Premium Essay

Changes To The ICD-9

Submitted By
Words 359
Pages 2
1. What is medical coding and what is it used for?
According to AAPC, medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of medical notes, laboratory and radiologic results, etc.
2. What coding systems are used in the United States?
The International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT). According to the World Health Organization (WHO), 70% of the world's health care expenditures are allocated using ICD. ICD codes are alphanumeric designations given to every diagnosis, description of symptoms and cause of death attributed to human beings.
3. How did changes to the ICD-9 over the years reflect events?
ICD-9-CM is based on the official version of the World Health Organization's 9th Revision of the International Classification of Diseases (ICD-9). In 1977, the steering committee was formed by the National Center for Health Statistics (NCHS) to clinically modify ICD-9 for use in the United States. The term "Clinical" meant that the United States needed a useful tool to report diagnoses, to classify morbidity data
…show more content…
The United States is the only industrialized nation that has not implemented ICD-10 for morbidity. The United States has used ICD-10-CM to code mortality since 1999. Since 1994, the NCHS has been developing the clinical modifications for use in the United States. The new ICD-10-CM system is expanding to ~68,000 codes and has flexibility for expansion. The new ICD-10-CM codes have three to seven characters that are alphanumeric. Physicians created the ICD-10-CM terminology, ICD-10-CM starts with alpha (use all letters except "U"); 2nd character always numeric; 3rd-7th characters can be alpha or numeric; Decimal is always after 1st three

Similar Documents

Free Essay

Introduction to Icd-10 Cm/Pcs

...Introduction to ICD-10-CM/PCS The World Health Organization (WHO) is the entity that owns and publishes the International Classification of Diseases (ICD) system (The World Health Organization (WHO), 2013). The United States made modifications to this classification system and in 1979 implemented the use of ICD-9-CM. Since that time healthcare worldwide has evolved and the need to collect more detailed information regarding the diseases and conditions that effect world’s population has become a high priority. Due to this evolution, the ICD-9-CM system has become outdated and can no longer accommodate our needs. Effective October 1, 2014 the United States will implement ICD-10-CM/PCS for use across the nation. Initially we will cover ICD-10-CM and then address ICD-10-PCS. ICD-10-CM is the classification system to be utilized to record diagnoses identified and treated in both the acute care setting as well as the ambulatory setting. There are various differences between ICD-9-CM and ICD-10-CM and we will highlight several of those differences today. One difference between the two coding classification systems is the number of chapters. ICD-10-CM consists of twenty-one chapters as compared to the seventeen chapters in ICD-9-CM. There are approximately 68,000 diagnostic codes in ICD-10-CM as opposed to the 14,000 in ICD-9-CM (DeVault, Barta, & Endicott, 2012). The length and structure of the codes in ICD-10-CM vary greatly from ICD-9-CM. ......

Words: 1355 - Pages: 6

Free Essay

Visbusinessweek 5 Assignment

...assignment of data codes. I results I wish to accomplish are the following:  The Changes between ICD-9 and ICD-10 code sets.  Differences between ICD-10-CM and ICD-10-PCS code sets.  How ICD-10 coding could affect patient encounters.  How the transition will affect departments.  Regulatory requirements.  Quality Improvement.  Clinical Documentation Improvement.  The challenges and barriers of ICD-10-CM/PCS coding transitions.  Create a checklist for the staff. The font or typeface I will use or script-like fonts around 14, in bold those typically work better as heading fonts rather than body text and 12 for the body. I use of visuals communication would help me effectively deliver my message on the important issues with documentation and with the pictures and graphs, showing gains and loss of loss revenue would help them understand what is required for compliance and increase revenue. I will also show the standard required to be in compliances with The Joint Commission rule and regulations. The reason for my choice for training materials because is easiest way too explained and train the staff with all the new changes. These training sessions will be workshops and departmental in-services with custom design to fit each service needs. My training or transition would start with and introduction to explained in detail the new system of ICD-10 The ICD-10 Transition The ICD-9...

