Neoplasms are a form of new, abnormal growth in organs and tissues. The cells do not develop as an organized part of the site where they form, and they may spread to other parts of the body in a...
The billing department will see plenty of payer ¬policy changes as a result of ICD-10-CM. Billers must know how the new policies affect what can be billed and how they must submit the bills under the...
I have heard and read many discussions that coders will need to get in-depth education on anatomy and physiology (A&P) and pathophysiology before we flip the switch to ICD-10. The more I thought...
What does "x" represent in ICD-10? What seemed like a fairly straightforward question and answer in a recent HCPro ICD-10 Basics Boot Camp™ class I was teaching actually evolved into more of a tricky...
The Commission on Certification for Health Informatics and Information Management (CCHIIM) recently announced ICD-10 recertification requirements for individuals certified by the American Health...
While attending an American Health Information Management Association ICD-10 course, I was surprised to learn that there is a huge change to the coding guidelines regarding neoplasms. Currently in...
Coders and other HIM professionals generally focus on the ways ICD-10-CM is different from ICD-9-CM—the number of codes, the length of the codes, the look of the codes, the level of specificity, and...
Over the past few weeks through e-mail, at conferences, and during class many people have asked myself and my colleagues what makes the HCPro ICD-10 Basics Boot Camp ™ different from the other...
So, once we start using ICD-10 codes, will you still be able to use a super bill? A super bill is a cheat sheet that many facilities and practices develop, on which they list their top diagnostic...
ICD-10 will change more than just the code sets and will impact more than just your coders. The clinical area will face many changes because so many health plan policies are going to change, says...
In ICD-10-PCS, every procedure falls into one of 31 root operations, which define the objective of the procedure. Although some root operations seem self-explanatory (e.g., transplantation or...
Rule 12 of the 2010 ICD-10-CM Official Guidelines for Coding and Reporting reads: Reporting same diagnosis code more than once Each unique ICD-10-CM diagnosis code may be reported only once for an...
CMS will hold a Special Forum to receive input on the development and implementation of its hospital value-based purchasing program, as required by Section 3001 of the Affordable Care Act. The...
By now everyone knows that coders will need more documentation and specificity to assign the correct ICD-10 codes. And everyone knows that increased documentation has to come from the providers—the...
Looking forward to it? Did I really just say that? Yep – I sure did! In July, I attended a preview of HCPro’s ICD-10 Basics Boot Camp ™. I was actually a little surprised that the ICD-10-CM codes,...
CMS posted this week the following ICD-10-PCS files for 2011 to its website: Official ICD-10-PCS Coding Guidelines 2011 Version: What's New Code Tables and Index Code Descriptions ICD-10-PCS...
I often wondered how the ICD-9-CM code set would translate to ICD-10-CM/PCS in regards to MS-DRGs. I couldn’t fathom that along with the costly transition to a new code set, CMS would “double whammy...
The Glasgow Coma Scale provides an objective way of recording the conscious state of a person, for initial as well as continuing assessment. A patient is assessed against the criteria of the scale,...
Sometimes we get really excited about code changes, especially when they have such a huge impact on documentation issues. One such exciting change is in the ICD-10 coding guidelines for Chapter 6:...
If you have taken a peek at a draft ICD-10-PCS Manual , you probably realize that you need to be come familiar with a number of root procedures, some of which you may not even be familiar with. But...
One of the biggest changes in ICD-10-CM is the volume of codes that specify laterality. Providers will need to document which side, right or left, that the injury or diagnosis has occurred for...
I taught the first “official” two-day HCPro ICD-10 Basics Boot Camp™ a couple weeks ago. I was pleasantly surprised that all 50 participants felt the new coding system was easily learned. If I can...
During the ICD-9-CM Coordination & Maintenance Committee Meeting on Sept. 15, CMS representative Pat Brooks, RHIA, announced that the committee had finalized the decision to implement a partial...
One of the things that is not changing between ICD-9 and ICD-10—which often takes hospital coders by surprise—is that coders of professional services cannot code diagnoses documented with the terms “...
When coding with ICD-10, there may be terms that neither your coders nor your physicians are used to using. Now is the time to pass on this knowledge to your medical staff so they can understand what...
The switch to ICD-10-CM will change more than just your code choices. It will also change how physician offices practice medicine. All of your offices' policies will have to be revised to fit ICD-10-...
