ICD-10-CM Overview and Coding Guidelines
[Pages:58]ICD-10-CM Overview and Coding Guidelines
Presented by: Katherine Abel/Rhonda Buckholtz
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No part of this presentation may be reproduced or transmitted in any form or by any means (graphically, electronically, or mechanically, including photocopying, recording, or taping) without the expressed written permission of AAPC.
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ICD-10-CM Overview and Coding Guidelines 2
Introduction
? The Health Insurance Portability and Accountability Act (HIPAA) of 1996 includes provisions for the standardization of health care information.
Electronic Claim
Submissio ns
Provider Identifiers
Privacy
Code Sets
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ICD-10-CM Overview and Coding Guidelines 3
ICD-10-CM
? ICD-10-CM contains significant improvements
? Expanded injury codes ? Creation of combination diagnosis symptom
codes ? Addition of up to seven-character
alphanumeric subclassifications ? Addition of laterality in code assignment
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ICD-10-CM Overview and Coding Guidelines 4
Final Rule
January 1, 2012
? 5010 to be used for electronic submissions
October 1, 2014
? ICD-10-CM to be used for Outpatient Services
? ICD-10-PCS to be used for Inpatient Services
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ICD-10-CM Overview and Coding Guidelines 5
History of ICD
? ICD-10 was endorsed by the 43rd World Health Assembly in May 1990
? Came into use in 1994
? ICD has origins into the 1850's
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ICD-10-CM Overview and Coding Guidelines 6
Characteristics of ICD-10-CM
? Expanded to include health-related conditions and to provide greater specificity at the 6th character level and with a 7th character extension
? Guidance is found in Official Coding and Reporting guidelines section of ICD-10CM
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ICD-10-CM Overview and Coding Guidelines 7
Format and Structure
? Differences from ICD-9-CM include:
? Some chapters have been rearranged. ? Some titles have changed. ? Conditions have been regrouped. ? ICD-10 has almost twice as many
categories as ICD-9. ? Minor changes have been made in the
coding rules for mortality.
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ICD-10-CM Overview and Coding Guidelines 8
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