Tag Archives: ICD-10

ICD-10 is a Year Old. The Healthcare Sky Has Not Fallen.

As of October 1, ICD-10 has been live in the United States for a year.  What was dubbed the ‘Y2K of Healthcare’ has proven to be similar to when the clock turned to the year 2000, it went in w/a whisper and planes did not fall out of the sky.

Read here for a roundtable discussion article with various healthcare professionals on reflections of a momentous year of living with ICD-10.

CMS to End ICD-10 Coding Flexibility for Medicare Providers

One of the concessions CMS made to the provider community last year in an attempt to quell anymore calls for further ICD-10 compliance date delays was to provide a one year grace period from claims rejection if the ICD-10 filed on the claim was not coded to the highest specificity.  That did not mean the provider could just slap on any diagnosis code (e.g. a generic diabetes diagnosis when the patient presented w/a stubbed toe and was not diabetic) as the provider still had to have accurate medical documentation from the encounter.  The provider had to be w/in the family of codes.  For instance, in the above diabetes example, the provider could possibly code w/in the diabetes category (the first three digits of the diagnosis code) but not drill down to the most specific code based on the encounter.

The one year grace period is coming to an end.  CMS has announced an update to the Q&A where they announced the coding flexibility last year.  There is no leeway on extending this.

Read more here.

What is the Correct Coding for Zika Virus-Related Medical Conditions?

You’d have to be hiding under a rock (more like a boulder) to not have heard any news related to the Zika virus.  If you’re like me and attract mosquitoes like crazy, this is definitely on the forefront of my mind.  And for those of you who were involved in ICD-10 implementations, you might have wondered what the diagnosis code would be for Zika-related medical encounters.  From this AAPC blog article:

“….if the Zika symptoms include a fever, the ICD-10 code would be A92.8 Other specified mosquito-borne viral fever (which includes “Zika (viral)” listed in the code description).  For pregnant women who have contracted the virus, look to the code series 098 All maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium. If an infected newborns develops microcephaly, code Q02 Microcephaly.”

Get Ms. Cleo on the Phone: Some Healthcare Related Predictions for 2016

The beginning of each new year can be seen as a clean slate.  It’s also a time to start speculating on what some of the major impacts could be for the upcoming year.  According to this article, here are three predictions:

1) ACA will not go away regardless of who wins the 2016 presidential election

2) We’re not out of the water yet w/ICD-10 related issues and impacts

3) The Federal Government will take a stance on the wave of major payer consolidations.

What do you think?  Do you agree or disagree?

A Fun Read About Origins of ICD Classification

For those of us who were involved in ICD-10 implementations, we heard many arguments, whining, and general verbal temper tantrums about why this should even be implemented.  Since October 1 has come and gone without the catastrophic disaster that was previously forecast, here’s a fun little read about the origins of the ICD classification system and what prompted it.