Classification Of Diseases

Throughout the years we have seen the changes and improvements it has been when coding procedures and being able to add on multiple diagnosis.It has many advantages and has become an easier way to define different coding procedures for the patient.ICD-9-CM is known to be a numeric system and does not indicate timing.In addition there is no differentiation from left to right in laterality.Has a limited space for additional codes,ICD-9 lacks space for diagnosis and new technologies.Carries 13,000 codes which are numbered.On the other hand ICD-10-CM requires initial and subsequent encounters.There is a differentiation from the left to the right laterality.ICD-10-CM offers more specificity and new features such as additional laterality, and x allows

ICD-9-CM codes could before be labeled in just one code, now with more clinical detail to sort through, ICD-10-CM have many more codes to choose from that are much more detail oriented and specific.

Coding systems are used in the inpatient and outpatient settings for the classification of patient morbidity and mortality information for statistical use. The World Health Organization (WHO) developed the Ninth Revision, International Classification of Diseases (ICD-9) in the 1970s to track mortality statistics across the world. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), is the adaptation the U.S. health system uses as a standard list of six-character alphanumeric codes to describe diagnoses. Globally utilizing a standardized system improves consistency in recording symptoms and diagnoses for payer claims reimbursement, as well as clinical research, and tracking purposes.

The continue use of ICD-9 codes after the effective date could result in the denial of reimbursement claims. This task can be assigned to the healthcare organization’s management team to determine a solution avoiding a break down in the system. Rahmathulla states, “In instances of an audit, appropriate documentation will make the query process substantially easier while enabling coders to clarify issues without having to query the provider multiple times for answers” (“Migration To The ICD-10 Coding System S187). It is important to accurately document to reduce the amount of claim denials. With the new specificity requirement of the ICD-10 and documentation supporting a claim, lowers the chances of healthcare fraud. The healthcare management team will oversee the process to prevent the risk of exposure.

I am choosing ICD-10 Codes. The reason I have chosen ICD-10 codes is because every medical facility uses the ICD-10 codes for the billing and coding. That is the only way they get paid is by using ICD-10 codes. They will all receive adequate payments using the updated codes and the right type of billing.

ICD-10 is a huge change from ICD-9, the main purpose was to help coders code more specific. One benefit of ICD-10 is to give the doctor an electronic trail of proof for payments from patients, insurance, government, and hospitals. ICD-9 having diagnosis codes ranging from three to five digits but ICD-10 having diagnosis codes ranging from three to seven digits will automatically give you a more detailed code. Using ICD-10 gives you a lesser risk of getting audited. Giving a specific description on claim forms will make it harder to get the wrong code. ICD-10 will improve healthcare, the codes are more detailed making the data and communication flow faster. ICD-10's will help guarantee the physician reputation; the electronic trails are reported

The main and most obvious difference between ICD-9 and ICD-10 is that there is a significant increase in the amount of codes. ICD-9-CM has an approximate of 17,849 codes when combining all procedural and diagnosis codes, whereas ICD-10 has well over 68,000 Clinical Modification (CM) codes and over 71,000 Procedural Coding System (PCS) codes. There are also several structural differences between ICD-9-CM and ICD-10-CM/PCS. Some of them are:

ICD -9 and ICD-10 are the diagnoses codes. The health insurance needs the diagnoses codes in order to authorize the procedure. The CPT codes are used to explain which procedures the patient received from their physicians. These are usually used for outpatient procedures. If the attending physician or referring physician changes procedures at the time of service, that CPT code also has to be changed and verified ASAP. Authorizations from the insurance company may need to be obtained before that service is done. If these codes are not correct, when the claim is filed for reimbursement, the insurance company may deny the coverage. The patient may be responsible for the entire expense of their service. More often than not, the facility ends up with the burden the costs. There are many times the patient has her procedure done before the required authorization was obtained. Some insurances would retro date the authorization, some would not. There are many times I would have to work on the patient’s account, verify the insurance as well as secure the authorizations, if needed. This is all happening as the patient is waiting at the registration desk, waiting for the ‘go ahead’. Sadly, there are those patients given contrast for their radiology procedure, just to say they have to reschedule their appointment because authorizations weren’t obtained in time. I have to say this infuriates me because this does not need to

- amount of diagnosis codes. ICD-10-CM has 69,823 codes compare to 14,025 codes in ICD-9-CM.

A.The digits ; ICD-9- contains less digits then ICD-10.The ICD 9 has three to five but the ICD 10,has three to seventh digits.The purposes on this change was to be more specific,and also to add diseases and conditions not cover under the ICD 9 codes.

The International Classification of Diseases, Tenth Revision (ICD-10) has been in development since 1983 to replace the outdated Ninth Revision (ICD-9) that has been in use in the U.S. for over 35 years (Giannangelo, 2015). Due to the Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification regulation published in 2009, the Clinical Modification (ICD-10-CM) will replace ICD-9-CM Volumes 1 and 2, and the Procedure Coding System (ICD-10-PCS) will replace ICD-9-CM Volume 3 for all HIPAA transactions effective October 2015 (Giannangelo, 2015). These new code sets accommodate new procedures and diagnoses and allow for greater specificity in clinical documentation (Centers for Medicare & Medicaid Services [CMS],

Number of codes: ICD-9 has 17,000 diagnostic codes and almost 4,000 procedure codes. In contrast, ICD-10 70,000 diagnostic codes (clinical modification codes) and more than 72,000 procedure codes.

Due to ICD-9-CMS’ ability to provide necessary detail for patients’ medical conditions or the procedures and services performed on hospital patients, ICD-10-CM/PCS was implemented.

ICD-10, which is the tenth revision of the International Statistical Classification of Diseases and Related Health Problem, refers to a medical classification inventory for the coding of diseases, their signs, symptoms and causes (Center for Disease Control and Prevention 1). The use of this revised version in the United States is scheduled to begin officially on the first of October 2013. Currently, ICD-10 is being used for diagnosis coding, in procedure coding systems and for inpatient procedure coding.

This stream of research eventually developed into a dedicated discipline, Artificial Intelligence in Medicine (AIM), with wide appeal and broad consensus for optimism. In 1970, Schwartz announced in the New England Journal of Medicine that clinical computing would likely be commonplace in the “not too distant future.” The use of computerized clinical information systems to support hospital operation as well as clinical activities started to flourish in the early 1990s. Besides the significant technological breakthroughs, including the availability of enterprise-level database management systems (DBMS) and health data standards such as ICD and HL7, new legislation and advocacy by federal funding agencies also played a key role. International Statistical Classification of Diseases: Standard diagnostic classification developed by the World Health Organization (WHO) for its member states to report mortality and morbidity statistics. In the United States, ICD-9-CM (ICD 9th Revision, Clinical Modification) is widely used to codify diagnostic data for administrative (such as billing) purposes. http://www.cdc.gov/nchs/datawh/ftpserv/ftpICD9/ftpICD9.htm. Health Level Seven (HL7) is an all-volunteer, not-for-profit organization. It oversees the development of international health data exchange standards. http://www.hl7.org. Financial investments to implement large-scale health IT systems were made by the Agency for