International Classification of Diseases-Tenth Revision (ICD-10) CBT Script
Thank you for taking time today to learn more about the International Classification of Diseases-Tenth Revision, or ICD-10.
This presentation is prepared for Medicare Part B coders, billers, practice management, and health care providers.
ICD-10 was created as a replacement for the International Classification of Diseases-Ninth Revision or ICD-9. ICD-9 was developed almost 30 years ago. ICD-9 is viewed as outdated because of its limited ability to accommodate new procedures and diagnoses and is not flexible enough or descriptive enough to identify diagnoses. ICD- 9 contains only 17,000 codes and is expected to run out of available codes in the near future.
The Centers for Medicare & Medicaid Services, or CMS, released the ICD-10 proposed rule on August 15, 2008. CMS received many comments regarding ICD-10 and the comment period ended on October 21, 2008. The final rule was published in the Federal Register on January 16, 2009. The compliance date for ICD-10 is October 1, 2013. For further information on the final rule, please refer to Federal Register Website address shown on slide 3.
The objectives of ICD-10 are to improve quality measures and improve the accuracy and efficiency of coding. ICD-10 has the potential to reveal more quality of care, so data can be used in a more effective way. Data needs today are much different then they were 30 years ago when ICD-9 was created. ICD-10 will provide better data for research, claims processing, public health tracking and fraud and abuse identification. It contains more than 155,000 codes and accommodates many new diagnoses and procedures.
ICD-10 will provide many improvements through greater detailed information, the ability to expand and a more accurate payment for services rendered.
ICD-10 consists of two parts.
ICD-10-CM, or ICD-10 Clinical Modification, is the diagnosis classification system. Diagnosis codes under this system are very similar to ICD-9-CM.
ICD-10-PCS, or ICD-10 Procedure Coding System, is the procedure coding system used for inpatient hospital settings only.
Slide 6 illustrates the structural difference between ICD-9-CM Diagnosis Codes and ICD-10-CM Diagnosis Codes. First, let's look at ICD-9-CM Diagnosis Codes. They are 3 to 5 digits. The first digit is alpha or numeric and digits 2 through 5 are numeric. This is opposed to the ICD-10-CM Diagnosis codes, which are 3 to 7 digits. For ICD-10-CM diagnosis codes, the first digit is alpha, digits two and three are numeric, and digits 4 through 7 are alpha or numeric. The examples shown on the left bottom of slide six shows a structure comparison of an ICD-9-CM diagnosis code as opposed to the new ICD-10-CM structure for the various diagnoses.
The structural difference between ICD-9-PCS and ICD-10-PCS is that ICD-10-PCS uses 7 alpha or numeric digits while ICD-9-PCS uses 3 or 4 numeric digits. Alpha digits are not case sensitive and as the slide notes, letters "O" and "I" are not used to avoid confusion with numbers 0 and 1.
As the example at the bottom of the slide illustrates, the structural difference between ICD-9-PCS Procedure Codes and ICD-10-PCS Procedure Codes is significant.
Organizations and facilities can begin planning for ICD-10-CM and ICD-10-PCS by starting early. Timing is important. You should start discussions regarding how this will affect your current systems. What type of systems and software issues might you expect? Will your system need field size expansion or logic modifications? Consider providing awareness training for all staff. Identify ICD-9 codes currently being used on paper and in software. It is not too early to start the discussions.
You may find additional information on the CMS Website including links to numerous resources related to ICD-10-CM and ICD-10-PCS. The CMS Website resources can be found on slide 9.
We hope you find the information presented in this Mediasite presentation useful. Thank you for your time, and have a great day!
Page Last Updated: Wednesday, 30-Dec-2009 10:43:40 CST
