1. Series 1 of Many- Coding Fracture in ICD-9 VS ICD-10 © Copyright Acucare Health Strategies, Inc. All Rights Reserved

2.  Mrs. K is a 60 year old female with Alzheimer’s dementia. She trips over a throw rug, falls to the ground, and has immediate hip pain. She is admitted to the hospital and diagnosed with a right intertrochanteric hip fracture. She is prescribed non-surgical management of the fracture and is discharged with orders for home PT and OT. Her co-morbidities include chronic systolic congestive heart failure and chronic atrial fibrillation for which she is prescribed an anticoagulant. A stage I pressure ulcer is noted on the patient’s sacrum at Start of Care.  Upon reviewing the patient’s record, the administrative clinician determines that the fracture description is insufficient. A call is placed to the physician to verify that the patient’s fracture is non-displaced. The field clinician also verifies that the patient was diagnosed with Alzheimer’s disease when she was age 55, which classifies her condition as early onset. © Copyright Acucare Health Strategies, Inc. All Rights Reserved

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4.  ICD-10 includes more combination codes ◦ Coding this scenario in ICD- 9 uses 12 codes; ICD- 10 describes the patient’s condition in 8 codes. Note that specific types of CHF no longer require two codes. This allows the top 6 diagnosis slots to be utilized more effectively  The vast increase in new codes indicates the greater specificity of the new code set, and selecting the correct code will become more complex than ever ◦ There are approximately 68,000 codes in ICD- 10 versus 14,000 in ICD- 9 ◦ ICD- 10 codes may be up to 7 characters long and contain numbers and letters, including the placeholder x © Copyright Acucare Health Strategies, Inc. All Rights Reserved

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7. © Copyright Acucare Health Strategies, Inc. All Rights Reserved This was just a preview! How does the ICD-9 and ICD-10 coding differences impact your clinical and financial outcome? Care to find out More ?