Joining the ICD-10 Fan Club

Tune in to this monthly online coding column to learn from Melanie Endicott, one of AHIMA’s coding experts, about challenging areas and documentation opportunities for ICD-10-CM/PCS.


 

I am amazed at how much publicity ICD-10 is getting in the media, and unfortunately it’s not all positive. From Fox News to the Wall Street Journal to You Tube, ICD-10 is a hot topic. Naysayers seem to point out some of the more obscure codes that will likely never be used by many coders in their lifetimes (such as “struck by an orca”), but fail to mention the numerous benefits of ICD-10-CM and ICD-10-PCS.

I am one of ICD-10’s biggest fans and I am hoping to grow my fan club. To be a part of the club, you must be willing and able to tout the various benefits of the new coding system to any and all adversaries. The following is a list of responses you can use when questioned about why the US needs to move to ICD-10.

 

Why can’t we stay with ICD-9-CM?
  • Payors cannot pay claims fairly using ICD-9-CM since the classification system does not accurately reflect current technology and medical treatment.
  • Significantly different procedures are assigned to a single ICD-9-CM procedure code, which does not adequately describe the procedure being performed.
  • Limitations in the current coding system translate directly to limitations in the diagnosis-related groups (DRGs).
  • The healthcare industry cannot accurately measure quality of care using ICD-9-CM since it is difficult to evaluate the outcome of procedures when the codes are imprecise.
  • We, as healthcare professionals, have a mission to improve our ability to measure healthcare services provided to our patients, enhance clinical decision-making, track public health issues, conduct medical research, identify fraud and abuse, and design our payment systems to ensure services are appropriately paid.
  • ICD-10 provides much greater coding accuracy due to its increased specificity.
  • Higher quality information will be available for measuring healthcare service quality, safety, and security.
  • Due to the specificity, there is less room for ambiguity in the codes, thus reducing coding errors.
  • The conversion to ICD-10 will align the US with coding systems worldwide.

 

So what’s so great about ICD-10?

An independent study conducted by RAND concluded that the benefits of ICD-10-CM/PCS are likely to exceed initial implementation costs within just a few years. Furthermore, the cost of doing nothing may be greater than the actual implementation. Any delay in adoption of ICD-10-CM/PCS will cause an increase in future implementation costs as the management of health information becomes increasingly electronic and the costs of implementing new coding systems increase due to required systems and application upgrades.

A great resource to share with those that are unfamiliar with all of the benefits and advantages of ICD-10 is a video on the CMS You Tube Channel featuring Sue Bowman, MJ, RHIA, CCS, FAHIMA, senior director, coding policy and compliance at AHIMA.

Please join my unofficial ICD-10 Fan Club today and spread the good news about this outstanding improvement for the healthcare industry!

 

Melanie Endicott, MBA/HCM, RHIA, CDIP, CCS, CCS-P, FAHIMA, is senior director of HIM practice excellence, coding and CDI products development at AHIMA. She has over 15 years experience in HIM and coding, with her most recent focus being in ICD-10-CM/PCS, and has presented numerous times at the regional, state, and national levels on HIM and coding topics. She was previously a director of HIM practice excellence, focusing on coding products, resources, and education, at AHIMA. Melanie is an AHIMA-approved ICD-10-CM/PCS trainer and an ICD-10 Ambassador.

4 Comments

  1. Some people are just resistant to change. Once ICD-10 is implemented, they’ll get on biard. As a coder, I really feel it’s going to take a while to get used to but the increased specificity will make our coding more accurate and that helps everyone.

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  2. I am finding that attendees at my ICD-10-CM Boot camps go from being afraid to excited as they learn to code in ICD-10-CM! They tell me that Coding in ICD-10-CM is “easier” because of the specificity and expansion of codes, many of which make much more sense than in ICD-9-CM.

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  3. Having spent some time after academy training, studying and instructing in ICD10/CM/PCS the wonders of the new classification system have truly unfolded. I10 convention guides and assists coders to achieve a higher level of detail/specificity in coding where documentation supports that level of detail/specificity.

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  4. after learning and teaching ICD-10-cm and pcs, I am very excited that we are finally moving toward catching up with the rest of the world. I find the building of a code with IDC-10 easy and logical. Finally there is an actual thought process to the coding convention. It’s not just something assigned to the next available open numeric value. I am looking forward to using the more specific codes. When looking at the bigger picture, they will result in better reimbursements. Clearly, I am a fan.

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