What is ICD-10 and why is the switch to ICD-10 happening?

The health care industry is making the transition from ICD-9 to ICD-10 because ICD-9 codes provide limited data about patients’ medical conditions and hospital inpatient procedures. ICD-9 is 30 years old, it has outdated and obsolete terms, and is inconsistent with current medical practices. Also, the structure of ICD-9 limits the number of new codes that can be created, and many ICD-9 categories are full. ICD-10 codes allow for greater specificity and exactness in describing a patient’s diagnosis and in classifying inpatient procedures. ICD-10 will also accommodate newly developed diagnoses and procedures, innovations in technology and treatment, performance-based payment systems, and more accurate billing. ICD-10 coding will make the billing process more streamlined and efficient. This will also allow for more precise methods of detecting fraud.

What are the ICD-10 codes? Why are they different from ICD-9 codes?

In order to increase clinical accuracy, to improve disease tracking and trending, and to document with a higher level of specificity, the World Health Organization developed a more granular set of codes called ICD-10. The new diagnosis code set expands the number of codes from 14,000 ICD-9 codes to 68,000 ICD-10 codes. The procedure code set increases from 4,000 to 87,000.

Features

ICD-9

ICD-10

Number of possible Codes

14,000

Up to 68,000

Characters

3-5

5-7

Structure

First digit numeric

First digit alpha

Laterality

None

Right, Left, Bilateral

Scope for Growth

None

Flexible

What does ICD-10 mean for your practice?

For physicians, the move from ICD-9 to ICD-10 means more specific documentation requirements and a massive code-set increase. For the coding staff, it means increased clinical knowledge and concurrent coding between ICD-9 and ICD-10.

MD-Reports EHR v9i(mu) will incorporate the necessary ICD-10 coding tool, a powerful and easy-to-use application, that will help our current and potential clients leverage the system capabilities to meet the challenging needs.

The ICD-10 ready version of MD-Reports EHR will include all the ICD-10 functionality and provide the basis for payer testing. MD-Reports is committed to helping you tackle the ICD-10 transition with ease.