So, by now you know ICD-10-CM codes contain more specificity than many ICD-9-CM codes. After all, we’re going from 13,000 codes to 68,000 codes. So where will that increased specificity show up? One...
Although I'm sure these great contributors to the field of medicine will live on in many other publications, ICD-10-PCS coding manuals will no longer include eponyms. So you not only need to be...
OK, so maybe your ICD-10-PCS (Draft) Manual doesn't rank up there with your most memorable reads, however, you can't deny that it's a page-turner! Sometimes, it may seem like you can't find the...
Mark your calendars because on August 13, you'll have the opportunity to register for the September 15-16 ICD-9-CM Coordination & Maintenance Committee Meeting in Washington, DC. As required by...
October 1, 2013 is not the only deadline to be concerned with. If you submit electronic claims, you should complete internal testing with Version 5010 by January 1, 2011 so that you are prepared for...
The network of relationships between the ICD-9-CM and the ICD-10-CM code sets is named the General Equivalence Mappings (GEMs) . It’s like trying to translate from one language to another. Sometimes...
Many of the changes to the 2010 ICD-9-CM codes were additions to the external causes of injury and poisoning E codes (E800–E999). Activity codes were added to give context as to what the person was...
If you've been wondering whether the American Hospital Association (AHA) plans to convert guidance it has published in Coding Clinic over the years to include ICD-10 codes, the answer is no. "I am...
The Association of Clinical Documentation Improvement Specialists (ACDIS) recently submitted a comment to CMS explaining its position against the proposed code freeze. ACDIS' comment stated the...
I was reading a recent Medicare Payment Advisory Commission (MedPAC) letter to CMS commenting on the 2011 inpatient prospective payment system proposed (IPPS) rule, specifically their recommendations...
On June 23, CMS issued MLN Matters Special Edition article #SE1019 , which is intended to provide healthcare entities more information about the implementation of ICD-10-CM and ICD-10-PCS. In...
As we continue our journey toward ICD-10 implementation, certified coders will need to show their proficiency in the new coding system. For holders of an American Academy of Professional Coders (AAPC...
Can you believe it has been about 18 months since the Department of Health and Human Services announced in the Federal Register that ICD-10-CM and ICD-10-PCS would be implemented on October 1, 2013?...
At the recent American Health Information Management Association ICD-10 Summit in Washington, DC, several attendees were heard discussing the 3-day rule (sometimes called the 72-hour rule),...
In ICD-9-CM, you can find the burn codes in the range of codes 940-949. If you were to try to find a code due to a corrosive burn, the Alphabetic index would direct you back to the main term "burn."...
I have noticed an influx of new information on various organizations' websites related to ICD-10. If you're not a regular visitor to these websites, now is a good time to poke around and do some...
This month’s training tool in HCPro's Medical Records Briefing newsletter was a series of quiz questions about surgical root operations to prepare for ICD-10-PCS. Have some fun with your coding peers...
Aside from emphasizing that October 1, 2013, will be the date that everyone will begin to use ICD-10, Pat Brooks, senior technical advisor at CMS, explained the following during the March 23 ICD-10...
ICD-10-PCS is drastically different from the ICD-9-CM Volume 3 procedure codes. Just looking at the physical appearance, you’ll see that the procedure codes in ICD-9-CM have a maximum of four digits...
Earlier this week, we posted the following ICD-10 pop quiz question submitted by Asad Ali Rizvi of Quadax Inc: Because ICD-10-CM is alphanumeric, what should you keep in mind about the code structure...
In a recent ICD-10 Watch post , we asked blog subscribers to see if they could stump their peers with their own ICD-10 quiz question. See if you can answer this question submitted by Asad Ali Rizvi...
Many ICD-10 authorities agree that there are a number of myths and misconceptions floating around about the transition to this new coding system. So why not get information straight from the horse's...
Still trying to understand how to use CMS' General Equivalancy Mappings (GEMs)? The American Health Information Management Association (AHIMA) issued a lengthy practice brief titled, "Putting the ICD...
Budgeting for ICD-10 requires much more than just planning for the actual implementation. What happens to your business after the go-live date (October 1, 2013 in case you haven't heard!) once you've...
