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Transition to ICD 10 CM Diagnostic Code Set - PowerPoint PPT Presentation

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Transition to ICD 10 CM Diagnostic Code Set. Workshop Agenda - June 23rd 2014 . Highlights of the Previously Shared ICD10 CM Presentation http :// Stakeholder Preparation for Transition

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Transition to ICD 10 CM Diagnostic Code Set

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workshop agenda june 23rd 2014
Workshop Agenda - June 23rd 2014
  • Highlights of the Previously Shared ICD10 CM Presentation
  • Stakeholder Preparation for Transition
  • Phases: Transition to ICD 10 CM
  • Establishing ICD 10 Transition Working Group.
workshop minutes june 23rd 2014
Workshop Minutes -June 23rd 2014
  • Providers and payers were invited to a 2 hour workshop – about 100 members came
  • HAAD presented the “Transition to ICD 10 Diagnostic Code Set presentation” and answered related questions
  • HAAD invited volunteers to represent payers and providers to create a working group to facilitate the transition
  • Supporting material for each of the transition phases is published on Shafafiya

stakeholders transition working group representatives pending contact emails
Stakeholders’ Transition Working Group Representatives (pending contact emails*)


  • Public Payers:
    • Daman
  • Private Payers
    • ADNIC
  • TPA
    • NAS


  • Lina Jichi (Chair)
  • Michelea Peech
  • Marwan Al Naboulsi
  • Mohammad Al Haj
  • Luis Perfetti


  • Public Providers:
    • Seha
    • Mubadala Health Care
  • Private Providers
    • Al Noor
    • Ahlia
    • NMC
    • Burjeel
    • Oasis
    • Advanced Cure Diag. Ctr.
    • Western Region??
  • Vendors and others
  • 3M
  • Accumed
  • Abu Dhabi Police
  • Contact emails for the above representatives are required to be sent to by July 7th, to be published in order for Abu Dhabi facilities and payers to contact regarding their issues with ICD 10 transition.
  • ICD-10-CM/PCS:
  • Incorporates much greater specificity and clinical information, which results in:
  • Improved ability to measure health care services;
    • Increased sensitivity when refining grouping and reimbursement methodologies;
    • Enhanced ability to conduct public health surveillance; and
    • Decreased need to include supporting documentation with claims;
  • Includes updated medical terminology and classification of diseases;
  • In the US as of 2014
  • ICD-10-CM (Diagnosis)
    • Will affect inpatient and outpatient
  • ICD-10-PCS ( Procedures)
    • Will only affect inpatient in the U.S.
    • NOTUAE -We have CPT for outpatient & inpatient reimbursement
  • ICD-10-CM
  • Provides codes to allow comparison of mortality and morbidity data; and
  • Provides better data for:
    • Measuring care furnished to patients;
    • Designing payment systems;
    • Processing claims;
    • Providers making clinical decisions;
    • Tracking public health;
    • Identifying fraud and abuse; and
    • Conducting research.
  • In the US as of 2014
  • All software will be ICD 10 based
  • All certified coders will be ICD 10 based
  • All RVU’s will be ICD 10 based
  • ICD 9 CM will no longer be updated after 2012
is it a big change comparison
Is it a big change?Comparison


Mechanical complication of other vascular grafts

156 codes, including

T82.310 – Breakdown (mechanical) of aortic

(bifurcation) graft (replacement)

T82.311 – Breakdown (mechanical) of carotid arterial

graft (bypass)

T82.312 – Breakdown (mechanical) of femoral arterial

graft (bypass)

T82.318 – Breakdown (mechanical) of other vascular grafts

T82.319 – Breakdown (mechanical) of unspecified

vascular grafts

T82.320 – Displacement of aortic (bifurcation) graft


T82.321 – Displacement of carotid arterial graft (bypass)

T82.322 – Displacement of femoral arterial graft


T82.328 – Displacement of other vascular grafts

  • ICD-9-CM
  • Mechanical complication of other vascular device,
  • implant and graft
  • 1 code (996.1)





Diagnosis Codes

ICD-9 Code Format

ICD-10 Code Format















etiology,anatomic site,manifestation


etiology,anatomic site,severity

make your plan to icd 10 cm
Make Your Plan to ICD 10 CM
  • Phase 1: Implementation plan development and potential impact assessments
    • Establish interdisciplinary steering committee to develop ICD‐10 implementation strategy
    • Development of potential impact assessments
    • Implementation budget
    • Systems inventory
    • Identifying the impact from vendors and payer contracts
    • Vendors and Contracts
make your plan to icd 10 cm1
Make Your Plan to ICD 10 CM
  • Phase 2: Implementation preparation
    • Training/awareness on Codes and Code uses (data etc) AND documentation
    • Education on the available GEM and how to use
  • Phase 3: “Go live” preparation
    • Confirm with systems vendor(s)
    • Finalize all systems - testing of systems changes, and provide intensive ICD‐10 education to coding staff.
    • Complete all in‐house systems changes and testing.
    • Claims on or after Deadline must use ICD‐10‐CM
make your plan to icd 10 cm2
Make Your Plan to ICD 10 CM

ICD-9-CM to data coded under ICD-10-CM due to the differences in the code sets. This will impact reports that compile statistical data for trend analysis

Download GEM from CMS website

Any Questions Please Contact