New Medical Coding for diagnosis : ICD-10

[ajasfolks2]

Anyone seen this yet? 

Wonder what has been changed with regard to codes related to allergic reactions (and death by anaphylaxis)?  Wondering if they are much more specific as I'm hearing for other conditions?

{{If they are issuing hard copy book, wondering how freaking thick it is . . . the ICD-9 was already a beast?!}}

[GoingNuts]

We will be getting ICD-10 training in the next few weeks (the billers have been training already, this is for the rest of us) so I'll let you know.  Our training will center on OB-GYN, but I'll probably be able to get a peek at the allergy  codes.  Or I'll ask our trainer.

[CMdeux]

Yeah- the rest of the world has been on ICD-10 for a bit, now...

just noting.

_{It's really those of us in N. America that have been slow to adopt.}    

Like, um.... really sloooooooowwwwwww...


http://www.icd10data.com/

Handy conversion resource.  Not sure how good it is, just ran across it the other day.

[GoingNuts]

We had a mini-training today for all non-billing/accounting staff.   Our training was heavily geared towards OB/GYN, but based on what I saw, the coding is going to be significantly more detailed and specific.  For example, in the past a splinter in the foot might have been coded as, "foreign body, foot".  Now it will have to describe which foot, what the foreign body is, how big it is, etc. 

So I'm guessing that "Allergic Reaction" won't cut it anymore.  There will have to be a description of symptoms, as well as what the reaction was to (if known).  This may lead to an increase in diagnosis of anaphylaxis, as well as food reactions (as opposed to generalized reactions).  I can't wait to get my hands on the guide.  I'll copy some of the allergic reaction pages to give more specific examples. 

Interestingly, ICD coding was originally designed to document and track causes of death, then was expanded to track causes of morbidity.  It's use in medical billing is a fairly recent thing.  It's roots are in public health and epidemiology. 

[GoingNuts]

I don't know if this will be readable, but here goes. This is from a draft of ICD-10. This is not the final version.

[TwoDDs]

Well then, that should provide for a clearer big picture - many years from now.

[CMdeux]

Judgment Day is here.   

[GoingNuts]

[ajasfolks2]

GoingNuts -- thank you for the ICD10 page and the funny cartoon.   

I like the specifics that I can see so far.

Wondering if they'll add one for

"ana/adverse reaction to peanut during physician administered food callenge"

or

"ana/adverse reaction to peanut during OIT with medical supervision"

~ ~ ~

How about (or did I miss it?)
"ana/adverse reaction to peanut with delay/lack of epinephrine administration"?


Tongue in cheek:
"ana/adverse reaction to peanut (whatever food) by virtue of Epipen lock up and school stupidity" . . .

[tigerlily]

This adds nothing, but just have to share (from http://www.courant.com/consumer/hc-ls-health-insure-codes-20151002-story.html ):

-Bitten by macaw: W61.11

- Prolonged stay in weightless environment: X52

- Unspecified balloon accident injuring occupant: V96

- Injured in a prison swimming pool: Y92.146

"Crushed by alligator: W58.03" is a code apart from "Crushed by crocodile: W58.13."

[CMdeux]

Y93.D1 Knitting and Crocheting

Y36.511S War operations involving direct blast effect of nuclear weapon, civilian, sequela
(wow.... I just-- I mean-- WOW)


V95.42 Forced landing of spacecraft injuring occupant

OK, that has GOT to be my personal favorite.   

I just have to ask, though-- is there an initial versus subsequent code for this one?? 

[ajasfolks2]