ICD 10 Implementation and its impact

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by: Guptha
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Date: Wed, 16 Dec 2009 Time: 10:03 AM
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ICD-10 Coding, its buzz word in the Health care industry.

ICD-10 Coding contains around 180,000 codes. ICD-9 CM has around 24,000 codes. Implementation of new codes leads to accurate and effective statistical analysis and helps in proper reimbursement for hospital services.

1. Implementation is going to be costly and may have burden over the physicians and payers.

2. Implementation process in massive

3. Providers may need to redesign the business process.

4. Redesign the super bills

5. Switch the clearing house

6. Provider education will be an important factor in the implementation.
7. The following are included in ICD-10

ICD-10 CM
Coding Conventions

Procedures That Take Out or Eliminate All or a Portion of a Body Part
Excision—Root Operation B
Resection—Root Operation T
Detachment- Root Operation
Destruction—Root Operation 5
Extraction—Root Operation D

Procedures That Take Out Solids/Fluids/Gases from a Body Part
Drainage—Root Operation 9
Extirpation—Root Operation C
Fragmentation—Root Operation F

Procedures Involving Cutting or Separation Only
Division—Root Operation 8
Release—Root Operation

Procedures That Put In/Put Back or Move Some/All of a Body Part
Transplantation—Root Operation Y
Reattachment—Root Operation M
Transfer—Root Operation X
Reposition—Root Operation S

Procedures That Alter the Diameter/Route of a Tubular Body Part
Restriction—Root Operation V
Occlusion—Root Operation L
Dilation—Root Operation7
Bypass—Root Operation 1
Procedures That Always Involve a Device
Insertion—Root Operation H
Replacement—Root Operation R
Supplement—Root Operation U
Change—Root Operation 2• •
• Removal—Root Operation P•

Medical Coding and Billing has very good future, The top reasons are

1. ICD-10 , New codes implementing from 2013
2. ICD 9 has 16,000 codes and ICD 10 has 200,000 codes
3. The Medical Care is important, Physicians can provide if they are paid well and in time, new code changes will bring more requirement for resources.
4. Requirement of New claim for, Now we use CMS 1500 form, new form is required for new codes
5. Medical Necessity Issues, All procedure codes are mapped to Diagnosis codes, now, new codes linking is a big challenge.
6. Existing Coders and Billers need to prepare for this challenge.

PREPARATION IS KEY TO SUCCESS.

for more information
http://www.medicalcodingexperts.com

About the Author

Dr Guptha is Triple certified coder and AHIMA ICD 10 Trainer Certificate holder associated with medical billing training