Providing free resources and useful informations for Physicians,
Office Managers, Medical Billers and Medical Coders
I will gather many useful information and website free resources for us to
learn more and be prepared for ICD-10. Remember, we have now a final

What is ICD-10?

ICD-10 was developed by the World Health Organization (WHO). It is the
10th Revision of the International Classification of Diseases. Many countries
are already been using the ICD-10.

What is ICD-10-CM (Clinical Modifications)?

In the United States, we have the ICD-10-CM for diagnosis coding and will
be used in all physicians and health care settings for reporting medical
conditions, reason for the encounters, data collection, for payment and
reimbursement and all other pertinent purposes.

Number of Characters:  3-7 Alphanumeric Characters

First Digit is an alpha character (a-z)
Second Digit is a numeric character (0-9)
Third to Seventh Digit is either alpha or numeric character

ICD-10-CM has approximately 68,000 codes while the current ICD-9 has
13,000 codes approximately.

they are very specific codes (so you will be able to code based on its
highest specificity)
-> it will allow you to accurately code based on:
    Comorbidities (eg.if there are two or more coexisting conditions in
    addition to an initial diagnosis)
    Signs and symptoms
    Etiology (eg. underlying conditions)
    Abdormal Findings
    Social status and circumstances
    Detailed anatomical site
    Functional impairment
    USe of Biological and Chemical Agents
    Phases and different stages
    Specific with joint involvement
    Different involvement of the Lymph Nodes
    Lateralization (right and/or left)
    Related to Implants and Surgical Procedures
    External Causes of injury

I can only see advantages on ICD-10 (seriously!)
*** If you have a more specific code by description including its
lateralization, this may help avoid cross-referencing with other codes;
*** And I think with the implementation of ICD-10-CM, tedious claims
appeals (due to so many additional information required to establish
medical necessity by the insurance payors) can be avoided
*** By submitting the most specific diagnosis codes, this can also help
maximize reimbursement
*** Accurate coding with the highest specificity can also lead to a better,
secured and good quality patient care
*** The data collection and with specific, accurate coding, research and
development in medicine and emerging technologies may improve
*** It can avoid healthcare fraud and abuse

My thought of having so many codes?! --- it doesn't mean it would be
tougher to find a code, trust me -- this will be easier for us to find the most
accurate and specific code! Why? - because these codes are presented in
its highest and accurate, very specific codes!

I made an illustrative view of ICD-10 format.

Please click here to see the format.

What is ICD-10-PCS? (Procedure Coding System)

The ICD-10-PCS
will be used as a procedural codes for inpatient and
hospitals settings.

Number of Characters: 7 Alphanumeric characters

ICD-10-PCS has approximately 87,000 codes while the current ICD-9 has
3,000 codes approximately.

-> Used for procedural coding in an inpatient hospital setting
-> Developed by CMS

Important to know!
Physician offices and Ambulatory Services will continue using the
CPT Codes and HCPCS Codes.

I put together many website links (from your payors and other HIM
and Coding Organizations) that offers free information and education
on ICD-10-CM and ICD-10-PCS.

Please click here.
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