In October, 2014, the International Classification for Diseases, (ICD-10) will become the new standard, replacing ICD-9. It will require that everyone, including coders, insurance companies and physicians learn and use the new coding system.
Yes, ICD-10 marks a new way of doing things and there will be thousands of new codes. But have no fear! As a coder, there a number of things you can do to make the transition as painless as possible.
Start the conversation in your practice or hospital. One of the first steps in making a smooth transition to ICD-10 is to talk about it. This will help all those involved get used to the idea and start to explore what they need to do to get ready. Find someone who has already begun to learn the new system and ask them to share specifics of what they are learning.
Don’t get overwhelmed. Knowing that ICD-10 has thousands of new codes (in some cases, as many as 240 codes for one current ICD-9 code), it’s easy to get overwhelmed and tell yourself you’ll never learn all those thousands of new codes. But once you begin the learning process, you’ll find that the new alphanumeric system easier to use. And because the new system is more specific, it will reduce the need for conjecture, interpretation and consulting with physicians.
Locate training. Typically, one-on-one or classroom training works best. However, if you work in a small community without a local college or training center, it shouldn’t be difficult to find training as there are already a number of online programs available and ICD-10 instruction books are available from every major book seller. Also, the AAPC (American Association of Professional Coders) and the AMA (American Medical Association) offer books, workshops and other training.
Don’t wait. Be aware that structured training will most likely become more expensive for those that wait until the last three months or so before the change. ICD-10 consultants and instructors will likely charge more and classes may be more expensive as the deadline nears. So the best time to learn is now.
Increase your knowledge of medical terminology. As mentioned, the new coding system will be much more specific and detailed. As a coder, this means that you will have to be more familiar with the specifics of anatomy and physiology. Physicians will be using a wider range of terminology and you’ll see terms you’ve never seen before so look in more detail at what you’ve already learned. Learn all of the parts of the heart and lungs for example, not just the major components. Find out more about the endocrine and nervous systems too. Pick some terms at random in your medical dictionary and find out what they mean.
The most important thing to remember when preparing for ICD-10 is it will definitely pay off in the long run for you and your employer (and it will make you a more valuable employee). And the sooner you and your coder colleagues get up to speed, the smoother the transition.
The time to prepare is now. Embracing the change and becoming an expert coder of ICD-10 will make you an in demand expert and fully employed coder when October, 2014 comes around.
Dale A Schmidt is a medical professional and educator who lives in Bellingham, WA. He specializes in medical coding for physician based practices.
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