Tag Archives | Icd 10 Codes

Doctors Would Report Opioid Diagnosis Codes Under Deal

Ohio doctors would report the specific diagnosis of every patient who receives a prescription painkiller under a tentative agreement reached Friday with the Kasich administration. The 11th-hour compromise between the Republican governor’s office, the state Medical Board and associations representing doctors and hospitals followed months of wrangling over new opioid prescribing rules proposed in April […]

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RheumNow: ABCs of the New ICD-10 Codes

The ABC’s of the New ICD-10 Codes

Unless you’ve been living in a cave, you are probably aware that come Oct. 1, 2015, the old ICD-9 coding system will be completely replaced with a “newer version”: ICD-10. The purpose of this newer system is to modernize coding — recognizing that since the last update in 1979, the number and precision of diagnoses […]

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ICD-10 Testers Recommend Certified Coders, Lighter Loads For October

The advice from those who have already tried coding with ICD-10? Hire a certified coder if you don’t have one on staff already.

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Medicaid ICD-10 Workarounds in Four States Worry Providers

On Oct. 1, Medicaid programs in four states will not be fully converting from the ICD-9 to the ICD-10 coding system,

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Researchers Create Online Tool To Ease Transition to ICD-10 Codes

Researchers have developed an online mapping tool designed to help stakeholders transition from ICD-9 to ICD-10 code sets, EHR Intelligence reports.

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CMS to Feature ICD-10 Codes on its CMS-2728 End Stage Renal Disease Patient Registration Form

On July 31, 2014, the Centers for Medicare & Medicaid Services (CMS) formally announced that the U.S. Department of Health and Human Services (HHS) had finalized Oct. 1, 2015 as the new compliance date for healthcare providers, health plans, and healthcare clearinghouses to ICD-10.

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Acupuncture ICD-10 Insurance Billing Codes Made Easy

The new ICD-10 acupuncture insurance billing diagnosis codes are mandatory beginning October 2014. Here is a list of easy ICD-10 codes for insurance billing and reimbursement. This system is very different from the old ICD-9 diagnosis codes. Today, let’s go over some simple ways to convert to the new acupuncture insurance billing diagnosis codes.

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ICD-10: PSA Screenings and Ureteral Stone Diagnoses

When ICD-9 to ICD-10 transition takes place in 2013, you will not always have an easy one-to-one relationship between old codes and the new codes. See how your ICD-9 codes will change in the following instances when the ICD-10 transition finally takes place.

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Medicare Gives Guidance on Claims During ICD-10 Changeover

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Qualedix, Inc. Partners with the Coding Institute to Bring Enhanced Quality and Education to its Managed Services Solution for ICD-10 Testing

Naples, FL (June 15, 2011) –Qualedix, an advanced healthcare testing organization, today announced it has partnered with the Coding Institute, LLC, a company dedicated to offering accurate healthcare solutions, that will provide native ICD-10 coding expertise and educational services to the industry leading Simplicedi testing platform.

The combined market offerings enable greater accuracy, speed and a true clinical approach to tackling the arduous task of testing thousands of new ICD-10 codes for providers and payers alike.

“At Qualedix, we strive for excellence in our data solutions for the industry and clinical knowledge is paramount to effectively remediate and test ICD-10 changes across the healthcare industry. The Coding Institute brings to a new echelon of quality and expert knowledge to better effectively serve the market through our testing managed services,” said Mark Lott, CEO of Qualedix. “Also, all of our clients need education to assist in the transition period and we are proud to have TCI as our education and training partner.”

“The Coding Institute is excited about the opportunity to partner with Qualedix to provide unmatched testing and training to help healthcare professionals implement ICD-10 compliantly and efficiently,” said Jennifer Godreau, BA, CPC, CPMA, CPEDC, Director of the SuperCoder.com and Consulting & Revenue Cycle Solutions divisions of the Coding Institute.  “As the healthcare industry’s most advanced ICD-10 testing and education methodology, this managed services solution identifies key areas of focus for hospitals, insurers, and providers and allows us to prevent incorrect coding and revenue losses.”

About Qualedix

Qualedix is a professional healthcare IT quality assurance and software testing firm delivering outsourced managed testing services that leverage our expertise in healthcare and software development lifecycles. Qualedix has developed highly strategic methodologies and techniques designed to deliver critical, cost-effective solutions for 5010 and ICD-10 with highly technical testing experts, healthcare business acumen,…

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ICD-10: Prep Yourself for New Hyperlipidemia Codes

When ICD-10 goes into effect in 2013, high cholesterol will still be a challenge for your patients. Here’s a look at how coding for this, and similar diagnoses, compares between ICD-9 and ICD-10.

ICD-9-CM Codes:

  • 272.0, Pure hypercholesterolemia
  • 272.1, Pure hyperglyceridemia
  • 272.2, Mixed hyperlipidemia
  • 272.4, Other and unspecified hyperlipidemia

ICD-10 Codes:

  • E78.0, Pure hypercholesterolemia
  • E78.1, Pure hyperglyceridemia
  • E78.2, Mixed hyperlipidemia
  • E78.4, Other hyperlipidemia
  • E78.5, Hyperlipidemia, unspecified

Change: ICD-10 offers a one-to-one code match with ICD-9 for pure hypercholesterolemia (272.0, E78.0), pure hyperglyceridemia (272.1, E78.1), and mixed hyperlipidemia (272.2, E78.2). But where ICD-9 offers one code for “other and unspecified hyperlipidemia” (272.4), ICD-10 offers one code for “other” (E78.4) and a different code for “unspecified” (E78.5).

