General Equivalence Mapping (GEM) Watch a brief YouTube movie and see how easy it is to code an ICD-10 procedure using ICD10Doc in 20 seconds. Feedback We appreciate your time using ICD10Doc application. Your feedback is important to us: Please send any comments, inquiries, requests for features or complaints on ICD10Doc to ICD10 Doctor and we will reply as soon as possible
Posted on: Thu, 20 Mar 2014 22:17:31 +0000
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