Coding Corner Archive

Past Questions and Answers

Q: October 2015 has come and gone - what have we learned from the implementation of ICD-10?
A: CMS Acting Administrator Andy Slavitt shares some insights in the Lessons Learned: Reflections on CMS and the Successful Implementation of ICD-10 blog.

Q: How can I review more information on ICD-10-CM?
A: Coding for ICD-10-CM: More of the Basics.  In this MLN Connects™ video, Sue Bowman from the American Health Information Management Association (AHIMA) and Nelly Leon-Chisen from the American Hospital Association (AHA) provide a basic introduction to ICD-10-CM coding.

Q: Is October 1, 2015 the new implementation deadline date for ICD-10?
A: Yes!  The following information has been provided - Final Rule and CMS Press Release.

Q: Looking for more information on how dual coding is being used?
A: Lessons Learned on Dual Coding - A Provider’s View was presented on July 16, but you can still watch it free today!

Q: What's the latest news from CMS?
A: The Partial Code Freeze has been extended. The 2015 ICD-9-CM files have been posted, as well the 2015 ICD-10-CM and GEMS and 2015 ICD-10-PCS and GEMS.

Q: What is the latest on the ICD-10 delay?
A: AHA Coding Clinic offers an update

Q: What's the latest on the ICD-10 implementation delay?
A: CMS confirms the 2015 ICD-10 start date.  More details here.

Q: What's the latest on the ICD-10 implementation delay?
A: NOTE: The Centers for Medicare and Medicaid Services (CMS) released the following news item via regarding the ICD-10 implementation date. Health Forum is sharing this  statement as a service to our clients and audience:
 
“On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015.”

Q:What are your peers saying about the ICD-10 delay?
A: Our ICD-10 Survey provided some interesting insights - view the results here.

Q: What's the latest news from AHA Central Office/AHA Coding Clinic?
A: Were here with you, providing you with the newest information on the ICD-10 delay as it becomes available and providing resources  to help you adapt to the changes. Our understanding is that the
CMS is examining the legislation and will provide guidance to providers  and other stakeholders soon.
The plan not to address any ICD-9-CM questions is still in effect until such that the Cooperating Parties  decide to lift this ban. The AHA Central Office will continue to provide advice on ICD-10-CM/ICD-10-PCS and certain HCPCS codes and will reevaluate the scope of advice provided based upon the Cooperating Parties' direction in 2014.

Q: Looking for free resources for ICD-10-CM/ICD-10-PCS training
A: AHA Coding Clinic is offering free webinars in 2014.

Q: ICD-10-CM provides detailed descriptions for what?
A: Body parts, methodology and approach for procedures.

Q: ICD-10-CM conventions include?
A: Instructional notes, abbreviations, cross-reference notes, punctuation marks and relational terms ("and", "with," "without," "due to").

Q: ICD-10-CM provides the addition of laterality. What is laterality?
A: Laterality – specifying which organ or part of the body is involved when the location could be on the right, the left, or bilateral.

Q: ICD-10-CM provides codes with more details for what?
A: Socioeconomic conditions, family relationships, ambulatory care conditions, problems related to lifestyle, and the results of screening tests.

Q: ICD-9-CM provides a single type of exclusion note.  How many does ICD-10-CM provide?
A: ICD-10-CM provides two types of "excludes" notes - each one with a different use.

Q: ICD-10-CM has retained several conventions already familiar to users of ICD-9-CM.  Which ones have been retained?
A: Instructional notes, abbreviations, cross-reference notes, punctuation marks, and relational terms ("and").

Q: How many codes do the 16 sections of ICD-10-PCS represent?
A: Over 72,000.

Q: What are the four main objectives in the development of ICD-10-PCS?
A: Completeness, expandability, multi-axial structure and standardized methodology.

Q: What year did HCFA (now CMS) fund a preliminary design project for the replacement for volume 3 of the ICD-9-CM?
A: 1992.  The new system was called ICD-10-PCS.

Q: Is the ICD-10-CM in the public domain?
A: Yes! However, neither the codes nor the code titles may be changed except through Coordination and Maintenance Process overseen jointly by NCHS and CMS.

Q: What do the codes in Medical and Surgical Section for ICD-10-PCS specify?
A: Section, body system, root operation, body part, approach, device, and qualifier.

Q: What is the Tabular List for ICD-10-CM?
A: The Tabular List is an alphanumberical list of codes divided into chapters based on body system or condition.

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