ICD-10 OVERVIEW - Centers for Medicare & Medicaid Services
嚜澠CD-10 OVERVIEW
History of ICD-9-CM
? Pat Brooks, RHIA
? Senior Technical Advisor
? Centers for Medicare & Medicaid Services
(CMS), Hospital and Ambulatory Policy
Group
E-mail 每 patricia.brooks2@cms.
Pat Brooks, CMS
2
History of ICD-9-CM
? World Health Organization (WHO) developed
ICD-9 for use worldwide
? U.S. developed clinical modification (ICD-9-CM)
每 Implemented in 1979 in U.S.
每 Expanded number of diagnosis codes
每 Developed procedure coding system
Pat Brooks, CMS
3
ICD-9-CM Users
? ICD-9-CM Diagnoses 每 used by all types of
providers
? ICD-9-CM Procedures 每 used only by inpatient
hospitals
? Current Procedural Terminology (CPT) 每 used
for all ambulatory and physician procedure
reporting
Pat Brooks, CMS
4
What is ICD-9-CM Used For?
? Calculate payment 每 Medicare SeverityDiagnosis Related Groups (MS-DRGs)
? Adjudicate coverage 每 diagnosis codes for
all settings
? Compile statistics
? Assess quality
Pat Brooks, CMS
5
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