Words: 1321 - Pages: 6

Free Essay

Disease Classification Structures

...epidemiological data collection. Discussions will describe disease classification, analyze reasons why it was selected, and explain how it is applicable to work, review the benefits of the systems and also discuss the negative draw backs of the system. To begin discussions will focus on defining disease classification structures. Disease Classification Structures Disease classification structures are essential to health care. The International Classification of Disease Ninth Revision (ICD-9) is a classification system developed by the World Health Organization (WHO) to categorize diseases. ICD-9 collects data on disease and in the United States the ICD-9 is used to categorize procedures as well. The ICD-9 is also used to analyze mortality and morbidity rates worldwide. According to Kurbasic et al, “the basic concept of ICD is founded on the standardization of the nomenclature for the names of diseases and their basic systematization in the hierarchically structured category” (Kurbasic et al, p. 160, 2008). The ICD is used as the standard...

Words: 944 - Pages: 4

Free Essay

The Icd-10

...appointment was over you received a paper with a lot of different codes on it? Then were you asked to give it to the front desk on your departure? Well this is where the ICD comes into play. These codes are used to tell the insurance company what procedures or test were performed on you during this visit. The International Classification of Diseases 10th Revision (ICD-10) is a major change in how healthcare information will ultimately be used in documenting and collecting information both, worldwide and in the United States. Many countries have used the ICD-10 for many years now. The ICD-10 plays an essential part in everything related to the practice of medicine, from quality measures, research and claims that are processed. From the beginning there were concerns that are associated with managing and implementing the ICD-10 code set, preparing and realizing that getting through this transition would be the first of many. For me knowing that the classification of diseases will make doing paperwork easier, I can truly appreciate the ICD-10. With the constant changes that occur in health, we need to constantly improve the way we provide care to patients. The international Classification of Diseases (ICD-9) received its name because it was the ninth revision. The World Health Organization or WHO as it is known implemented ICD-9 more than 35 years ago. It is now considered to be very obsolete and very outdated. A revision was needed due to the fact...

Words: 763 - Pages: 4

Premium Essay

Business Analysis, Swot Analysis

...Analysis, SWOT Analysis, Gap Analysis, Risk Analysis, Disaster Recovery Planning, Testing and Project Planning. ▪ Extensive knowledge of Medicaid, Medicare, Procedural and Diagnostic codes and Claims Process. ▪ Expertise in EDI and HIPAA Testing Privacy with multiple transactions exposure such as Inbound Claims 837-Institutional, 837-Professional, 837-Dental, 835-Claim Payment/Remittance Advise, 270/271-Eligibility Benefit Inquiry/Response, 276/277-Claim Status Inquiry/Response Transactions and testing in Client Server systems and Mainframe Applications. ▪ Experience in Conversion of HIPAA X12 4010 codes to X12 5010 codes and ICD 9 codes to ICD 10 codes ▪ Proficient in creating Sequence Diagrams, Collaboration diagrams, Activity Diagrams, Class Diagrams using Rational tools and Microsoft Visio ▪ Experienced in handling Change Management...

Words: 2730 - Pages: 11

Premium Essay

Healthcare Information Systems Definition of Terms

...Definition of Terms Shaun W. VanDevender HCS/533– Health Information Systems Professor Derrick Dugeon September 1, 2014 Definition of Terms Technology has greatly changed health care in many different ways. This change has been gradual, progressing over several years; it has been very profound, nevertheless. Understanding these changes is important for experienced health professionals and newcomers alike. The following paragraphs will provide some definitions for the following important abbreviations: AMR, CMR, CMS, CMS-1500, CPT, DRG, EPR, HL7, ICD-9, and UB-92. In addition, the importance of each term will be discussed. AMR According to an ambulatory medical record (AMR) is an electronically stored file of a patient’s outpatient medical records, which includes all surgeries and care that do not involve being admitted to a hospital. An AMR is similar to an electronic medical record (EMR) but while EMRs keep track of inpatient care (surgeries and care that require spending overnight or longer in a hospital), AMRs only apply to medical procedures and care that do not result in an overnight stay in a hospital or that are given in non-hospital settings such as urgent care clinics, physicians’ offices and at-home medical care. AMRs assure that patients receive appropriate care. AMRs provide clinicians information they need to get a complete picture of the patients health. In addition, consumers can use the health information in the AMR to better......