Documentation: Your clinicians’ documentation shouldn’t need to change from its current form. All you need to do as a coder to capture this already present information is to format your superbill to capture the difference between “other” and “unspecified” hyperlipidemia. “Other” means the physician documented the type, but ICD-10 doesn’t offer a code specific to the documented type. “Unspecified” means the physician did not document the type of hyperlipidemia.

Bonus tip: The notes with the ICD-9 and ICD-10 codes for lipid metabolism disorders are very similar, but there are a few differences. For example, while 272.1 includes “hypertriglyceridemia, essential,” E78.1 includes “elevated fasting triglycerides.”

Under E78.2, ICD-10 adds “combined hyperlipidemia NOS,” “elevated cholesterol with elevated triglycerides NEC,” and “Hyperlipidemia, group C.” Code E78.2 also has an Excludes1 note, telling you instead to code E78.4 for “familial combined hyperlipidemia” and E78.5 for “cerebrotendinous cholesterosis [van Bogaert-Scherer- Epstein] (E75.5).”

Remember: When ICD-10 goes into effect on Oct. 1, 2013, you should apply the code set and official guidelines in effect for the date of service reported. Learn more at www.cms.gov/ICD10/ and…

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Ensure Compliance With ICD-10 With These 3 Tips

When ICD-9 becomes ICD-10 in 2013, you will not always have a simple crosswalk relationship between old codes and the new ones. Often, you’ll have more options that may require tweaking the way you document services and a coder reports it. Check out the following examples of how ICD-10 will change your coding options when the calendar turns to Oct. 1, 2013.

Celebrate Sinusitis Codes’ One-to-One Relationship for ICD-10

When your physician treats a patient for sinusitis, you should report the appropriate sinusitis code for sinus membrane lining inflammation. Use 461.x for acute sinusitis. For chronic sinusitis — frequent or persistent infections lasting more than three months — assign 473.x.

For both acute and chronic conditions, you’ll choose the fourth digit code based on where the sinusitis occurs. For example, for ethmoidal chronic sinusitis, you should report (473.2, Chronic sinusitis; ethmoidal). Your otolaryngologist will most likely prescribe a decongestant, pain reliever or antibiotics to treat sinusitis.

ICD-10 difference: Good news. These sinusitis options have a one-to-one match with upcoming ICD-10 codes. For acute sinusitis diagnoses, you’ll look at the J01.-0 codes. For instance, 461.0 (Acute maxillary sinusitis) translates to J01.00 (Acute maxillary sinusitis, unspecified). Code 461.1 (Acute frontal sinusitis) maps directly to J01.10 (Acute frontal sinusitis). Notice how the definitions are mostly identical. Like ICD-9, the fourth digit changes to specify location.

For chronic sinusitis diagnoses, you’ll look to the J32.- codes. For instance, in the example above, 473.2 maps direction to J32.2 (Chronic ethmoidal sinusitis). Again, this is a direct one-to-one ratio with identical definitions. Like ICD-9, the fourth digit changes to specify location.

Physician documentation: Currently, the physician should pinpoint the location of the sinusitis. This won’t change in 2013.

However, you’ll scrap the 461.x and 473.x options and turn to J01.-0 and J32.- in your ICD-10…

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ICD-10: Prepare to Choose Between 2 Achilles Tendon Tear Codes in 2013

New sprain codes are both described as “unspecified.” Find out what clues to look for.
You can use new ultrasound test codes 76881 (Ultrasound, extremity, nonvascular, real-time with image documentation; complete) and 76882 (Ultrasound, extremity, …

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Heads Up Coders: 2013 ICD-10 Implementation Date Is Firm

Plus: CMS has proposed freezing the ICD-9 codeset after next year.

If you were hoping that the Oct. 1, 2013 ICD-10 implementation date wasn’t set in stone, you are out of luck. That’s the word from CMS during a June 15 CMS Open Door Forum entitled “ICD-10 Implementation in a 5010 Environment.”

“There will be no delays on this implementation period, and no grace period,” said Pat Brooks, RHIA, with CMS’s Hospital and Ambulatory Policy Group, during the call. “A number of you have contacted us about rumors you’ve heard about postponement of that date or changes to that date, but I can assure you that that is a firm implementation date,” she stressed.

Brooks indicated that the rumor about a potential delay in the implementation date continues to persist throughout the physician community, and recommended that practice managers alert their physicians to the fact that that the rumor is untrue.

The Oct. 1, 2013 date will be in effect for both inpatient and outpatient services. Keep in mind that the ICD-10 implementation will have no impact on CPT and HCPCS coding, Brooks said. You will still continue to bill your CPT and HCPCS procedure codes as before.

You’ll Find Nearly 55,000 Additional Codes

Currently, CMS publishes about 14,000 ICD-9 codes, but there are over 69,000 ICD-10 codes. The additional codes will allow you to provide greater detail in describing diagnoses and procedures, Brooks said.

If you’re wondering which specific codes ICD-10 includes for your specialty, you can check out the entire 2010 ICD-10 codeset, which CMS has posted on its Web site. “Later this year, we’ll be posting the 2011 update,” Brooks said during the call.

@ For more details on CMS’ upcoming plans, subscribe to Part B Insider (Editor: Torrey Kim, CPC).


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Get a Glimpse at ICD-10 Codes for Cough, Back Pain, and More

Wrap your brain around using letters in your diagnosis codes.

If you aren’t curious about how the ICD-9 codes crosswalk to ICD-10, maybe you should be.

“The transition date for ICD-10 codes is Oct 1, 2013,” stressed CMS’s Stewart Streimer…

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Ob-gyn Coding Challenge: Deliver Postpartum V Codes With Care

Bonus: Get exposure to ICD-10 coding equivalents.

Question: A mentally-challenged patient who delivered at home was admitted to the hospital for postpartum care. The patient delivered the placenta at home, and once admitted, she had no complications, but the ob-gyn

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