ICD-10 is a sizeable undertaking for any practice. In addition to expanding the number of codes to nearly 70,000, ICD-10 coding and documentation will require significantly more detail and specificity. PracticeMax is your partner for ICD-10 preparation, including clinical documentation requirements and tips. Here are some examples of where ICD-10-CM will require more specific documentation. […]
Category: Office Based Practices
ICD-10 General Concepts for Emergency Department
ICD-10-CM Emergency Department (ED) General Concepts: Signs and symptoms are still acceptable in the absence of a definitive diagnosis Example: Fever, dehydration and vomiting without nausea Location/laterality Document right, left or bilateral for paired organ structures Example: Bilateral pneumonia Location/anatomic specificity Be specific as to the exact anatomic site; see examples below Finger: Individual fingers […]
ICD-10 Education & Resources for Providers
ACEPNow Article: ICD-10 Coding Tips to Help Emergency Physicians Navigate Documentation Changes This article from June 15, 2015 presents two experts’ guidance on ICD-10 and answers the following questions: How will this impact how I document? Why is severity of illness (SOI) important and how and why should I document it? How do I document […]
ICD-10 Alert: CMS and AMA Offer New ICD-10 Initiatives to Help Providers Transition
New ICD-10 Initiatives to Aid in Transition In a July 6th press release the US Center for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) announced new ICD-10 initiatives to help providers successfully transition by the looming October deadline. The press release announced an increase in flexibility in the enforcement of ICD-10 rules […]