Words: 1601 - Pages: 7

Free Essay


...Classification Systems Catrina Lemus American International University April 3, 2011 Abstract The following paper will be discussing the 4 main steps to ensure that the ICD codes are accurate. This paper will also be discussing the four steps that are necessary to establish the proper ICD-9-CM code. There are many ways that this paper will explain what is right to do and gives you a good source through a book that you can just gather all your information from. Step-by Step Medical Code Book by Buck is such an incredible book to get your sources from. ICD-9-CM code means International Classification of Disease, 9th edition. This is a standardized classification of disease, injuries and causes of death, by etiology and anatomic localization and anatomic localization and codified into a 6 digit number. When given any of these symptom assigned number’s this allows many clinicians and many involved people that have the same common language with in the medical field. The ICD-9-CM has been used in this country since 1973 for morbidity applications. This will help continue the hospital or anyone dealing with medical to be organized and just improve more and more. There are 8 steps to follow to have an accurate coding system. We are going to discuss the top 4 that are important. First one is to identify the main term in the diagnostic statements meaning you would to make sure that you have the correct code. Always do a double check when finding the correct code. The......

Words: 715 - Pages: 3

Free Essay

4010 to 5010

...provider must be a provider of health care services and can no longer be a billing service or clearinghouse. 4010 to 5010 Change: Billing Provider field can no longer state the information of a billing service or clearinghouse. Information must be that of a health care service provider. Q: Can the Billing Provider address be a PO Box or Lock Box? A: The billing provider address must be a physical street address and can no longer be a PO Box or Lock Box. In ANSI 5010 format, there is a Pay-To address in addition to the physical address if the provider prefers to send payments to another location. This Pay-To address can be a PO Box or lock Box. The 5010 Pay-To address is different than the 4010 Pay-To address. The 5010 Pay-To address will have the same name as the physical address provided. Providers sending 4010 files should change the Pay-To name to match the Billing provider name to be compatible with 5010. The Pay-To address no longer refers to a different person or organization. 4010 to 5010 Change: Billing provider must have a physical address. If using the Pay-To address for PO Box or Lock Box, the NPI or Tax ID must match the Billing provider's NPI or Tax ID or claim will be rejected. Q: What is the requirement pertaining to 9-digit zip codes? A: The provided zip codes in the Billing Provider address, Facility address, and Pay-To address must be a valid 9-digit zip code as stated per the United States Postal Service. To locate your organization's valid 9digit zip code,......

Words: 1120 - Pages: 5

Premium Essay

Bbb Resume for Ba

...Business Analyst with over 6 years of professional experience in Software Development Lifecycle (SDLC) and business reengineering process, offering extensive experience in healthcare domain. Areas of expertise include HIPAA compliance ANSI X12 4010 to 5010 and ICD 9 to ICD 10, EDI transactions and Claims Adjudication process. Experience with FACETS and NASCO configuration, coordination of benefits (COB), Medicare and Medicaid programs; strong interpersonal communication, writing, presentation and collaboration skills. QUALIFICATIONS SUMMARY | | * Proven track record of delivering cost-effective, high performance technology solutions to meet the constantly changing business needs. * Demonstrated experience in gathering requirements and developing detailed functional specifications through JAD sessions, interviews, observation, and on site meetings with SME, business users & development teams. * Adept at writing business requirement documents (BRD), functional requirement documents (FRD), system requirement specifications (SRS), system design specifications (SDS) and other project related documents. * Expertise in conducting gap analysis, SWOT analysis, risk analysis, root-cause analysis and change management assessment. * Proficient in business process reengineering and Software Development Life Cycle (SDLC), including analysis, design, development, testing, and implement of software applications, employing Rational Unified Process......

