Click here to read: What Providers Should Know About ICD-10-CM By: Lee Browder, National Director of PAHCS

Click Here to Watch the ICD-10-CM Honest Facts Webinar (45 min. running time)

Click Here to Watch the Coding With ICD-10 Webinar (approximately 15 min. running time)

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PAHCS is confident that professional coders will be able to adapt to changes brought about by ICD-10-CM. Coders who have seen and worked with draft version of ICD-10-CM find that after a very short time they are easily able to navigate the new codes and the new format is actually easier to use and not nearly as confusing as some would lead you to believe.

PAHCS will ensure our members have access to all training needed to effectively code ICD-10-CM when it becomes effective on October 1, 2015.  PAHCS will offer webinars and articles in our Coding Network News, covering both general and specialty specific ICD-10-CM information.  Virtually all PAHCS ICD-10-CM training will be provided to our members at no cost.

Find out how to become a PAHCS member and receive Free ICD-10 CM Training!

Based on the current ICD-10-CM implementation date, all covered entities under the Health Insurance Portability and Accountability Act (HIPAA) of 1996 MUST implement the new code sets with dates of service that occur ON or after October 1, 2015.  All charges prior to Oct 1st will still use ICD-9 and you will have to run both until all claims prior to Sept 30, 2015 are paid. 

Coding under ICD-10 will be no different than coding for ICD-9, you still follow coding conventions, you still look up codes in the index first and then continue to the tabular section (chapter) to read more about the code(s) and you select the appropriate code based on the highest level of specificity.

The Differences

ICD-9-CM

3, 4, or 5 numbers

Allows for limited documentation through the use of unspecified codes

Limited to 15,000 diagnosis codes

ICD-10

Combination of letters and numbers

Can grow up to 7 digits

Can accommodate up to 120,000 codes

More dependant on medical record documentation

Some codes require knowledge of anatomy

Training for coders should be deferred until late 2014 or early 2015 so the information is fresh when the conversion takes place.

Just as an increase in the number of words in a dictionary doesn’t make it more difficult to use, the greater number of codes in ICD-10-CM doesn’t necessarily make it more complex to use. In fact, the greater number of codes in ICD-10 will make it easier to find the right code.  The Alphabetic Index will continue to facilitate proper code selection.  ICD-10 is more specific, is more clinically accurate, and uses a more logical structure so actually it will be easier to use than ICD-9.

If you know how to code using ICD-9 than you already know how to code using ICD-10.  The process is the same……the codes are just going to be different.  There are many more codes in ICD-10 than in ICD-9 but that only means you have more choices.  Most coders will be able to grasp ICD-10 with little or no difficulty.

By now we all have heard that coders will need to brush up on anatomy and physiology before the implementation of ICD-10.  The anatomy and physiology of the human body are NOT changing.  With ICD-10, coders in some specialties such as cardiology and orthopedics will need to better understand how a procedure is being performed in order to determine the appropriate code, and that information must be properly documented in the medical record.

One of the most common questions asked is, “will the conventions be the same or different”.  Many of the current conventions will also be used in ICD-10.  Many of the same symbols and terminology will carry over from ICD-9 as well.

Over the next 2 years PAHCS will make sure that our members get all the training needed to code ICD-10 when it becomes effective on October 1, 2015.  PAHCS will offer webinars and articles in our Coding Network News, covering both general and specialty specific ICD-10-CM information.  Virtually all PAHCS ICD-10-CM training will be provided to our members at no cost.