Tuesday, March 20, 2012

Broadview Health - services ICD-10

ICD-9 is now over 30 years old and the language of the system has become obsolete in the fast changing environment of our current health care world. Other countries around the world have already adopted the new ICD-10 system, United States will mandate the adoption of ICD-10 system by October 1, 2013.

  • ICD-10-CM, which will consists of the diagnosis classification developed by the Centers of Disease Control (CDC). The new system will use a 3-7 alpha-numeric digits for coding, whereas the ICD-9 system uses a 3-5 digit code.
  • ICD-10-PCS, which will consists of the procedure classification developed by the Centers for Medicare and Medicaid Services (CMS) for use in the inpatient hospital only. The new system will use a 7 digit alpha-numeric code system whereas the ICD-9 system uses a 3-4 numeric system.?

ICD-10 will affect diagnosis and all inpatient procedure coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not those who just use Medicare or Medicaid claims.

Everyone who is covered by the HIPPA and transmits electronic claims must also switch to Version 5010 transaction standards starting on January 1, 2012. The change in ICD-10 does not affect the CPT coding structure for outpatient procedures.
  • ?United States October 1, 2013
  • United Kingdom 1995
  • Australia 1998
  • Canada 2001
  • Germany 2000
  • Sweden 1997
  • France 1997?

COMPARISON BETWEEN ICD-9 AND ICD-10

The diagnosis code set is changing from ICD-9-CM to ICD-10-CM.

The ICD-10-CM codes can be up to 7 positions, the ICD-9 codes were up to 5 positions. The "10" codes contain both letters and numbers in all positions, the "9" codes had only the first position with letters and numbers, the rest were only numbers. There will be over 68,000 diagnosis codes to deal with in ICD-10. ICD-9 had around 13,000. More importantly, ICD-10 codes provide much greater specificity in the diagnoses. ? ? ?

KEY TIMELINE FOR COMPLIANCE

  1. I. All electronic claims must use version 5010 for submission.
  2. II. Version 4010 will be no longer accepted.?
  1. I. All claims for reimbursements must use ICD-10 standards and codes on all services provided on or after this date for all medical diagnosis and inpatient procedures.
  2. II. CPT codes will continue to be used for outpatient procedures and services.

ICD-10-CM/PCS:

  • Incorporates much greater specificity and clinical information.
  • Includes updated medical terminology and classification of diseases.
  • Provides codes to allow comparison of mortality and morbidity data
  • Provides better data for analytics to improve overall public health and health care system

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Source: http://health.ezinemark.com/broadview-health-services-icd-10-18dceb4bb11.html

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