confidential & proprietary ICD-10

Background ICD-10 is part of Health Care Reform and is the coding World Standard. The US is only industrialized nation not using ICD10. WHO utilizes it to analyze epidemics and health trends

Disadvantages of ICD-9 ICD-9 has been around for 30 yearsNot CurrentDoesn’t reflect current understanding of diseasesCannot be updated easily

Advantages of ICD-10 ICD-10 uses updated terminologyGreater level of detail within the codesEnhanced accuracy and specificityProvides increased flexibility Supports new and refined reimbursement and payment models Allows for better fraud detection and investigation

Specific Body System Body Part Characters Each character is independent The value is the same across the code set Terminology All terms have same meaning in both code sets Code Sets are Uniform

Clinical Management Codes (CM) = Diagnosis Codes

S82.844A Nondisplaced bimalleolar fracture of right lower leg, initial encounter for closed fracture Bimalleolar fracture ICD-10-CM:

Alcohol Abuse and Dependency ICD codes ICD codes

Procedural Coding System Codes (PCS) = ICD Procedure Codes

Section Body system Root operation Body partApproachDeviceQualifier Med/SurgGI systemResectionAppendix Perc/Endoscopic None 0DTJ4ZZ ICD-10: Laparoscopic Appendectomy 0DTJ4ZZ Laparoscopic Appendectomy ICD-10-PCS: ICD-9:

Repair of skin and subcutaneous tissue ICD9 – 1 code ICD10 – 21 codes