Transcript Chapter_007

CHAPTER 7
AN OVERVIEW OF ICD-10-CM
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 11
ICD-10-CM
• ICD-10-CM scheduled to replace
ICD-9-CM
• Target implementation date
October 1, 2013
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 2
Improvements in ICD-10-CM
• More relevant ambulatory and managed
care encounter codes
• Expanded injury codes
• Combination diagnosis/symptom codes
• Up to 7 characters
(Cont’d…)
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 3
Improvements
(…Cont’d)
• Updated diabetes codes
• Greater overall specificity
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 4
ICD-10-CM Structure
• 21 Chapters
• V and E codes incorporated into code set
• Addition of chapters for
– Eye and Adnexa
– Ear and Mastoid Process
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 5
GEMs Files
Figure: 7.1
GEMs mapping files I-9 to I-10
(Courtesy U.S. Department of Health
and Human Services, Centers for
Disease Control and Prevention.)
• ICD-9-CM code mapped to new ICD-10CM code
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 6
GEMs File, Cont’d
• ICD-10-CM code
mapped to new ICD-9CM code
GEMS mapping files I-10 to I-9 (Courtesy
U.S. Department of Health and Human
Services, Centers for Disease Control
and Prevention.)
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 7
GEMs Flag (Column 3)
• Three types of flags
– Approximate
• Direct match from I-9 to I-10
• Flags: 00000 and 10000
– No Map
• No diagnosis code available
– Combination
• Requires a combination of codes to map from
one system to another
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 8
Index
• Main terms and
subterms
Figure: 7.9
ICD-10-CM Index (From Buck CJ: 2010 ICD-10-CM Standard Edition
DRAFT (Softbound), St. Louis, 2010, Saunders.)
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 9
ICD-10-CM Chapters
• Chapter 1 Certain Infectious and Parasitic
Diseases (A00–B99)
• Chapter 2 Neoplasms (C00–D49)
• Chapter 3 Disease of the Blood and
Blood-Forming Organs and Certain
Disorders Involving the Immune
Mechanism (D50–D89)
• Chapter 4 Endocrine, Nutritional, and
Metabolic Diseases (E00–E90)
• Chapter 5 Mental and Behavioral
Disorders (F01–F99)
• Chapter 6 Diseases of the Nervous
System (G00–G99)
• Chapter 7 Diseases of the Eye and
Adnexa (H00-H59)
• Chapter 8 Diseases of the Ear and
Mastoid Process (H60–H95)
• Chapter 9 Diseases of the Circulatory
System (I00–I99)
• Chapter 10 Diseases of the Respiratory
System (J00–J99)
• Chapter 11 Diseases of the Digestive
System (K00–K94)
• Chapter 12 Diseases of the Skin and
Subcutaneous Tissue (L00–L99)
• Chapter 13 Diseases of the Musculoskeletal
System and Connective Tissue (M00–M99)
• Chapter 14 Diseases of the Genitourinary
System (N00–N99)
• Chapter 15 Pregnancy, Childbirth, and the
Puerperium (O00–O99)
• Chapter 16 Certain Conditions Originating in
the Perinatal Period (P00–P96)
• Chapter 17 Congenital Malformations,
Deformations, and Chromosomal
Abnormalities (Q00–Q99)
• Chapter 18 Symptoms, Signs, and Abnormal
Clinical and Laboratory Findings, Not
Elsewhere Classified (R00–R99)
• Chapter 19 Injury, Poisoning, and Certain
Other Consequences of External Causes
(S00–T88)
• Chapter 20 External Causes of Morbidity
(V01–Y99)
• Chapter 21 Factors Influencing Health Status
and Contact with Health Services (Z00–Z99 )
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 10
Tabular
Figure: 7.10
ICD-10-CM Tabular, R codes. (Modified from Buck CJ: 2010 ICD-10-CM Standard Edition
DRAFT (Softbound), St. Louis, 2010, Saunders.)
• Each section begins with unique letter and
codes arranged in numerical order
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 11
Official Instructional Notations
• Includes
– Define or give examples of category
content
Figure: 7.11
Includes notation. (From Buck CJ: 2010 ICD-10-CM Standard
Edition DRAFT (Softbound), St. Louis, 2010, Saunders.)
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 12
Excludes1
• Exclude1 = Not Coded Here
Figure: 7.12
Excludes1 notation in I-10. (From Buck CJ: 2010 ICD-10-CM Standard Edition
DRAFT (Softbound), St. Louis, 2010, Saunders.)
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 13
Excludes2
• Excludes2 = Not Included Here
Figure: 7.13
Excludes2 notation. (From Buck CJ: 2010 ICD-10-CM Standard
Edition DRAFT (Softbound), St. Louis, 2010, Saunders.)
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 14
Code First/Use Additional Code
• Code First/Use Additional =
Etiology/Manifestation Paired Codes
Figure: 7.14
I-10 Tabular, Code first notation. (From Buck CJ: 2010 ICD-10-CM Standard Edition DRAFT
(Softbound), St. Louis, 2010, Saunders.)
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 15
Code Also
• Code Also = More than 1 code required
Figure: 7.16
I-10 Tabular, Code also notation (From Buck CJ: 2010 ICD-10-CM
Standard Edition DRAFT (Softbound), St. Louis, 2010, Saunders.)
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 16
7th Character and
Placeholder x
• Codes <6 characters that have a 7th
character requirement, x is placeholder
Figure: 7.17
x as the placeholder. (From Buck CJ: 2010 ICD-10-CM Standard
Edition DRAFT (Softbound), St. Louis, 2010, Saunders.)
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 17
Conclusion
CHAPTER 7
AN OVERVIEW OF ICD-10-CM
Copyright © 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2002 by Saunders, an imprint of Elsevier Inc.
Slide 18
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