pathwaythroughtheicd-10maze.pptVIP

ICD-9-CM has minimal instruction to it’s 9 conventionsICD-10-CM has twice as many conventions (18) and additional detail and guidance for correct use and interpretation Excludes 1 - Example Excludes 2 - Example General Coding Guidelines – Example Download the 113 page document at:/nchs/icd/icd10cm.htm ICD-10-CM 2013 Release is now available and can be accessed at: Rebekah S. Gatti, CCS-P, CPC, CPC-I, CEDC, CPMA R.T. Welter and Associates, Inc. The number of codes has increased dramatically What may have been a single code in ICD-9 may now have several hundred code choices due to the specificity of ICD-10-CM Code choices require more information More specificity may require better documentation Significant Change to Diabetes Mellitus Six Diabetes Mellitus categories in the ICD-10-CM. E08 Diabetes Mellitus due to an underlying condition E09 Drug or chemical induced diabetes mellitus E10 Type I diabetes mellitus E11 Type 2 diabetes mellitus E13 Other specified diabetes mellitus E14 Unspecified diabetes mellitus Example: Type II Diabetes with heel ulcer ICD-9 250.80 707.14 ICD-10 E11.621 L97.401 thru L97.429 (fifteen codes defining level of breakdown, right heel, left heel, or unspecified heel) Expanded to include the classification of the diabetes and the manifestation. Category updated to reflect the current clinical classification of diabetes. No longer classified as controlled/uncontrolled. E08.22, Diabetes mellitus due to an underlying condition with diabetic chronic kidney disease E09.52, Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene E10.11, Type 1 diabetes mellitus with ketoacidosis with coma E11.41, Type 2 diabetes mellitus with diabetic mononeuropathy Gout: ICD-9 has 36 codes describing gout/gouty conditions Unspecified 274.9 ICD-10 currently has 239 codes to describe gout/gouty conditions (primary, secondary, drug induced, due to renal impairment, body area, right, left, unspec