The message was loud and clear. On April 12, during one of the kick-off sessions at the 2010 American Health Information Management Association (AHIMA) ICD-10 Summit in Washington, DC, speakers drove...
Coders who are accustomed to the current ICD-9 Manual know to interpret the Includes and Excludes notes in the different diagnosis categories when they’re looking for the appropriate code. When the...
One major difference between ICD-9-CM and ICD-10-CM is the addition of a seventh character. This seventh digit is used in certain ICD-10 codes to provide additional information about the encounter (e...
As we continue to plan for the transition to ICD-10, have you wondered how you will convert your current ICD-9 data into ICD-10? I was recently thinking about how this whole process might work and...
Hypertension has always been a pet peeve of mine as a coder in ICD-9. We have three different fourth digits to identify the following “types” of hypertension: Malignant (0 ) Benign (1) Unspecified (9...
It’s time for another pop quiz everyone! Let’s use the ICD-10 tools we have at our disposal to try to crosswalk an ICD-9-CM code we use today to ICD-10-CM. ICD-9-CM code 322.2 (Chronic meningitis)...
Currently in ICD-9-CM, there are only a few ways to capture present, past, or exposure to tobacco smoke. In ICD-9-CM, we currently have the following codes: 305.1 (Tobacco use disorder) V15.82 (...
After having to cancel in February, CMS rescheduled its fourth national provider call for March 24 regarding the implementation of HIPAA Version 5010. The transition to this new billing transaction...
While teaching the inpatient and outpatient boot camps, I often receive questions regarding ICD-10. One of them that sticks out in my mind is, “What about E codes? Are they still going to look the...
Don't miss CMS' upcoming national provider conference call on March 23 from 1-2:30 PM EST. This National Provider Conference Call will provide an overview of ICD-10-CM/PCS requirements and a basic...
For several years, our ICD-9 manuals have indicated that the guidelines for Chapter 5 concerning Mental Disorders have been reserved for future expansion. Well, they went from no guidelines in the...
A few blogs ago, I mentioned that I was creating an ICD-10 presentation for a client. During that process, I learned a lot about the huge project that is in front of all of us. I was tired just...
JustCoding.com is looking to share your story! What is your organization doing to plan for ICD-10? What steps have you already taken, and what is included in your action plan over the next six months...
Do you have a burning ICD-10 question that you would like to have answered? Whether it's a coding question, an inquiry about how to manage your HIM/coding staff, or a question about how to navigate...
I was recently researching ICD-10 for an upcoming client presentation. As I was gathering information, I realized that this is the time of the year that I would have been entering into the budget...
Late Wednesday night, CMS announced that due to inclement weather, it was canceling the national provider conference call on HIPAA 5010, New Error Handling Transactions, which was scheduled to take...
Having a complete crosswalk for every ICD-9 code to the new, improved, more specific ICD-10 code is kind of like that desert mirage on the horizon where the inviting little oasis with water and palm...
Some of you are probably familiar with the Medicaid Integrity Contractors (MICs), specifically the audit MICs, which are conducting Medicaid post-payment audits similar to the Recovery Audit...
CMS recently posted updates to both the 2010 ICD-10-CM Guidelines for Coding and Reporting and the ICD-10-PCS mappings , "ICD-10-PCS to ICD-9-CM" and "ICD-9-CM to ICD-10-PCS." Regarding the ICD-10-...
I just successfully passed the final exam, so I am now officially an American Health Information Management Association (AHIMA) ICD-10 certified trainer! Leave it to me to procrastinate until almost...
CMS will be hosting its fourth national provider call on February 11 regarding the implementation of HIPAA Version 5010. The transition to this new billing transaction is a necessary prelude to the...
Many of the coding rules between ICD-9 and ICD-10 remain the same. When a primary malignancy has been excised, but the patient continues to receive either chemo or radiation therapy, we are to code...
It's time for another pop quiz everyone! Let's use the ICD-10 tools we have at our disposal to try to crosswalk an ICD-9-CM code we use today to ICD-10-CM. ICD-9-CM code 512.0 (Spontaneous tension...
A recent JustCoding.com survey of HIM/coding professionals posed the following question: "How would you describe the HIM Director's role in ICD-10 implementation?" This is the breakdown of the 379...
The following question was submitted to ICD-10 Watch, and so I thought I would share some of my thoughts on the subject. QUESTION: Our billing department often submits claims a week or more after the...
