1. ICD-10-CM OVERVIEW OF UPCOMING DOCUMENTATION COMPONENTS OF ICD-10-CM

2. Presenter Sue Haley, RHIT, CCS, CCDS AHIMA certified ICD-10 instructor Over 20 years coding experience – Both inpatient and outpatient

3. OCTOBER 2013 ICD-9-CM 3-5 characters Only V & E codes start with letter Limited space for adding new codes Cannot identify laterality ICD-10-CM 3-7 characters ALL codes start with letter Flexible for adding new codes Can identify laterality

4. EXCLUDES NOTES ICD-10-CM – Exclude notes are better defined in ICD-10 – EXCLUDES 1 means don’t code together – EXCLUDES 2 means “not included here”. Therefore, if both conditions exist, two codes are necessary

5. Official Guidelines for Coding & Reporting Conventions for ICD-10 www.cdc.gov/nchs/icd/icd10cm.htm Many new and revised coding guidelines for ICD-10-CM but also newly published guidelines for ICD-10-PCS AHA Coding Clinic for ICD-9-CM will not be converting their guidelines for ICD-10-CM use

6. Documentation Considerations by Chapters in ICD-10-CM Infectious & Parasitic Disease – New terminology to review – Includes the drug resistant classifications Blood & Blood Forming Organ – New terminology to review – Greater specificity Endocrine, Nutritional, Metabolic – Greater specificity for diabetes & malnutrition

7. Documentation Considerations by Chapters in ICD-10-CM Mental & Behavioral Disorders – Many changes to terminology – Tobacco use vs dependence Nervous System – Significant changes in the specificity of sleep disorders Eye & Adnexa (new chapter) – Terminology changes – Laterality classified Ears & Mastoid (new chapter) – Laterality classified

8. Documentation Considerations by Chapters in ICD-10-CM Circulatory – Includes gangrene – Hypertension no longer classified malignant, benign, or unspecified. – Definition on coding AMI now 4 weeks Respiratory – Asthma now classified as mild intermittent & three degree’s of persistent- mild, moderate, and severe Digestive – Ulcers no longer specified as obstructive – Bleeding assigned to gastritis, duodenitis, diverticulosis – Crohn’s has specific sites & now identifies that with complications Skin & Subcutaneous – More specificity in sites & severity of decubitus ulcers

9. Documentation Considerations by Chapters in ICD-10-CM Musculoskeletal & Connective Tissue – Fractures further define encounters as: A initial encounter for fracture B Initial encounter for fracture routine healing G subsequent encounter for fracture delayed healing K subsequent encounter for fracture with nonunion P subsequent encounter for fracture for malunion S sequela

10. Documentation Considerations by Chapters in ICD-10-CM Musculoskeletal & Connective Tissue – Uses the GUSTILO open fracture classification Mechanism of injury Soft tissue damage Degree of skeletal involvement – Physician teaching opportunity during your implementation of ICD-10

11. Documentation Considerations by Chapters in ICD-10-CM GUSTILO open fracture classification – Binitial encounter open fx type I or II – Cinitial encounter open fx type IIIA, IIIB, or routine healing – E subseq. encounter open fx type I or II with routine healing – Fsubsuq. encounter open fx type IIIA, IIIB, or IIIC with routine healing – Hsubseq. Encounter open fx type I or II with delayed healing – Jsubseq. Encounter for open fx type IIIA,IIIB, or IIIC with delayed healing – Msubseq. Encounter for open fx type I or II with nonunion – Nsubseq. Encounter for open fracture type IIIA, IIIB, or IIIC with nonunion – Qsubseq. Encounter for open fx type I or II with malunion – Rsubseq. Encounter for open fx

12. Documentation Considerations by Chapters in ICD-10-CM – Musculoskeletal & Connective Tissue Laterality New definitions associated with classification of joint involvement (direct, indirect, post-infective) – Direct organism invades synovial tissue and microbial agent is present in joint – Indirectno joint involvement – Post-infective antigen present

13. Documentation Considerations by Chapters in ICD-10-CM Musculoskeletal & Connective Tissue – Pathological fractures have 3 categories: Due to neoplastic disease, Due to osteoporosis, Due to other specified disease

14. Documentation Considerations by Chapters in ICD-10-CM Diseases of genitourinary system – New terminology – Post-traumatic urethral strictures will need to identify patients gender

15. Documentation Considerations by Chapters in ICD-10-CM Pregnancy, childbirth, & periperium – Episode of care is no longer classified – Trimester is now used to classify the condition 1 st trimester- less than 14 wks and 0 days 2 nd trimester- 14 wks 0 days to less than 28 wks 0 days 3 rd trimester- 28 weeks 0 days until delivery

16. Documentation Considerations by Chapters in ICD-10-CM Pregnancy, childbirth, & periperium – Physician’s must calculate the weeks, the coder can not – Coder can use the weeks to determine the trimester if the physician documents – The time frames for differentiating the abortion from fetal death have changed from 22 to 20 weeks.

17. Documentation Considerations by Chapters in ICD-10-CM Signs, Symptoms, and abnormal clinical and laboratory findings, NEC – Fairly substantial classification changes to hematuria – GLASCOW coma scale (TBI/sequelae CVA) – Primarily used by trauma registries & research – Organizational decision the frequency of capturing a Glasgow coma scale scores

18. Documentation Considerations by Chapters in ICD-10-CM GLASCOW COMA SCALE 7 th digit character will indicate: 0 unspecified time 1 in the field (EMT or ambulance) 2 at arrival to ER 3 at hospital admission 4 24 hours or more after admission

19. Documentation Considerations by Chapters in ICD-10-CM Injuries, poisoning, & certain other consequences of external causes – New category for underdosing Taking less of a medication than is prescribed – Classify burns and corrosions (new term ICD-10)

20. Documentation Considerations by Chapters in ICD-10-CM – Injuries, poisoning, & certain other consequences of external causes – New extensions for identification of: A initial encounter D subsequent encounter S sequela –

21. Documentation Considerations by Chapters in ICD-10-CM Injuries, poisoning, & certain other consequences of external causes Fractures further define encounters as: A initial encounter for closed fracture B Initial encounter for open fracture D subsequent encounter fracture routing healing G subsequent encounter for fracture delayed healing K subsequent encounter for fracture with nonunion P subsequent encounter for fracture for malunion S sequela

22. Closing Remarks Encourage review of ICD-10 coding guidelines now to become familiar with similarities and differences Pay close attention to new guidelines for PCS and the new guidance being provided Develop educational plans that incorporate the new documentation requirements Don’t wait until 2013 start now!