While ICD-10 may not make you hot, it probably gets you pretty bothered. Finding an ICD-10 code that’s a perfect match for a particular ICD-9 code is like trying to find a shade of paint that’s the exact same color as your new gray throw pillows. You might assume you can simply tell your friendly hardware store associate you’d like a can of gray paint for your living room, and boom—all done.
If you haven’t heard of ICD-10 by now, you’ve probably been living under a rock. Though CMS has talked about the impending implementation of ICD-10 like a boy crying “Wolf!,” the days of false alarms are over—at least that’s what the experts are saying. That’s right: it’s finally happening, folks. And the mandatory transition to the new diagnosis code set will be here before we know it (even if it is 20 years late).
The International Classification of Diseases, 10th Revision (ICD-10), has quite a storied history for a code set that has yet to go into effect here in the US. With the multiple delays it has suffered, you might be wondering why on Earth we’re even making the switch. I mean, ICD-9 has done fine thus far, and the delays only prove that, right? Wrong.
Like yet another season of Survivor, ICD-10 is inevitable, and while the Department of Health and Human Services (HHS) won’t drop you on a remote, hostile island when the ICD-10 switch happens, the new coding terrain may be just as unfamiliar, uncomfortable, and treacherous—unless you’re ready. Here’s how to win at ICD-10 (no shelter-building or fire-making required).
Yesterday, we covered some of the basics of physical therapy billing. (If you missed it, you can read the article in full here.) Today, let’s keep things moving with a few more therapy billing tips: (In case you missed this blurb in the last post, I’ll say it once more for good measure: This article is by no means comprehensive, so we definitely recommend you seek the services of a billing expert before taking action.)
ICD-10 is coming—as of now, it’s slated for 2015. But just because it’s been delayed doesn’t mean you should delay your testing plans. Today, we’ll discuss how to test ICD-10 internally (and tomorrow, we’ll tackle testing externally). In this article, Brooke Andrus wrote about Advanced MD’s testing plan, which includes testing to ensure that:
With five times as many codes as ICD-9, ICD-10 is certainly more specific. It’s no wonder, then, that the use of unspecified codes has become a common topic of discussion among healthcare professionals. Unspecified codes are incredibly common in coding with ICD-9. However, there’s a general consensus that using unspecified ICD-10 codes could prove detrimental.
Everyone has been gearing up in preparation of the October 1, 2014, ICD-10 implementation deadline. (Even CMS changed their claim form requirements: beginning on April 1, 2014, if you submit paper claims, you must use CMS1500 version 2/12 instead of version 8/05.) No one thought there would be another delay—that is, until Thursday, March 27, when the House of Representatives passed HR 4302, a bill that contained a provision to delay the implementation and extend the therapy cap and its exception process until 2015.