The Change from ICD-9-MCS to ICD-10-CMS

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

Enter the 3-5 alpha/numeric character code from the ICD-9 related to the procedures, services, or supplies listed in Block #24e. List the primary diagnosis on Line A, with any subsequent codes to be entered on Lines B thru H (the highest level of specificity in priority order). Additional diagnoses are optional and may be listed on Lines I thru L. – Required

The National Center for Health Statistics (NCHS) is part of the ICD-9-CM coordination and maintenance committee. This committee is responsible for maintaining the classification system. NCHS is responsible for the classification of diagnoses involving volumes 1 and 2. NCHS posts the updated material for official code revisions to the classification systems, known as addenda on their centers for disease control and prevention website for the diagnostic portion. NCHS is also responsible for the use of the international statistical classification of diseases and related health problems. Some of the improvement that NCHS has help make are the addition of information relevant to ambulatory, managed care encounters, more injury codes, the making

ICD-9-CM is obsolete and cannot meet the requirements of healthcare’s data management. It cannot correctly define the diagnoses and inpatient procedures for care provided. ICD-10-CM will have the increased coding capacity to accommodate advancements in medical technology and procedures that ICD-9-CM cannot accommodate. By October 1, 2015, all entities covered by the Health Insurance Portability and Accountability Act (HIPAA) must transition from ICD-9-CM to ICD-10-CM.

Hospitals are experiencing a greater need for specialized coding services in the wake of the transition to ICD-10. New challenges emerge for hospitals, as ICD-10 has revamped diagnosis and procedure coding and creates the need for hospitals to upgrade to the ICD-10-(PCS) Procedure Coding System if inpatient procedure data is reported.

These progressions ought to bring about real enhancements in both the quality and employments of information for different medicinal services settings. Huge enhancements in both the substance and the organization of ICD-10-CM incorporate the accompanying:

Throughout this paper, ICD-9-CM, ICD-10-CM, and ICD-10-PCS are referred to as “classifications.” They are also sometimes called “administrative terminologies” because they are commonly used for external reporting and other administrative purposes, such as statistical and epidemiological analyses, reimbursement for healthcare services, and public health reporting.

CD-10-CM has a greater number of new features that allow a greater level of specificity and clinical detail such as combination codes for conditions and symptoms or common manifestations, Codes of combination for poisoning and external causes, extensions were added for the episode of attention among others.

Because the ICD-10 uses a 3-7 alphanumerical system, versus the ICD-9’s 3-5 characters, codes can be far more accurate and detailed. This makes it easier to collect and convey important data quickly, enhancing patient care. The improved data collection will help providers and physicians improve procedures and structure for the betterment of the patient. And because the ICD-10 emphasizes accuracy, it makes it significantly more difficult for fraud to occur.

The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10-CM) is a type of coding system to represent disorders, signs and symptoms, atypical results, complaints, and social conditions. It comprises 14,400 distinctive codes and its structure provides the ability to create future codes (Medicaid.gov., n.d.a). Also, the code set occupies three to seven positions. The code uses alphanumeric characters in all positions, unlike ICD-9 which used it only in the first spot. Character 1 is alpha, character 2 is numeric, characters 3-7 are alpha or numeric (CDC.gov, 2015). Furthermore, ICD-10-CM comprises 68,000 codes which allow codes to be combined such as codes pertaining to diagnoses with symptoms

Inpatients are usually sicker and undergo more serious surgeries then those who are not admitted as an inpatient makes can make the admitted patient’s case more complex to code. Coders need to realize the difference between inpatient vs outpatient coding. When coding for an inpatient it’s essential to remember that the ICD-9-CM official guidelines are followed when diagnosis and procedure codes re being assigned but when an outpatient is involved ICD-9-CM the official coding guidelines

The ICD-10 is the most current source for the International Classification of Diseases. The ICD is an informational, helpful reference for us Medical Assistants. The ICD updates every so often, and there is talk that the new ICD-11 could be released by next year. The World Health Organization (WHO) predicts that the latest ICD will without a doubt be out in 2018.

The International classification of diseases and related health problems, version 10 (ICD-10) in the United States, was the idea of the National center for health statistics (NCHS). The reason for this change was intended for organizing morbidity status. The new coding include has more addition into it that provides specificity and space for expansion of the code (CDC, 2017). The increased intricacy in the coding will cause challenges in documentation and coding. Proper training is necessary to overcome this kind of situation. Even though there are some downfalls in the initial stage of transformation the benefits are promising. The health care world will be more precise and in identifying diseases, and documenting procedures accurate prediction

It is very difficult to adequately represent some of the ICD coding conventions for a computer’s purposes. The codes produced by the crossmap will need to be evaluated in the context of the complete medical record and applicable reporting rules and compensation requirements before being submitted to payers and other external entities. The construct, greater specificity, and representation of modern clinical medicine provided by ICD-10-CM and ICD-10-PCS will greatly facilitate the computerized generation of ICD codes ultimately anticipated in an EHR

The outmoded coding professional’s role was to describe and apportion diagnosis, procedure, and other medicinal service codes using ICD-9-CM and HCPCS/CPT coding classifications while referencing the Coding Clinic for ICD-9-CM, Coding Clinic for HCPCS,