Understanding ICD-10-CM and DSM-5: A Guide for Psychiatrists and Other Mental
Health Clinicians
On July 31st, 2014, the U.S. Department of Health and
Human Services (HHS) issued a rule finalizing Oct. 1, 2015 as the new
compliance date for health care providers, health plans, and health care
clearinghouses to transition to ICD-10, the tenth revision of the International
Classification of Diseases. This deadline allows providers, insurance companies
and others in the health care industry time to ramp up their operations to
ensure their systems and business processes are ready to go on Oct. 1, 2015.
Mental and behavioral Health coding in ICD-9 vs. ICD-10
Efforts to harmonize ICD-9 and DSM-IV codes currently in
use have resulted in classification systems with similar (often identical)
codes
•The structure and coding for the mental and behavioral
disorders classification in ICD-10-CM are different from those of the ICD-9-CM
and the DSM-IV.
•The broad categories of mental and behavioral disorders
are much the same, but the new arrangement of categories and alphanumeric codes
will be different from ICD-9 and the DSM-IV codes.
–For instance, major depressive disorder, single episode
is coded as 296.2 in both DSM-IV and ICD-9-CM but is coded as F32 in the
current version of ICD-10-CM.
The
differences between ICD-9 and 10
•Differences between the code sets make ICD-10 look like
an entirely different coding language
•Main differences include:
–Volume
–Structure
–New features
The
ICD-10 Mandate
•The ICD-10 implementation is scheduled for Oct. 1, 2015.
On claims with that date of service, all HIPAA-covered health care entities
must begin using ICD-10 codes in place of the ICD-9 codes
•Claims with non-compliant codes will be rejected
•Delivered in two parts – ICD-10-CM (for all providers in
all health care settings) and ICD-10-PCS (for hospital claims and inpatient
hospital procedures
•Does not affect CPT or HCPCS codes and usage
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