AccuChecker your Healthcare Solution to ICD-10 and PQRS
February 11, 2014
About ICD-10
ICD-10-CM/PCS
(International Classification of Diseases, 10th Edition, Clinical Modification
/Procedure Coding System) consists of two parts:
1.
ICD-10-CM for diagnosis coding
2.
ICD-10-PCS for inpatient procedure coding
ICD-10-CM
is for use in
all U.S. health care settings. Diagnosis coding under ICD-10-CM uses 3 to 7
digits instead of the 3 to 5 digits used with ICD-9-CM, but the format of the
code sets is similar.
ICD-10-PCS is for use in U.S. inpatient
hospital settings only. ICD-10PCS uses 7 alphanumeric digits instead of the 3
or 4 numeric digits used under ICD-9-CM procedure coding. Coding under
ICD-10-PCS is much more specific and substantially different from ICD-9-CM
procedure coding.
The transition to ICD-10 is
occurring because ICD-9 produces limited data about patients’ medical
conditions and hospital inpatient procedures. ICD-9 is 30 years old, has
outdated terms, and is inconsistent with current medical practice. Also, the
structure of ICD-9 limits the number of new codes that can be created, and many
ICD-9 categories are full.
Who Needs to Transition ICD-10 will affect diagnosis and
inpatient procedure coding for everyone covered by Health Insurance Portability
Accountability Act (HIPAA), not just those who submit Medicare or Medicaid
claims. The change to ICD-10 does not affect CPT coding for outpatient
procedures.
For more
details contact:
HPP-Accuchecker :
305-227-2383
psilben@hppcorp.com
