ICD-10 Reporting
Written by Editor   
Friday, July 10, 2015 09:00 PM

Have You Made Your List of Diagnosis Codes?

CMS encourages providers to create a list of "high impact (ICD-9) diagnosis codes related to common conditions that you routinely encounter in your office."  In order to simplify this process for chiropractic offices, ACA created the ICD-10 Toolkit which houses step-by-step instructions for a full ICD-9 assessment of your clinic. In addition, ACA's Mapping Tool (also included in the Toolkit) assists providers in finding the correct ICD-10 equivalent code. This downloadable resource can be purchased at a considerable discount to members here: www.ACAtoday.org/ICD10.


Dual Coding, Native Coding - What Do These Terms Mean?

Dual coding is a simple method of assigning ICD-9 and ICD-10 diagnosis codes concurrently to medical records. Although a simple process, the importance of practicing this in the early stages of ICD-10 implementation is invaluable. If your clinic is currently not coding patient charts in both ICD-9 and ICD-10, we encourage you to read more about how to implement this process in ACA's article entitled, "Dual Coding - Friend or Foe?"

According to CMS, "Native coding means to assign an ICD-10 diagnosis code directly based on clinical documentation. Practices are encouraged to natively code using ICD-10 code reference sources instead of using crosswalks, which should be used for general knowledge." In order to properly code a case, the documentation must support the specificity of the code chosen. In order for the provider to choose the most specific code, he or she must be familiar with all the code choices available within a code category. This would require the provider to code patient conditions directly from an ICD-10 manual. Coding experts have warned about using crosswalks or code look up tools for coding items that have any financial impact on the clinic. This means that the provider should not rely on these tools for claims, medical records and preauthorization services. The crosswalk or GEMs should be used only as a guide to get the provider in the general area.

We encourage providers to start coding cases in both ICD-9 and ICD-10 on a daily basis. Not sure how to look up a code? Take advantage of the step by step instructions on ACA's Code It resource.

Source:  ACA