Words: 2820 - Pages: 12

Premium Essay

Wgu Ltt1 Task 2

...Intro to task two: The Indian Health Service (IHS): The IHS is a health care system for nearly 2 million American Indians and Alaska Natives who belong to the 566 different, federally recognized, tribes in 35 states. 1 IHS is an agency within HHS, which is the Department of Health and Human Services.  2 The Indian Health Service was established in 1955 taking over from the Bureau of Indian Affairs. It is based on Article I, Section 8 of the Constitution and the relationship developed from numerous treaties, Executive Orders, and Supreme Court decisions 3. The IHS is the primary health care provider for the American Indian people 4, and it’s dedicated to raise their health and well-being to the highest level. Health Information Exchange(s): A Health Information Exchange is the virtualization of healthcare information electronically, and access to said information exchanged between HIE members. This data spans across organizations within a community, or hospital system, or even whole regions. HIEs facilitate transmitting protected health information to other organizations and government agencies according to national standards. HIEs often include collaboration among physicians, home health, nursing homes, hospitals, and mental health facilities. 5 Federal Employees Health Benefits Program: The FEHB Program is for Federal employees present and retired as well as their survivors. Members have the widest selection of health plans in the country. With the ability to choose...

Words: 1485 - Pages: 6

Premium Essay

Health Care Information - Definition of Terms

...Introduction: There are a lot of abbreviations used in the United States health care delivery systems. A list of some of these abbreviations that are used by physician’s offices, hospitals, nursing homes, and other ambulatory care services are listed in this paper. 1. AMR - The definition of an Automated Medical Record, otherwise known as an electronic medical record, has been set forth by the 2003 IOM Patient Safety Report as the: • "collection of electronic health information for and about persons" • "provision of knowledge and decision-support systems [for] support for efficient processes for health care delivery" • "electronic access to person-and population-level information by authorized users" ("Definition Of Automated Medical Record", 2012).  2. CMR – According to "Mortality Frequency Measures" (2012), Crude Mortality Rate. The Crude Mortality Rate is the mortality rate from all causes of death for a population during a specified time period. • Mortality rates measure the frequency of occurrence of death in a defined population during a specified interval. • There are several specific kinds of mortality rates, but we will focus only on the ones that are used most often in infectious disease epidemiology. • To calculate a simple mortality rate, we need to know the number of deaths in a given population during a specified time period, and the size of the population in which the deaths......

Words: 1668 - Pages: 7

Premium Essay

Definition of Terms

...Definition of Terms Mathew V Kurian HCS/533 Definition of terms Every branch of science uses certain terms with specific meaning peculiar to itself The student of that branch has the responsibility not only to familiarize himself or herself with these terms but also has to have a thorough understanding as to what those terms are meant to be in order to master that field of study. In order to master the study of Information System in Health care, a thorough under-standing of the following terms are very important. AMR. The Automated Medical Record. The Automated Medical Record is a clinical information system with powerful facilities for querying and decision support. Automated Medical Record is the beginning of using electronic medium for the purpose of communication between health care providers, and between patients and health care providers and vice versa. Automation of medical record was originally intended to promote timely billing and securing prompt payments, but it came to stay as the most beneficial development for the patient in the scheme of delivery of care. Lack of proper and complete medical record may be the most important reason for the medical error in the treatment process. CMR. Computerized Medical Records. Computerized Medical Records are the digital counterparts to patient medical records kept in paper files and folders in health care offices. They are, in essence, an electronic version of the same medical......

