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Will ICD-10 become just another reason for insurers to deny payment?
Test your knowledge of ICD-10 coding and documentation requirements for five diagnoses you're likely to encounter in family medicine.
Our tour of ICD-10 continues with the minor injury codes you’re likely to use in family medicine.
This overview of the common gastrointestinal disorders in primary care will help you get ready for ICD-10 and avoid, say, K30 – indigestion.
Once you understand a few peculiarities, you'll be ready to code common diseases of the respiratory system.
FPM's ICD-10 coding series continues with a look at how to code immunizations, routine health exams, and common preventive screenings.
To find the correct code for a symptom, sign, or test result, pay close attention to ICD-10's exclusion, code-first, and inclusion notes.
In ICD-10, hypertension has a limited number of codes that, on the surface, may appear to make coding this condition relatively simple, at least compared to some of the other ICD-10 complexities. There are only nine codes for primary hypertension and five codes for secondary hypertension. However, as is often the case, the devil is in the details. For example, ICD-10 assumes a causal relationship between hypertension and chronic kidney disease, but you must document the relationship between hypertension and heart disease. Additionally, all of the hypertension codes require an additional code if the patient is a current or former tobacco user. If hypertension is secondary to another disease state, code the underlying condition as well as one of the secondary hypertension codes.
ICD-10 will go into effect on Oct. 1, 2014, for services provided on or after that date. The transition to ICD-10 will be significant and requires proper planning and preparation. First steps include obtaining a copy of the ICD-10 code book and orienting yourself to the new code set, which demands greater specificity. While there are programs available to crosswalk ICD-9 codes to ICD-10 codes, the ICD-9 codes must be specific. Practices should identify the most commonly used diagnosis codes and conduct chart reviews to determine whether current documentation will be sufficient to support ICD-10 coding. Both staff and physicians will require ICD-10 education that includes coding cases. Additionally, practices will need to work with their vendors to ensure ICD-10 preparedness, set cash aside or establish a line of credit to prepare for potential reimbursement delays, and establish new coding workflows for the transition period.
Physicians will face several significant challenges in 2014, including Meaningful Use Stage 2, ICD-10, and the Affordable Care Act (ACA). Having a helpful electronic health record vendor will be key to navigating the Stage 2 and ICD-10 issues, but physicians also need to educate themselves on the coming changes. Anxiety about these changes, as well as the ACA, will affect both physicians and patients, at least for a while. Preparation is essential. Although it's going to be a challenging year, physicians and their office staff can get through this and be better off on the other side.