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What You Need to Know About ICD-10

December 29, 2015

ICD-10_questions_answered-1.jpgAs of October 1, 2015 ICD-10 codes have become effective and have to replace ICD-9 diagnosis codes. There are currently ICD-10 codes that include more than 68,000 diagnosis codes (clinical conversion codes) and more than 72,000 operational codes compared to the little over 14,000 ICD-9 codes. The International Statistical Classification of Diseases will now have you using their 10th revision (known as ICD-10).

What exactly is ICD-10?

ICD-10 just so happens to fall into two categories: ICD-10-CM and ICD-10-PCS.


  • Is utilize in every United States health care location.
  • ICD-10-CM diagnosis codes consist of 3 to 7 numbers oppose to the 3 to 5 numbers used in ICD-9-CM. However, the codes are alike.


  • Is exclusively use within the United States inpatient hospital locations.
  • ICD-10 utilizes 7 alphabetic and numeric combine characters rather than 3 or 4 digits filed under ICD-9 CM operation coding.

What are the Major differences between ICD-9 and ICD-10?

The ICD-10 code set contributes an important growth in the particularity of the reporting, admitting more data to be transferred in a code. The revision was necessary. ICD-9 code set has been around for 30 years, has obsolete terms and conflicts with modern medicinal practices. The ICD-9 code set creates restricted data in regards to patients’ medical circumstances and clinical inpatient procedures.

What are the advantages of ICD-10?

The conversion to ICD-10 provides the following:

  • Higher rank of particularity and clinical structure
  • Enhancements will further catch advances in medical technology.
  • Medicinal terminology and categorization of ailments have been modernized to be persistent with ongoing clinical practices.
  • Current categorization arrangements will contribute more excelling data for measuring the conditions, security and efficiency of care.
  • Advanced regulation systems will support improved designing disbursement systems and handling claims for reimbursement and placing health care guideline.

It’s reported that the Centers for Medicare and Medicaid Services and HHS that any claims that have been submitted after the October 1, 2015 (the effective date for ICD-10) will be denied.

Who is required to familiarize themselves with ICD-10?

All specialists, nurses and other medical workers are obligated to make themselves accustom with the current codes. Physicians, billing and coding specialists and office personnel should restore their understanding of medicinal terminology. Coders were required to obtain ICD-10 certification preparation and fulfillment was advised six to nine months prior to the agreement date.

How has the impact been in healthcare institutions since the October 1st deadline for ICD-10?

Seventy-nine percent of roughly 300 healthcare institutions responded to a KPMG study announced a strong transformation of the modern ICD-10 coding structure since the change was put into action on October 1 of this year.

EHR Intelligence announces that, regardless of varied feelings around the changeover, 51 percent have openly express that they have confronted a few technical problems. However, the conversion generally has been favorable. Twenty-eight percent reported that the changeover has been effortless and 11 percent stated the transformation has been unsuccessful.

“ICD-10 is the healthcare industry’s equivalent to the Y2K changeover in scope and has a profound influence on not only the billing and reimbursement, but the ability to track quality of the delivery of healthcare,” said Todd Ellis, managing director at KPMG in a press statement. “This is an ongoing process, however, and this transition affects not just technology, but finance, employee training, clinical information, and other functions in healthcare.”

Do not be discourage. M-Scribe Technologies, LLC is here to assist you if you find trouble in regards to coding and billing problems related to ICD-10.



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