ICD 10

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:

Here we go! CMS has released the End-To-End testing results and they are ready to accept your ICD-10-CM/PCS claims. They announced they had an 87% acceptance rate, stating “Most rejects were the result of provider submission errors in the testing environment that would not occur when actual claims are submitted for processing”. CMS stated there were no new ICD-10 related issues in any of the Medicare Fee-For-Service claims processing systems and no rejects due to front end CMS systems issues.

If you fail to plan, you are planning to fail

Famous quote by Benjamin Franklin, “If you fail to plan, you are planning to fail!”

You are not the only one that put off planning as of April 15, 2015 about 50% of providers are not taking ICD-10 seriously as stated in the following article, by NueMD, “WEDI Survey says we’re not ready for ICD-10, as expected” .

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.

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.

The seventh character is one of the most significant changes from ICD-9. The seventh character is used to capture details such as episode of care; extensions for injuries, fractures have their own seventh character system.

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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