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ICD-10-PCS. Pat Brooks. HCFA. Development of new procedure coding system. Replacement for ICD-9-CM, Volume 3 20 years old Pilot project 1992 Three year contract with 3M/HIS - 1995. Summary of Project. Year 1: Complete first draft of system Year 2: External review and limited testing

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icd 10 pcs

ICD-10-PCS

Pat Brooks

HCFA

development of new procedure coding system
Development of new procedure coding system
  • Replacement for ICD-9-CM, Volume 3
  • 20 years old
  • Pilot project 1992
  • Three year contract with 3M/HIS - 1995
summary of project
Summary of Project
  • Year 1: Complete first draft of system
  • Year 2: External review and limited testing
    • Development of training guide
    • AHA & AHIMA informal coding test
    • Physician specialty review
  • Year 3: Formal testing & production of final draft
testing
Testing
  • Clinical Data Abstraction Centers (CDACs) testing system
    • FMAS, Columbia, MD
    • DYNEKePRO, York, PA
  • Coded 5,000 records
    • Identified revisions needed
    • Gave feedback on issues found to 3M
  • Comparison test of 100 records
  • Currently performing additional testing on ambulatory records
modifications as a result of testing
Modifications as a result of testing
  • Not Otherwise Specified (NOS) codes added
  • Number of approaches reduced from 17 to 13
  • Dual numbering - with and without imbedded meaning
  • Training manual revised
  • Added index entries
major findings as result of testing 1
Major findings as result of testing (1)
  • More complete than ICD-9-CM, greater specificity and detail
  • Easy to expand the system
  • Hierarchical structure makes it easier to learn and understand
  • Standardized terminology makes it easier to use once the coder has initial training
major findings as result of testing 2
Major findings as result of testing (2)
  • Should lead to improved accuracy and efficiency of coding
  • Training time will be a factor since it is quite different from ICD-9-CM
    • Having all terms defined makes it easier to teach
    • Once a basic knowledge is acquired, the coder does not use the index
status
Status
  • Electronic version available on HCFA’s home page
    • www.hcfa.gov , Stats and Data, Public Use Files,
  • June 1998 draft of ICD-10-PCS including index and tabular
  • Mapping from ICD-10-PCS to ICD-9-CM
  • Training manual
next steps
Next Steps
  • Findings at May 13, 1999 ICD-9-CM Coordination and Maintenance Committee meeting
  • Industry input on next steps
  • Proposals will take place within HIPAA activities