Words: 1385 - Pages: 6

Free Essay

Annoted Bio Correct Medical Billing and Coding

...Correct Medical Billing and Coding in the Healthcare Industry Medical billing and coding is one of today's topics. When services are billed for patients, they must be coded based on the documentation the physician has dictated in the patients chart to receive payment from the insurance company. As the physicians office and/or hospitals practice correct medical billing and coding, this will prevent audits being brought forth in their practice and/or hospital. Kenny, Christopher,Correct Coding for Dialysis Billing Providers must ensure proper coding to avoid returned claim, 2012. This article is geared for those in the medical field who do coding and billing in hospitals for dialysis. The author is educating the coders and billers how to correctly code for dialysis billing. He mentions that The Centers for Medicare and Medicaid, issued a transmittal that has revised the Medicare claims processing manual as it pertains to hospitals billing for dialysis procedures that are non covered under the ESRD benefit for emergency dialysis. In addition, the author discusses how the hospitals should utilize Healthcare Common Procedure Coding System billing code G0275 and code 90935 for hemodialysis. Only to bill G0275, if the hospital is a ESRD facility, emergency services, and when dialysis is performed with related procedures, such as a vascular access procedures or when performed following treatment for an unrelated medical emergency. The author also continues......

Words: 3430 - Pages: 14

Premium Essay

Definition of Terms

...Definition of terms Chinedu HCS/533 Health Information Systems AUGUST 25, 2014. Definition of terms This presentation will translate and define the following abbreviations: AMR, CMR, CMS, CMS-1500, CPT, DRG, EPR, HL7, ICD-9, and UB-92. Technology today has revolutionized the health care system, as technology evolves, so does the environment promoting quality care for those in need of it. AMR- An ambulatory medical record (AMR) is an electronically stored file of a patient’s outpatient medical records, which includes all surgeries and care that do not involve being admitted to a hospital. An AMR is similar to an electronic medical record (EMR), but while EMR’s keep track of inpatient care (surgeries and care that require spending overnight or longer in a hospital), AMRs only apply to medical procedures and cares that do not result in an overnight stay in a hospital or that are given in non-hospital settings such as urgent care clinics, physicians’ offices and at home medical care. AMRs are stored in electronic databases called ambulatory medical record systems that are accessible by doctors and other medical professionals. CMR- Computerized medical record is an electronic information system and keeps records of each individual patient’s health. Computerized medical records (CMR) provide a viable mechanism for implementing clinical governance. Computers are involved in all aspects of the clinical interaction-from consulting room to system-level use of large......

Words: 1209 - Pages: 5

Premium Essay

Definition of Hospital Terms

...Definition of Terms Michelle D. Dodd HCS/533 - HEALTH INFORMATION SYSTEMS February 09, 2015 Kevin Lett University of Phoenix Introduction This paper will attempt to give a brief definition of the follow terms listed below, while at the same time providing a personal view of the most important aspect of each definition. * AMR * CMR * CMS * CMS-1500 * CPT * DRG * EPR * HL7 * ICD-9 * UB-04 AMR There are a few meanings of the acronym AMR in healthcare like, American Medical Response, Active Metabolic Rate, Ambulatory Medical Record, just to name a few. The one that stands out the most from a personal view is American Medical Response. This service provides emergency response, and dispatch services, non-emergency transport services and air ambulance services. The most important aspect of this service is providing services to the medically ill, severely injured, persons that are immobile and need assistance with getting to the hospital to receive proper medical attention. Without this service, hundreds of people can be in danger of losing their lives or the lives of a loved one. CMR CMR is an acronym for Computerized Medical Records. Computerized Medical Records are the digital counterparts to patient medical records kept in paper files and folders in healthcare offices. For healthcare professionals, the benefit of using computerized medical records is helping to save time and money. This system prevents patients from waiting...

Words: 1192 - Pages: 5