The biggest challenge from switching to ICD-10-CM to ICD-9-CM would be having to be more specific and havin longer codes. It would also include more information than the ICD-9-CM. We would also have to have people who already code by the ICD-9-CM to switch to ICD-10-CM, they probably wouldn't feel comfortable with a change, especially because ICD-9-CM is already a challenge itself. Having to get familiar with the medical terms as well. For the ICD-10-CM I think would have more numbers and letters to pick from just not "U".
I agree Alexia, for us it wouldn't be difficult to switch because we are learning both but for others who already code for years wouldn't probably feel comfortable with the change.
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 most obvious difference between the two systems is the number of diagnostic codes. ICD-9 had about 14,000 codes whereas ICD-10 will have 68,000 codes.
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:
- amount of diagnosis codes. ICD-10-CM has 69,823 codes compare to 14,025 codes in ICD-9-CM.
The United States implemented the current version (ICD-9) in 1979. ICD-10- CM is the mandated code set for diagnoses under the HIPAA Electronic Health Care Transactions and Code Sets standard starting on October 1, 2014. While most countries moved to ICD-10 several years ago, the United States is just now transitioning into ICD-10 and has to be compliant by October 1, 2015. ICD has been revised a number of times since the coding system was first developed more than a hundred years ago.
The Centers for Medicare and Medicaid Services (CMS) requires all providers to implement ICD-10 coding system begin on October 1st, 2015 so the U.S. healthcare system can communicate in the same language as with other countries’ systems. The transition from ICD-9 to ICD-10 had big changes from 14,000 diagnostic codes to more than 68,000 and 4,000 procedure codes to 87,000. The transition affected the reimbursements of hospitals. Medicare requires all patients’ procedures and services to be coded using ICD-10 system while they are charged in CDM using CPT codes. However, there is no direct link between ICD and CPT codes (Jensen, Ward, & Starbuck, 2016). The CDM committee had to work together to prepare for this event. Switching from numerical
ICD-10 implementation will affect nearly all core operations of health care organizations. Numerous organizations use diagnosis codes for a variety of reasons. Transitioning to ICD-10 requires changes to almost all clinical and administrative processes and systems. These changes are required of all HIPAA covered entities. The workplace may be any type of healthcare organization, such as:
I do agree with you it will have a great dramatic impact in healthcare. If the coding system is not used in a proper way it can affect many system that uses codes. When using ICD-10 yes this will help to be more specific when it comes to coding. Its not going to be very easy but its is going to help and change the way the coding system is being used so there won't be No mistakes. Yes, there is a big different between ICD-9 and ICD-10-CM but it can be also easy to learn it because it the revision to all the codes. I do believe the change is good because it just going to help us use a specific code when diagnoses.
I do agree that it took some time to convert to ICD-10 because we were still learning new diseases such as AIDS and all other types of cancer and other diagnosis. The reason for such delays was because of lack of progress, concerns about not being ready to convert, how much it would cost to make this transition, and also some lack of jurisdiction. So I can understand why it was so time consuming.
A number of countries have already moved to ICD-10-CM, but here in the United States we are still behind, and have not evolved from ICD-9-CM to ICD-10-CM.
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.
The process of ordering at the Bruce W. Carter Veterans Administration Hospital Affairs (VA) begins with the Purchasing Agent (PA). The PA places orders on the approved vendor website (USfoods.com), based on the needs stated by the Ingredient Control Room (ICR) Worker on the ingredient log. There currently is no forecast tool used, the ICR worker does have par levels that need to be fulfilled. Orders are place on Wednesday to be received on Friday and on Fridays to be received on Monday. The ICR worker twice a week accounts for items needed on the days the orders will be placed and the days after as well. The inventory of the items are placed in a log and a full department inventory is done at the end of every month. (In person communication, E. Aponte, January 30th, 2017)