Review the ICD-9 codes in the first column, and compare them to the ICD-10 codes

Question

Review the ICD-9 codes in the first column, and compare them to the ICD-10 codes in the second column. Identify what documentation you would have to find in the patient record to code with ICD-10 that was not required for ICD-9; also indicate where you think you would find that information (by type of report). Be specific, and list all information needed to support the assignment of the ICD-10 code. Use the table below with the column for the ICD-9 codes, one for the ICD-10 codes, and a third column where you identify the needed information. Use a medical dictionary if you need the definition of a term.

ICD-9 Codes

ICD-10 Codes

Additional Documentation Needed

943.31 Full thinkness skin loss due to burn (third degree NOS (not otherwise specified) of forearm

T22.311 A Burn of third degree of right forearm, initial encounter

453.41 Venous embolism and thrombosis of deep vessels of proximal lower extremity

182.411 Embolism and thrombosis of right femoral vein

813.45 Torus fracture of radius alone

S52.521A Torus fracture of lower end of right radius, initial encounter for closed fracture

ICD-9 Codes

ICD-10 Codes

Additional Documentation Needed

943.31 Full thinkness skin loss due to burn (third degree NOS (not otherwise specified) of forearm

T22.311 A Burn of third degree of right forearm, initial encounter

453.41 Venous embolism and thrombosis of deep vessels of proximal lower extremity

182.411 Embolism and thrombosis of right femoral vein

813.45 Torus fracture of radius alone

S52.521A Torus fracture of lower end of right radius, initial encounter for closed fracture

Explanation / Answer

1.

ICD-9 CM 943.31 - doesnot specify the site of the burn. that is, left forearm or right forearm. while in ICD-10 we have to document the exact loction of the burn by documenting the side of limb affected. that is right or left. ICD-10 T22.311 codes for third degree burn in right forearm. this information can be extracted from History and examination report.

2.

ICD9 453.41 specify for deep vein thrombosis in any of the lower extremity vein or artery.

ICD10 I82.411 specifically diagnosis code for acute thrombosis or embolism of right femoral artery.

this information will be specified in either consultation report or radiology report.

3.

ICD-9 813.45 specify for torus fracture of only radius of any side

while ICD10 S52.521A specify for lower end tous fracture of "Right radius"

this information is documented in history and physical examination report ; radiology report

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