ICD-10 Code Resources

Resources for ICD 10-Codes

The transition takes place Thursday, do not use ICD-10 codes tomorrow, they will be denied.  Same thing goes for using the old ICD-9 codes from Thursday on…ooops won’t cut it.

For a complete list of ICD-10 Codes click here

For a conversion chart visit this page (enter either the ICD-9 or ICD-10 code), the code will be converted to the  “other” code… ICD -9 to ICD-10 or ICD-10 to ICD-9

The codes in ICD-10 are not valid for any purpose or use in the United States until October 1, 2015. For more information on the transition, see www.asha.org/Practice/reimbursement/coding/ICD-10/.

For the most up-to-date information on ICD coding, go to ASHA’s Billing and Reimbursement website at www.asha.org/practice/reimbursement/coding/.

For additional information, contact the health care economics and advocacy team by e-mail at reimbursement@asha.org.

And for everything else… visit the tutorial found here

Good luck, hopefully the transition will be a smooth one.

 

ICD-10 Coding Tips

This week’s blog is short and sweet. I know everyone is panicking about the transition to ICD-10 codes. BC/BS of Michigan deserves a huge thank you for assembling this handy transition tip sheet. The sheet is split into two columns. The left side displays the ICD-9 codes you’re already using. The right side displays the ICD-10 codes you should use in place of the ICD-9 code. They’ve selected the 25 most frequently used ICD-9 codes.

Click here to be taken directly to the link

 

 

ICD-10 Updates

The ICD-10 will replace existing coding for medical diagnoses and inpatient procedures. It will apply to all health plans and providers governed by the Health Insurance Portability and Accountability Act of 1996.

 

Let the Nightmare Begin

For starters, the number of medical codes for various diagnoses and disease conditions will increase from about 18,000 to about 155,000 different codes.

The system has gone from the sublime to the ridiculous.  As Steven Syre of The Boston Globe observed, “The new medical code book demands highly specific details about where an injury took place. It’s not good enough that it happened at a cultural event. There are separate codes for injuries at museums, art galleries, music halls theaters, and opera houses.”

 

What is Known For Sure?

The system will be costly to implement since the current medical software systems used by insurance companies and providers will need an over haul.  Staff will requiring intensive training (both on the insurance and the provider sides of the aisle).  It is inevitable that providers will take a financial hit as they struggle to accurately code a myriad of disorders.

There are 127 ICD-10 codes that include the word “hearing” and the description of many of the codes is open to interpretation, for example:

2014 ICD-10-CM Diagnosis Code H90.4

Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side 

Unrestricted means????  Unimpeded, not limited, free…pick one???  Not once did I ever use any of those terms in a patient’s chart.  

H90.4 is not a billable ICD-10-CM diagnosis code and cannot be used to indicate a medical diagnosis as there are 2 codes below H90.4 that describe this diagnosis in greater detail.  

In other words H90.4 exists to direct you to dig deeper.

2014 ICD-10-CM Code H90.41

Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side. 

Below are the description synonyms associated with H90.41, they’re supposed to help you figure out which code to use.

Hearing loss, sensorineural, right · Right autoimmune sensorineural hearing loss · Right high frequency sensorineural hearing loss · Right neural hearing loss · Right sensorineural hearing loss

 

How to Learn About ICD-10 Codes

The Center for Medicare/Medicaid Services (CMS) Sponsors ICD-10 Teleconferences

MLN Connects™ National Provider Calls (MLN Connects Calls) and videos help prepare the provider community for the U.S. health care industry’s change from the ICD-9 to ICD-10 medical coding system. These calls and videos are free of charge. Refer to the list below for information about upcoming or previous MLN Connects Calls and videos, including registration information, links to call presentation materials, written transcripts, audio recordings, podcasts, video slideshow presentations, and other related materials. MLN Connects is a part of the Medicare Learning Network® (MLN)*

 

What Do I think Will Happen?

