1.List the three types of codes that are used, and give an example of how each i
ID: 86720 • Letter: 1
Question
1.List the three types of codes that are used, and give an example of how each is used.
2.If the ICD- 9 code sets are updated and revised each year, why is it necessary to completely overhaul the system to ICD- 10?
3.Discuss at least three benefits of moving to ICD- 10.
Using the Find A Code link look up codes for the following procedures and diagnoses.
Use both ICD 9 and ICD 10 Codes.
1.Diabetes
2.Acute Renal Failure
3.Influenza Vaccination
4.Electrocardiogram
5.Anemia
6.Congestive Heart Failure
Explanation / Answer
The coding system in the ICD-9-CM contains three-digit categories for diseases, injuries, and symptoms.
ICD-9-CM codes begins with the letter V, and another section begins with E. These letters are followed by up to four digits. The codes that begin with V are used for encounters for reasons other than illness or injury. In these situations, patients often do not have a complaint or active diagnosis. For example, a routine annual physical examination is a reason for an office visit without a complaint. Visits for treatments of a diagnosed condition, such
as chemotherapy for cancer, also receive codes beginning with V. Codes beginning with E indicate the external cause of an injury or poisoning. For example, a patient’s harmful reaction to the proper dosage of a drug is assigned an E code.
There are many benefits of moving from ICD9 to ICD10 even after it is bein updated every time is that
ICD-10 codes are very specific as opposed to ICD-9 codes which lack detail
ICD-10, being more specific, addresses the issues with the ICD-9 diagnosis and procedure. Example, if a patient is to be treated for a burn on the left leg, the ICD-9 code will not distinguish if it is the left or the right leg. If the same patient is to be treated for a burn in the right leg, the same ICD-9 code will be reported. ICD-10 diagnosis codes identify left and right with separate codes.
Character length for ICD-10 codes is more than the character length for ICD-9 codes
In ICD-9, certain chapters are full and remove the ability to add new codes. ICD-10 codes have greater character length, which expands the number of codes available for use. With ICD-10, we can have a large number of chapters in the future. ICD-9 codes are 3-5 characters in length while ICD-10 codes are 3-7 characters in length. Due to this, ICD-10 has about 68,000 available codes along with the flexibility to add new ones as compared to ICD-9 which has only 13,000 codes.
ICD-10 adds support for combination codes which were not supported by ICD-9
The ICD-10 codes allow the use of combination codes which help in reporting 2 diagnoses, or multiple elements of the same diagnosis using a single code. ICD-9 does not support combination codes.
ICD-10 makes use of alphabet codes as opposed to ICD-9, which allowed only numeric codes
ICD-10 uses alphabet codes to be more specific than ICD-9 codes. The additional characters in ICD-10 will allow for more detailed information such as listing the body part, body system, device, approach, and other important qualifiers in a single code.
ICD-10 is integrated better with modern technology as opposed to ICD-9
ICD-10 emphasis on modern technology devices being used for various procedures, while ICD-9 codes are unable to reflect the use of modern day equipment.
Acute Renal Failure:
ICD 9
This is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 586 should only be used for claims with a date of service on or before September 30, 2015.
CD-10: N17.9 for Acute kidney failure
This is the 2017 version of the ICD-10-CM diagnosis code N17.9
Influenza Vaccination
The ICD-9 diagnosis codes V04.81 and V06.6 both will convert approximately to ICD-10 diagnosis code z23 (Encounter for immunization)
Anemia
ICD9
2012 ICD-9-CM Diagnosis Code 285.9 : Anemia. ICD-9-CM 285.9 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 285.9 should only be used for claims with a date of service on or before September 30, 2015
ICD10
D50.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of D50.9.
Congestive Heart Failure
ICD9
2013 ICD-9-CM Diagnosis Code 428.0 : Congestive heart failure. ICD-9-CM 428.0 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 428.0 should only be used for claims with a date of service on or before September 30, 2015
ICD10
ICD-10-CM
ICD9 ICD10 249._ - Secondary diabetes mellitus E08._ - Diabetes mellitus due to underlying conditionE09._ - Drug or chemical induced diabetes mellitus
E13._ - Other specified diabetes mellitus 250._ - Diabetes mellitus E10._ - Type 1 diabetes mellitus
E11._ - Type 2 diabetes mellitus 648._ - Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium O24._ - Gestational diabetes mellitus in pregnancy 775.1 - Neonatal diabetes mellitus P70.2 - Neonatal diabetes mellitus
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