ICD 10

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.

The diabetes mellitus codes are combination codes that include the type of diabetes mellitus, the body system affected, and the complications affecting that body system.

When documenting diabetes, include the following:

  1. Type e.g. Type 1 or Type 2 disease, drug or chemical induced, due to underlying condition,     gestational

  2. Complications What (if any) other body systems are affected by the diabetes condition? e.g. Foot ulcer related to diabetes mellitus

  3. Treatment Is the patient on insulin?

Are you getting ready to take the AAPC ICD-10-CM Proficiency Exam? Maybe you're a medical coder that wants to be prepared for the future in your field and know everything you need to know about ICD-10?  This is Alicia Scott, CPC, CPC-I, Educational Director with CCO, and we have a fantastic ICD-10-CM Proficiency Exam Training course that will do just that for you. It's called our ICD-10 Blitz.

Who Needs the ICD-10-CM Training Blitz?

Certified Medical Coders

Now that ICD-10 is underway, results and feedback is showing more people were prepared than they thought. Congratulations! Some of the initial fears have been put aside and our confidence has been restored.

 I thought I would share a few tweets:

"Well, #ICD10, you scared me more than Y2K in 1999 but both were much ado about nothing.  Thanks, @eClinicalWorks.  Together, we got this."

ICD-9 used separate “E codes” to record external causes of injury. ICD-10 better incorporates these codes and expands sections on poisonings and toxins.

When documenting injuries, include the following:

1. Episode of Care e.g. Initial, subsequent, sequelae

2. Injury site Be as specific as possible

3. Etiology How was the injury sustained (e.g. sports, motor vehicle crash, pedestrian, slip and fall, environmental exposure, etc.)?

4. Place of Occurrence e.g. School, work, etc. Initial encounters may also require, where appropriate:    

ICD-10 -Understanding Format and Structure

By:  Chris Woolstenhulme, CMRS
Published: September 17th, 2015

The first three characters of an ICD-10 code designate the category of the diagnosis.

The next three characters (characters three through six) correspond to the related etiology (i.e., the cause, set of causes, or manner of causation of a disease or condition), anatomic site, severity, or other vital clinical details.

Locating a code in ICD-10-CM

By:  Chris Woolstenhulme, CMRS
Published: September 17th, 2015

There are three basic steps to locating the correct code in ICD-10

 First:       Find the condition in the alphabetic Index

 Second:  Verify the code and identify the highest specificity in the tabular index

 Third:     Review the chapter specific coding guidelines


 B. General Coding Guidelines

 1. Locating a code in the ICD-10-CM

No More V-codes Now What? Take a look at V20.2

By:  Chris Woolstenhulme, CMRS
Published: September 22nd, 2015

V-codes will be a part of the past, you will be using encounter codes with ICD-10-CM.

Lets take a look at how you will code V20.2 Routine infant or child health with ICD-10-CM. 

ICD-10 Coding Resources and Suggestions

By:  Chris Woolstenhulme, CMRS
Published: October 5th, 2015

ICD-10 is finally here, it is no longer a myth. Here are a few suggestions to help you with ICD-10 and resources available for you.

ICD-10-CM 7th Character And How It Is Used

The use of the 7th character used in certain chapters (e.g., Obstetrics, Injury, Musculoskeletal, and External Cause chapters).  However,  it is not used in every chapter and may have a different meaning depending on the section where it is being used.  One thing that is consistent, is that it must be used in the 7th character position (using the x place holder if necessary) when a 7th character applies and it is not used the code is considered invalid.

Use of 7th Characters by Chapter


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