The House of Representatives recently passed H.R 4302, a temporary “fix” to the Medicare payment system that would prevent a 24 percent cut in Medicare payments this year. The bill would also delay the Obama Administration’s implementation of the new ICD-10 coding system, which is scheduled to take effect on October 1, 2014.

If you’ve never written to your congressman/woman before today, now might be a good time to start.

Medicare Rules and Regulations…Great, Something Else to Do

Physician Quality Reporting System (PQRS) changes will impact future Medicare reimbursement for audiologists billing for Medicare Part B.

According to the proposed 2013 Medicare Physician Fee Schedule rule, the Centers for Medicare and Medicaid Services (CMS) will deduct 1.5 percent per claim from all 2015 Part B payments to eligible health-care professionals, including audiologists, who do not meet the satisfactory reporting requirements to report at least one applicable PQRS measure for Medicare covered services in 2013. In other words, you must participate in PQRS in 2013 in order to avoid a payment reduction in 2015.

The Audiology Quality Consortium (AQC) has developed a resource regarding PQRS reporting titled, http://www.audiology.org/practice/PQRI/Documents/PQRS_ReportingAudiologyQualityMeasures.pdf    Reporting Audiology Quality Measures: A Step-by-Step Guide.

On a final note, please heed the phrase, “Don’t kill the messenger!”  We provided this information in case you weren’t aware of the upcoming changes.  Please remember, we provided it, we didn’t create it and we agree that one more set of regulations is not what the doctor ordered.

ICD-10 Codes – This is Not Going to Be Pretty

We’ll be posting information periodically about the transition to ICD-10 codes.  Will the transition go smoothly for everyone? Of course it won’t.  But that doesn’t mean from now until October 1, 2014 (when you’re required to use the codes) you can’t learn as much as possible to prepare yourself for the inevitable.

Here is a list from the Centers for Medicare & Medicaid of the most frequently asked questions they receive regarding ICD-10 Codes.  Don’t worry the answers are also listed.

FAQs: ICD-10 Transition Basics

The ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. These FAQs provide an overview of the transition to ICD-10 and points to resources for more information.

1. What does ICD-10 compliance mean?

ICD-10 compliance means that everyone covered by HIPAA is able to successfully conduct health care transactions using ICD-10 codes.

2. Will ICD-10 replace Current Procedural Terminology (CPT) procedure coding?

No. The switch to ICD-10 does not affect CPT coding for outpatient procedures. Like ICD-9 procedure codes, ICD-10- PCS codes are for hospital inpatient procedures only.

3. Who is affected by the transition to ICD-10? If I don’t deal with Medicare claims, will I have to transition?

Everyone covered by HIPAA must transition to ICD-10. This includes providers and payers who do not deal with Medicare claims.

4. Do state Medicaid programs need to transition to ICD-10?

Yes. Like everyone else covered by HIPAA, state Medicaid programs must comply with ICD-10.

5. What happens if I don’t switch to ICD-10?

Claims for all services and hospital inpatient procedures performed on or after the compliance deadline must use ICD- 10 diagnosis and inpatient procedure codes. (This does not apply to CPT coding for outpatient procedures.) Claims that do not use ICD-10 diagnosis and inpatient procedure codes cannot be processed. It is important to note, however, that claims for services and inpatient procedures provided before the compliance date must use ICD-9 codes.

6. If I transition early to ICD-10, will CMS be able to process my claims?

No. CMS and other payers will not be able to process claims using ICD-10 until the compliance date. However, providers should expect ICD-10 testing to take up to 19 months.

7. Codes change every year, so why is the transition to ICD-10 any different from the annual code changes.

ICD-10 codes are different from ICD-9 codes and have a completely different structure. Currently, ICD-9 codes are mostly numeric and have 3 to 5 digits. ICD-10 codes are alphanumeric and contain 3 to 7 characters. ICD-10 is more robust and descriptive with “one-to-many” matches in some instances.

Like ICD-9 codes, ICD-10 codes will be updated every year.