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What is the ICD-10?
Most individuals in medical billing and coding fields have heard about the ICD-10 coming, but not everyone may know what it is.
The ICD-10 is a new coding manual (2 actually) that will replace the ICD-9-CM on October 1, 2013. Currently the ICD-9-CM is divided into three Volumes. Volumes I and II are the alphabetic index and the tabular index used for diagnosis coding. Volume III has its own alphabetic and tabular index which are used for inpatient coding. The ICD-10-CM will replace the ICD-9-CM Volumes I and II. The ICD-10-PCS will replace the ICD-9-CM Volume III. Coders who have already earned the CPC certification through the AAPC will be required to take a 75 question online exam regarding the ICD-10 in order to maintain their certification. Individuals who have their CCS certification through AHIMA will be required to earn extra CEUs prior to the transition date. The CUEs must also be ICD-10 specific.
Anyone who has not already earned their coding certification by the time the transition takes place will be tested on the ICD-10 (instead of the ICD-9-CM)
while taking the certification exam.
ICD-10 Code Changes For Example: ICD-9-CM Volumes I and II have around 14,025 codes. The ICD-10-CM has around 140,658. This is almost ten times the number of codes! In the ICD-9-CM, volumes I and II, codes were structured as 3-5 digit codes, and with the exception of V and E codes, were all numeric in nature. Codes in the ICD-10-CM will be 3-7 digits in length and will be alphanumeric. All ICD-10-CM codes start with an alphabetic character. Digits 2 and 3 are numeric, and digits 4-7 can be either alpha or numeric. Example: S62.323 - Displaced fracture of shaft of third metacarpal bone, left hand. Codes in the ICD-10 are also much more specific. This means physicians will need to increase the amount of detail in their documentation and coders will need to brush up on gross anatomy, medical terminology, and pathology.
ICD-10-CM: Structure & OrganizationThe following is a list of how the ICD-10-CM will be organized by their three digit catagories:
ICD-10: Not Everything is Changing
It is easy to concentrate on all the changes happening with the ICD-10 and forget to focus on what is staying the same.
Coding conventions and guidelines will still be located in the front of the coding manual, and for the most part these will be the same. The ICD-10 still has an alphabetic index and tabular index as well, and codes are still looked up and verified in the same manner. 5th digit boxes are replaced by 7th digit boxes, but are less rare. Notations such as "see also" and "use additional code" are still present. Italics, brackets, colons, and parentheses are also still in use (in addition to many of the other common coding conventions). The ICD-10 Blog This sister site focuses on ICD-10 coding, code sets, and ICD-10 coding guidelines instead of implementation, because it was created with the medical coder in mind. Blog posts are currently made 1-2 times a month. Articles are usually focused on a specific code set and/or chapter and provide examples, cross-walks, and discusses the code specific guidelines. Please check us out at the The ICD-10 to learn more. ICD-10 TrainingWe are currently working on two instructional DVDs.Both DVDs are taught by our AHIMA Certified ICD-10 Coding Instructor. The ICD-10-CM DVD teaches the ICD-10-CM in detail. This DVD is broken down chapter by chapter and includes multiple coding examples, cross-walks, and Case Studies. Our second DVD focuses on Gross Anatomy and the ICD-10-CM. This DVD provides a comprehensive review of each organ system while going through the corresponding ICD-10-CM chapter and pulling out anatomically challenging codes. As these DVDs progress and we prepare to release them to the public we will be offering another Early Bird Special (similar to the 50% discount offered when we released our CPC Practice Exam).
For those who are interested in being added to our mailing list regarding either of these DVDs please
Contact Us.
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ICD-10 BlogOur sister site The ICD-10 Blog is a great resource for coders interested in learning the ICD-10 code sets, for seeing examples & cross-walks, and learning about the ICD-10 coding guidelines.
ICD-10 Training DVDsIf you are interested in our early bird specials and updates regarding the upcoming ICD-10 and ICD-10 Gross Anatomy DVDs please Contact Us and ask to be added to our mailing list.Gross AnatomyThe ICD-10 codes are much more detailed than the ICD-9-CM codes were.Medical coders will need to know their Medical Terminology, Gross Anatomy, Pathology, and Common Anatomy Terms.  ICD-10 DraftFor those who can self-teach, consider purchasing an ICD-10 draft edition.Reading through the ICD-10 coding guidelines, reading through the tabular index, and practicing looking up codes is a great way to get some hands on experience. Also consider creating a list of common ICD-9-CM codes that you use on a daily basis and then create your own cross-walk to the ICD-10 codes that will replace them. Use this opportunity to look up words and anatomy you may not recognize as well. |
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