Question

what is the current status of ICD-10-CM implementation?

Answer 1

Ans) ICD 10 CM: International Classification of Diseases 10th revision Clinical Modification.

- The implementation date for the ICD 10 Cm classification implemented in the US was 2015 October 1st.

- ICD 10 Cm/PCS officially updated annually.

- Codes in the ICD-10-CM manual:

DIAGNOSIS
Characters 1-3: Category
Characters 4-6: Etiology, Anatomic Site, Severity
Characters 7: Extension

ICD-10 new features that differ from ICD-9-CM (locci):

1. Laterality (Left, Right, Bilateral)
2. Obstetric codes identify trimester instead of episode of care
3. Combination codes connecting (diagnoses/symptoms, poisonings/external causes)
4. ICD-10 has 21 chapters, ICD-9 had 17 chapters
5. ICD-10 = 68,000 codes, ICD-9 = 14,000 codes
6. ICD-10 uses full code titles

Chaptera in ICD-10-CM:

➢A)Infectious and Parasitic Diseases C)Neoplasms
➢D)Diseases of Blood & Blood forming Organs
➢E)Metabolic, endocrine, and nutritional diseases
➢F)Mental, behavioral, and neurodevelopment Disorders
➢G)Nervous system diseases. (nervous + Alzheimer's)
➢H) Diseases of the eye and adnexa /Diseases of the Ear and Mastoid Process
➢I)Circulatory Diseases (heart attacks):
➢J)Respiratory System:
➢K)Digestive System
➢L)Skin and subcutaneous tissue disorders:
➢M)Musculoskeletal system diseases:
➢N)Genitourinary DisordesO)Pregnancy, Childbirth and the Puerperium

➢P)Conditions in the Perinatal Period
➢Q)Congenital Conditions
➢R)Signs & Symptoms
➢S)Injuries and Poisonings
➢U - UNUSED
➢V)External Causes of Morbidity
➢Z)Conditions influencing Health Status

- Two features of ICD-10 that will provide more specificity are:

1. 7th character's for Episode Care, Laterality (specifies which organ or part of the body is involved, location right, left, or bilateral)
2. Combination codes - connecting (diagnoses/symptoms, poisonings/external causes) which reduce the number of codes needed to fully describe a condition.