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Implementation Planning Recommendations PDF Print E-mail
Thursday, 09 September 2010 11:32
Implementation Planning Recommendations-BlogOrganizations and facilities can plan for ICD-10-CM/PCS implementation by developing an organizational plan that includes:

➤ Strategic Implementation/Organizing:
  • Acquiring resources to implement the plan; and
  • Evaluating financial impact on organization;
➤Situational Analysis:
  • Formulating strategies and identify goals;
  • Identifying stakeholders;
  • Assessing impact;
  • Developing information systems/technology
  • Developing education/training plans for employees at all levels;
  • Systems change execution plan that includes testing and “go live” dates; and
  • Planning for documentation changes;
➤ Planning for Strategic Control:
  • Developing objectives;
  • Planning evaluation strategies;
  • Planning measurement tools; and
  • Planning action steps for execution.
 
Structural Differences Between the Two Coding Systems: PDF Print E-mail
Thursday, 09 September 2010 11:29
Structural Differences Between the Two Coding Systems:
 
ICD-9-CM Diagnoses Codes:
➤ 3 – 5 digits;
➤ First digit is alpha (E or V) or numeric; and
➤ Digits 2 – 5 are numeric.
Examples:
  • 496 – Chronic airway obstruction, not elsewhere classified (NEC);
  • 511.9 – Unspecified pleural effusion; and
  • V02.61 – Hepatitis B carrier.
ICD-10-CM Diagnoses Codes:
➤ 3 – 7 digits;
➤ Digit 1 is alpha;
➤ Digit 2 is numeric; and
➤ Digits 3 – 7 are alpha or numeric (alpha digits are not case sensitive).
Examples:
  • A78 – Q fever;
  • A69.21 – Meningitis due to Lyme disease; and
  • S52.131a – Displaced fracture of neck of right radius, initial encounter for closed fracture.
 ICD-9-CM Procedure Codes:
➤ 3 – 4 digits; and
➤ All digits numeric.
Examples:
  • 43.5 – Partial gastrectomy with anastomosis to esophagus; and
  • 44.42 – Suture of duodenal ulcer site.
 ICD-10-PCS Procedure Codes:
➤ 7 digits; and
➤ Each digit is either alpha or numeric (alpha digits are not case sensitive and letters O and I are not used to avoid confusion with numbers 0 and 1).
Examples:
  • 0FB03ZX – Excision of liver, percutaneous approach, diagnostic; and
  • 0DQ10ZZ – Repair upper esophagus, open approach.
Structural Differences Between the Two Coding Systems:
 
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ICD-10 Corner

9 benefits of ICD-10

1. Measuring the quality, safety and efficacy of care
2. Designing payment systems and processing claims for reimbursement
3. Conducting research, epidemiological studies, and clinical trials
4. Setting health policy
5. Operational and strategic planning and designing healthcare delivery systems
6. Monitoring resource utilization
7. Improving clinical, financial, and administrative performance
8. Preventing and detecting healthcare fraud and abuse
9. Tracking public concerns and assessing risks of adverse public health events

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