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2017 ICD-10-CM: Updates and Challenges for Orthopedics PowerPoint PPT Presentation


SuperCoder.com’s 2017 ICD-10-CM: Updates and Challenges for Orthopedics webinar focuses on educating you on how to recognize new, revised and deleted ICD-10-CM codes pertaining to Orthopedics, techniques to avoid setbacks to reimbursements and how to make use of orthopedic specific tools to select the right codes to ensure compliance and maximum reimbursement, provided by SuperCoder.com, which offers subscription based specialty-specific code lookup tools. The webinar offers clarification on specific orthopedic coding issues including guidance on 7th character applications in Chapter 19, when aftercare Z codes are appropriate instead of injury codes, and clarification of brand new codes for Salter-Harris fracture. The ICD 10 webinar also delves into orthopedic billing codes, the right orthopedic coding guidelines and the right orthopedic diagnosis codes. The webinar also imparts orthopedic ICD 10 training including the low down on current ICD 10 changes and updates made to billing and coding guidelines.

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2017 ICD-10-CM: Updates and Challenges for Orthopedics

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2017 icd 10 cm updates and challenges for orthopedics

2017 ICD

2017 ICD- -10

Updates and Challenges for

Updates and Challenges for

Orthopedics

Orthopedics

10- -CM:

CM:

Presented By:

Presented By:

Rachel M. Kaser, BS, CPC, MHSA

Rachel M. Kaser, BS, CPC, MHSA

AHIMA

AHIMA- -Approved ICD

Approved ICD- -10

Auditor; The Coding Institute (TCI)

10- -CM/PCS

CM/PCS Trainer

Trainer


2017 icd 10 cm updates and challenges for orthopedics

Course Objectives

Course Objectives

• Recognize new, revised, deleted ICD-10-CM codes taking effect

October 1, 2016 pertaining to Orthopedic practices

• Avoid setbacks to reimbursement

• Utilize expert orthopedic specific tools to accurately select codes

necessary for compliance and maximum reimbursement

2


2017 icd 10 cm updates and challenges for orthopedics

ICD

ICD- -10

10- -CM Updates

CM Updates

• Of Note:

• The Addenda that was published in June is the complete, final list

of code changes going into effect this October

• Ensure your Orthopedic practice reviews the Addenda and makes

note of any and all changes!

3


2017 icd 10 cm updates and challenges for orthopedics

ICD

ICD- -10

10- -CM Updates

CM Updates

• Much needed ICD-10-CM changes/clarifications:

• 885 new codes added to Chapter 19 (Injuries Chapter)

• Increased site specificity for fracture codes of the following sites: neck,

base of skull, facial bones, Salter-Harris calcaneal fractures, and other

fractures.

• 152 new codes added to Chapter 13 (Musculoskeletal Chapter)

• Additional classifications for bunions, temporomandibular joint

conditions, cervical spine disorders and atypical femoral fractures

4


2017 icd 10 cm updates and challenges for orthopedics

ICD

ICD- -10

10- -CM Updates

CM Updates

• Much needed ICD-10-CM changes/clarifications:

• Guidance on the 7thcharacter applications in Chapter 19

• When aftercare Z codes are appropriate instead of injury codes as

it pertains to Orthopedics

5


2017 icd 10 cm updates and challenges for orthopedics

Medical Necessity

Medical Necessity

• Ensure medical necessity is met for:

• Hip and knee replacements

• Arthoscopic femoral acetabular impingement repairs

• Knee Arthroscopies

• Pelvic ring fractures

• Hip fractures

• Femur fractures

6


2017 icd 10 cm updates and challenges for orthopedics

Seventh Characters

Seventh Characters

• You’ll apply a seventh character to these codes from the following

list:

• A – initial encounter for fracture

• D – subsequent encounter for fracture with routine healing

• G – subsequent encounter for fracture with delayed healing

• K – subsequent encounter for fracture with nonunion

• P – subsequent encounter for fracture with malunion

• S – sequela

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2017 icd 10 cm updates and challenges for orthopedics

Atypical Fractures

Atypical Fractures

• Rationale:

• Atypical fracture

• Fosamax fracture

• May refer to an atypical fracture

• Track all such atypical femoral fractures

8


2017 icd 10 cm updates and challenges for orthopedics

Atypical Fractures

Atypical Fractures

• Defining as Fosamax Fracture:

• Large population of patients may be missed

• These fractures can occur in absence of taking these drugs

• Review clinical documentation to verify codes are not unspecified

• Best practice includes:

• Providing ongoing clinical documentation improvement

• Providing feedback to the physician including guidance on capturing the

specific data requirements

9


2017 icd 10 cm updates and challenges for orthopedics

Atypical Fracture Codes

Atypical Fracture Codes

• ICD-10: Adopt These New Atypical Fracture Diagnoses Starting October 1:

• M84.750: Atypical femoral fracture, unspecified

• M84.751: Incomplete atypical femoral fracture, right leg

• M84.752: Incomplete atypical femoral fracture, left leg

• M84.753: Incomplete atypical femoral fracture, unspecified leg

• M84.754: Complete transverse atypical femoral fracture, right leg

• M84.755: Complete transverse atypical femoral fracture, left leg

• M84.756: Complete transverse atypical femoral fracture, unspecified leg

• M84.757: Complete oblique atypical femoral fracture, right leg

• M84.758: Complete oblique atypical femoral fracture, left leg

• M84.759: Complete oblique atypical femoral fracture, unspecified leg

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2017 icd 10 cm updates and challenges for orthopedics

ICD

ICD- -10

10- -CM Updates

CM Updates

• FY 2017:

• The new codes are M and S for Orthopedics

• Over thousands of new codes added to this specialty!

• Brand new codes for Salter-Harris fractures

• Addition of completely new, necessary codes within this specialty

• New syntax for existing codes

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