ICD-10 Provider Education. Developmental Disabilities Provider Association. Cathy Munn, MPH RHIA CPHQ Sr. Consultant. Agenda. Overview of ICD-10 Transition Industry Update Impact of the Change Providers Payers Provider Preparation Translation Examples
ICD-10 Provider Education
Developmental Disabilities Provider Association
Cathy Munn, MPH RHIA CPHQ
NO GRACE PERIOD
E codes reference External Causes of Injury & Poisoning in ICD-9.
E references the Endocrine system in ICD-10
V codes reference Health Status & Contact with Health Services in ICD-9
V – Y codes reference External Causes of Morbidity in ICD-10
3-7 Numeric or Alpha
Superficial injury of
knee & lower leg
Other superficial injuries of knee
1 – Right; 2 – Left; 9 – Unspecified
Added 7th character for obstetrics, injuries, and external causes of injury
Abrasion of the right knee, initial encounter
The increase in the number of procedure codes is driven by the increased specificity, granularity & laterality contained within the ICD-10 codes.
Providers change coding practices based on ICD-10
Revise for ICD-10 reporting
Update data repositories to accommodate new coding
Update practice management system
Claim priced based on revised fee schedules
Update claims submission process
Revise authorization process
Update system to accept claims
Update benefit logic
along with other valuable ICD-10-CM resources
Patient presents to the ER for severe right lower leg pain with an
open leg wound following a fall from a ladder. The physician
documented that the patient had an open transverse fracture of the
shafts of the tibia & fibula.
Additional information & resources you might find helpful….
Monitor the AR ICD-10 Website for information regarding testing