THE ICD-10 JOURNEY HANDS ON CODING

[Pages:42]UW MEDICINE | ICD-10 Program

THE ICD-10 JOURNEY HANDS ON CODING

WSHIMA 04.30.2016

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DISCLAIMER

This material is designed to provide information about clinical documentation, coding, and compliance in an educational format. It is a

snapshot of some aspects of ICD-10. Carefully review all coding rules, guidelines, and codes. This

session is not meant to be a substitute for careful review of all coding rules, guidelines, and codes as well

as medical documentation when coding in ICD 10.

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ICD-10

GOALS/OBJECTIVES

? Background UW Medicine ? Post Go-Live Audit of all UW Medicine Coders

- Inpatient: I10 CM, PCS, DRG - Outpatient Ambulatory Surgery: I10

CM/PCS - ProFee/Clinic: I10 CM ? ICD-10-CM Examples Clinic & ProFee ? CM/PCS Examples Outpatient ? CM/PCS Examples Inpatient

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ICD-10

UW MEDICINE IN BRIEF

Airlift Northwest (serving AK, ID, MT & WA) Harborview Medical Center (413 beds) Northwest Hospital & Medical Center (281 beds) Seattle Cancer Care Alliance (20 beds)* UW Medical Center (450 beds) UW Clinics (10 clinics) UW Physicians (1,800+ physicians) UW School of Medicine (1,000+ students) Valley Medical Center (303 beds)

* An alliance of UW Medicine, Fred Hutchinson Cancer Research Center and Seattle Children's Hospital

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ICD-10

BACKGROUND

? April 2014 ? Dual coding started for all coders across UW Medicine

? May 2014 ? Internal DRG analysis /Shifts ? Coder/CDI education

Newsletter Webinar twice a month ? Outside audits pre and post go-live 2 Pre go-live audits Post go-live audit

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ICD-10

POST G0-LIVE OUTSIDE AUDIT

? Outside audit of ICD-10 Coding ? All coders who assign diagnosis and procedure

codes in ICD-10. ? November 2015 ? 5 cases per coder (150 coders) ? Results of the audit late Dec.-Mar. ? Education team reviewed ? Feedback provided to individual coders

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ICD-10

CODING/CDI GUIDANCE

? Excision saphenous vein for graft (CABG) Greater vs. lesser

? Radial artery lines ? Devices placed at outside facilities (Impella) ? List of contrast by type (low osmolar) ? Aflutter

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ICD-10

CASE # 1: EMERGENCY ROOM

Diagnosis Codes O02.1

Z3A.14

Descriptor

Missed abortion (Early fetal death before completion 20 weeks) 14 weeks gestation of pregnancy

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ICD-10

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