CMS recently posted on its Web site audio and call transcripts for a November provider call focused on the ICD-10-CM/ICD-10-PCS MS-DRG Conversion Project. Speakers discussed the following during the...
I hope you all had a wonderful Christmas and that you did not find any coal in your stockings! Maybe Santa left you some tools to begin planning for the implementation of ICD-10. 2010 has arrived,...
CMS recently posted ICD-10-CM and ICD-10-PCS files for 2010 on its Web site . Check out the "What's New" documents for both ICD-10-CM and ICD-10-PCS . Interested in the breakdown of revisions? For...
One of the major reasons cited for moving from ICD-9-CM to ICD-10-CM is that the new coding system is more specific. So I thought I would look at some of the coding challenges we have today with ICD-...
Some things you are accustomed to in ICD-9-CM will remain the same in ICD-10-CM. One rather obscure convention that exists in ICD-9-CM that also carries over to ICD-10-CM is the use of the word “and...
Many experts in the healthcare community have compared the transition to ICD-10 to Y2K. So how do you estimate the costs associated with such an enormous undertaking? There are the obvious costs...
In September 2003, the American Health Information Management Association (AHIMA) issued a report titled, " ICD-10 Field Testing Project ," which summarized findings after 169 participants...
Pop quiz everyone! Let's use the ICD-10 tools we have at our disposal to try to crosswalk an ICD-9-CM code we use today to ICD-10-CM. ICD-9-CM code 084.4 (Other malaria) crosswalks to what ICD-10-CM...
General Equivalence Mappings (GEMs) were the creation of work completed by the National Center for Health Statistics (NCHS), CMS, the American Health Information Management Association, the American...
During a November 17 virtual meeting hosted by the American Health Information Management Association (AHIMA), co-presenter Laurine Johnson, MS, RHIA, CPC-H, director of HIM services at Ingenix, gave...
Over the last six months, I have noticed that the FAQ sections for different associations and organizations have increased in size and detail. Are you interested in learning the answers to the...
On November 12, the American Health Information Management Association (AHIMA) is hosting a virtual meeting titled, " ICD-10 Implementation for Hospitals ." According to AHIMA Web site, the program...
During this three-day training, we learned as much as possible about this new classification system. I received a letter in the mail right before leaving for the American Health Information...
In a recent post , I talked about my experience attending an American Health Information Management Association (AHIMA) Academy for ICD-10 trainer session. While I am excited about certain aspects of...
I recently completed the American Health Information Management Association (AHIMA) Academy for ICD-10 trainer session in Grapevine, TX. It was a whirlwind experience. The days were long, but it was...
You'll be happy to add this code translator to your collection of ICD-10 tools. The American Academy of Professional Coders (AAPC) released on October 20 a free ICD-10-CM online code conversion tool...
On October 2, the American Health Information Management Association (AHIMA) posted three new practice briefs related to ICD-10 on its Web site . Click on "All current practice briefs in...
This is just one of hundreds examples of changes coming with ICD-10. Every family practice regardless of size should identify a person(s) to be the designated ICD-10 expert. To develop appropriate...
Although the U.S. healthcare community is bracing themselves for this massive switch to ICD-10 in 2013, many other countries have already been through it. For example, providers in Canada...
Looking back a year later, I now feel relatively confident in my background knowledge of ICD-10. And I did not spend any money. Read more in Part 1 and Part 2 of this blog post about my cost-...
I was poking around the CMS Web site today, in the ICD-10 section of course, and I noticed a brand new page devoted to the ICD-10 MS-DRG Conversion Project . While I've heard different CMS...
The thought of sitting down and creating an ICD-10 transition timeline from scratch can be daunting. If you want some inspiration, check out these two timelines that are posted on the North Carolina...
On September 16, 3M Health Information Systems announced that it had released the 3M™ ICD-10 Code Translation Tool, a new software application that helps convert ICD-9 based applications to ICD-10...
As each day passes, we get closer to the implementation date of ICD-10-CM and ICD-10-PCS. I have been scouring the ICD-10 manual to identify things that will change (some things for the better, some...
I have always thought that ICD-9 procedure codes were very non-specific and that it is no wonder that inpatient coders don’t like CPT coding. However after looking at what is going to happen with ICD...
