ICD-10

Are you ready for ICD 10?

ICD 10 affects diagnosis and inpatient procedure coding for every provider, however, ICD 10 will not affect CPT coding for outpatient procedures. Are you ready for this change? Is your billing company or software ready?

QMB’s software is ICD 10 compliant so why pay to upgrade your present software. With the transition to ICD 10 the coding individual will need to understand anatomy as well as physiology in order to find the appropriate code.

WHAT IS ICD-10?

ICD-10 (International Classification of Diseases, 10th Edition) or a clinical modification of ICD-10 is the classification system currently being used by the majority of the world. The US is the only industrialized nation not using an ICD-10-based classification system.

ICD-10 is a system of coding created by the World Health Organization that notes various medical records including diseases, symptoms, abnormal findings and external causes of injury.

ICD-10-CM/PCS consists of two parts:

  1. ICD-10-CM (Clinical Modification) for diagnosis coding
  2. ICD-10-PCS (Procedure Coding System) for inpatient procedure coding

ICD-10-CM is for use in all U.S. health care settings. ICD-10-CM is a clinical modification of the World Health Organization’s ICD-10 which consists of diagnostic classification systems. Diagnosis coding under ICD-10-CM uses 3 to 7 digits instead of the 3 to 5 digits used with ICD-9-CM, but the format of the code sets is similar.

ICD-10-PCS is for use in U.S. inpatient hospital settings only. ICD-10-PCS uses 7 alpha-numeric digits instead of the 3 or 4 numeric digits used under ICD-9-CM procedure coding. Coding under ICD-10-PCS is much more specific and substantially different from ICD-9-CM procedure coding.

WHY IS IT IMPORTANT TO CHANGE TO ICD-10?