What are the implications of changing from the ICD-9-CM system to the ICD-10 system?

Failing to comply with the switch from ICD-9 to ICD-10 will be dangerous. While some payers might actually still want to see ICD-9 codes as well after 10/01/15, indications are that at least CMS will definitely “hard code” over to ICD-10 after 09/30/15 which could lead to mass denials of improperly coded claims.

What are the two main reasons the transition from ICD-9 to ICD-10 was necessary?

ICD-9 follows an outdated 1970’s medical coding system which fails to capture detailed health care data and is inconsistent with current medical practice. By transitioning to ICD-10, providers will have: Improved operational processes by classifying detail within codes to accurately process payments and reimbursements.

What is the difference between ICD-10-CM and PCS?

The U.S. also uses ICD-10-CM (Clinical Modification) for diagnostic coding. The main differences between ICD-10 PCS and ICD-10-CM include the following: ICD-10-PCS is used only for inpatient, hospital settings in the U.S., while ICD-10-CM is used in clinical and outpatient settings in the U.S.

What did the new ICD-10-PCS replace in relation to the ICD-9-CM coding system?

Procedure Classification System
ICD-10-PCS (Procedure Classification System) replaces the ICD-9-CM procedure coding system, and will only be required for hospital reporting of inpatient services. The development of ICD-10-CM and ICD-10-PCS involved extensive input from the healthcare industry, including the physician community.

What letter is considered a placeholder character in ICD-10-CM?

X”
ICD-10-CM uses “X” as a placeholder character in certain codes to allow for future expansion (e.g., poisoning, adverse effect and underdosing codes, categories T36-T50). Where a placeholder exists, the X must be used for the code to be considered valid.

What do you think will be the most difficult aspect of ICD-10-CM coding?

The root operation may be the most difficult aspect of ICD-10-PCS simply because physician documentation often won’t correlate directly to the PCS definition. For example, take extirpation, a term physicians don’t document. Instead, they’ll opt for a clinical term such as thrombectomy.

Why did the United States change from the ICD-9-CM to the ICD-10-CM system?

The structure of ICD-9 limits the number of new codes that can be created, and many ICD-9 categories are full. ICD-10 provides room for code expansion, so providers can use codes more specific to patient diagnoses. The United States is the last major industrialized nation to make the switch to ICD-10.

What is the purpose of ICD-10-PCS?

The purpose of ICD-10-PCS is to provide a procedure coding system to be used to collect data, determine payment, and support the electronic health for inpatient procedures performed in the US.

What is the primary purpose of the ICD-10-PCS index?

Which of the following is the main purpose of the ICD-10-PCS Alphabetic index? To locate the appropriate table in which the information required to complete the characters in a code may be found. Codes are made up of seven characters and no decimal points.

Are ICD 9 codes still used?

ICD is the acronym for the International Classification of Diseases. However, a modification of the 9th revision (ICD-9) is still used to assign codes to diagnoses associated with inpatient, outpatient, and physician office use and for inpatient procedures.

Does the I 10 has instructional notations to provide guidance?

The I-10 has instructional notations to provide guidance. There are 21 chapters in the ICD-10-CM. Section IV of the Official Guidelines for Coding and Reporting applies to both the inpatient and outpatient settings. The term “primary diagnosis” is the same as the first-listed diagnosis.

What is the most important factor to consider when coding?

Basic Coding

Question	Answer
Which of the following is the most important factor in coding	accuracy of codes
Which of the following is a coding system used to document the procedure for suturing a laceration	Current procedural terminology (CPT)

What is the transition from ICD 9 to ICD 10?

The transition from International Classification of Diseases, 9th Revision (ICD-9-CM) to ICD-10-CM/PCS code sets presents challenges for health officials who rely on the receipt of ICD-9-CM coded data to assess trends in health conditions over time.

How are ICD 9 cm and ICD 10 cm different?

ICD-9-CM and ICD-10-CM/PCS are dramatically different in both scope and scale, and concerns about comparability of the code sets have strong implications for public health surveillance activities and data.

What are the effects of the new ICD 10 cm codes?

The effects of the new ICD-10-CM/PCS codes are anticipated to be multifaceted with deep impacts on systems, processes, and people. Changes may be needed to accommodate the new codes in the following ways: Modifications may be needed for public health business processes:

Do you need to learn new ICD codes?

Secondary Users: For those who utilize already coded ICD data, you will need to learn the new codes that apply to your data.

What are the implications of changing from the ICD-9-CM system to the ICD-10 system? Failing to comply with the switch from ICD-9 to ICD-10 will be dangerous. While some payers might actually still want to see ICD-9 codes as well after 10/01/15, indications are that at least CMS will definitely “hard code” over to ICD-10…