ICD 10

Z-codes are used for the reason of the encounter instead of the V codes, they are found in Chapter 21: Factors influencing health status and contact with health services (Z00-Z99). A corresponding procedure must accompany a Z code if a procedure is preformed.

Note: The chapter specific guidelines provide additional information about the use of Z codes for specified encounters.

The official guidelines for ICD-10-CM define the conventions used in the code set. In section 1.A.6, we learn the following about some common abbreviations in the Tabular List: NEC “Not elsewhere classifiable” This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code. NOS “Not otherwise specified” This abbreviation is the equivalent of unspecified. Section 1.A.9 tells us a little more:
GEMs, or General Equivalence Mappings were created by the National Center for Health Statistics, CMS, and other industry groups. Our book contains the official data. The reason that many of the codes are unspecified is because the ICD-9 codes are not very specific, so it would be incorrect to map them to codes that don't match. As such, we instruct coders to use GEMs as step one, then turn to the suggested code in the Tabular List. It is here where someone with a little knowledge of the code set can confidently browse and select a more specific code, if available.

Welcome ICD-10! Locating the Codes

Welcome ICD-10!

It is finally here, Now what? For all of our customers we want to offer some Mapping Instructions, and show you how to locate the correct code ICD-10 Codes with Find-A-Code and InstaCode Institute’s resources. Be sure you understand the structure of ICD-10 and what a complete code looks like. Instacode Institute has books available such as an ICD-10 Shortcut Guide and Specialty Code books to help you with your transition. Visit www.instacode.com for more information on the resources offered for ICD-10-CM.

More than one external cause code is required to fully describe the external cause of an illness or injury. The assignment of external cause codes should be sequenced in the following priority: If two or more events cause separate injuries, an external cause code should be assigned for each cause.

The first-listed external cause code will be selected in the following order:

UHIN offers an ICD-10 Peer Support Group. 

Q. How do I report ICD-10 codes on claims when the dates of service span from prior to 10/1/2015 to on or after 10/1/2015?

A.  Many payers are requiring claims with dates of service that span the October 1, 2015 implementation date to be split so that the services prior to 10/1/2015 are billed separately and utilize ICD-9 codes; services on and after 10/1/2015 are billed separately and utilize ICD-10 codes.

Check specific payer guidelines for processing claims for services that span the 10/1/2015 ICD-10 transition date.

10 Ways to Get the Most out of Your InstaCode ICD-10-CM Specialty Book

As one of the authors of the more than 30 InstaCode ICD-10-CM specialty books, I’ve noticed two common reactions to our books.

First, people are amazed at how big our books are. Some of our books are over 2,000 pages – split up into 3 volumes. We did this so that we could use a font size you could read and so that we could include many of the features and helps I’ll describe in this article.

And the second reaction is usually, “Whoa, what do I do with this stack of books?”

An ICD-10-CM Book Just for Acupuncture

Yes, it’s true. There IS an ICD-10-CM code book written just for acupuncture.

People are often surprised when I tell them this. Most of the people I talk to have seen the thick, multi-colored books with teeny-tiny printing, published by a handful of publishers (hint: many of them are the same book with a different cover).

5 Must Haves for an ICD-10-CM Specialty Code Book

ICD-10-CM is coming on like a freight train. If you are in the medical profession and you don’t know what ICD-10-CM is, you must have been in a coma for the last few years.

ICD-10-CM is a long overdue update to the ICD-9-CM diagnosis code set that was introduced over 25 years ago. Where ICD-9-CM had about 9,000 codes, ICD-10-CM has nearly 70,000 – an almost 10 fold increase. Many ICD-10-CM codes are much more specific than their ICD-9-CM counterparts.


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