ICD–10 Orthopedics
References
[
FINAL RULE ] On
July 31, HHS issued a rule (CMS-0043-F) finalizing October 1, 2015, as
the new compliance date for health care providers and health plans to
transition to ICD-10. ICD-10 represents a significant code set change that
impacts the entire health care community.
The
Transition:
·
Understand
the Impact
·
Identify
the Team
·
Prepare
a Budget and Forecast
·
Arrange
for Training and Education
·
Incorporating more detail in clinical documentation
is an important
step in your ICD-10 transition.
Specifying anatomical location and
laterality required by ICD-10 is easier than you think. This detail reflects
how physicians and clinicians communicate and to what they pay attention - it
is a matter of ensuring the information is captured in your documentation.
In ICD-10-CM, there are three main
categories of changes:
·
Definition Changes
·
Terminology differences
·
Increased specificity
For orthopedics the focus is on
increased specificity. Over 1/3 of the expansion of ICD-10 codes is due to the
addition of laterality (left, right, or bilateral). Physicians and other
clinicians likely already note laterality when evaluating the clinically
pertinent anatomical site(s).
|
ICD-10 Code Examples
|
|
|
M21.722
|
Unequal limb length (acquired), left humerus
|
|
M25.561
|
Pain in right knee
|
|
M25.562
|
Pain in left knee
|
|
S72.344A
|
Nondisplaced spiral fracture of shaft of right femur,
initial encounter for closed fracture
|
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