ICD-10 CM: Focus on documentation
General surgery, vascular, thoracic,
and plastic surgery
ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
1
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Who we are & why we’re here
The Payers Collaboration is a group of payers
working together to provide a resource for physicians
in their ICD-10 readiness activity

We are working as one voice to provide valuable
information to the provider community about
transitioning to ICD-10 and to show that the
transition doesn’t have to be overly costly or
burdensome

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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Contact us with questions
Please email us at: ___________________________
Q&A from todays webinar will be posted on:
 https://www.unitedhealthcareonline.com/b2c/CmaAction.do?c
hannelId=6fa2600ae29fb210VgnVCM1000002f10b10a____
 http://www.priorityhealth.com/provider/news-andeducation/icd-10
 Humana.com/providerwebinars
 https://www.hap.org/providers/icd10.php
 bcbsm.com/icd10
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Agenda
Part 1
 Introduction to ICD-10
 ICD-10 timeline & billing dates of service
Part 2
 Specialty specific documentation examples
Part 3
 Next steps and wrap up
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Objectives
 Identify the “What,” “Why” and “When” of ICD-
10 implementation
 Recognize the format of ICD-10 codes
 Apply documentation tips for the most common
diagnoses in a given specialty
 Value the benefits of ICD-10 documentation
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Part 1
 Introduction to ICD-10
 ICD-10 Timeline & billing dates of service
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
What is ICD-10-CM ?
International Classification of Diseases10th Revision-Clinical Modification
Listed by the World Health Organization
(WHO) and the National Center for
Health Statistics (NCHS)
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Why are we implementing ICD-10 ?
The Centers for Medicare and Medicaid Services (CMS)
announced on July 31, 2014 that the new deadline for ICD-10
Implementation will be October 1, 2015
ICD-9 codes provide limited data about patients’ medical
conditions and hospital inpatient procedures
ICD-10 codes allow for greater specificity and accuracy in
describing a patient’s diagnosis and in classifying inpatient
procedures
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
ICD-10 world adoption
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
How will ICD-10 impact me?
The required specificity of
ICD-10 documentation
will have a positive
provider impact in the
areas listed to the right.
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Implementation Delays
ICD-10 implementation has been delayed several times but the
current implementation date is October 1, 2015
Why so many delays?
The most common reason cited for delaying ICD-10 is the
complexity and cost involved on the health care provider side
Another reason is the possibility of rejected claims due to
noncompliance and the impact on health care providers and
cash flow
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Provider & Payer Concerns
Everyone agrees that disruption to the claims processing system is
the greatest danger of ICD-10 implementation
It could lead to cash flow problems and disruptions
It could also increase inquiries and resources straining health
plans resources (i.e., longer hold times, response times, etc.)
We need to work together to ensure that all stakeholders are
ready to minimize disruption
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Fact or Fiction?
“It can cost (a provider office) $80k to transition from
ICD-9 to ICD-10”
We too have heard “facts” like this, but believe that this figure
assumes implementation, planning, and costs that will not be seen
by the majority of health care providers. For most specialties, cost
are much lower.
-United HC findings
http://www.medscape.com/viewarticle/839670
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
What provider documentation will be
impacted by ICD-10?
Impacted
Not Impacted
Diagnosis documentation for
inpatients
Procedure documentation for
outpatient services
Diagnosis documentation for
outpatients
Procedure documentation for
certain professional services
and medical supplies
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
What are some key differences between
ICD-9 and ICD-10?
ICD-9 Diagnosis codes
ICD-10 Diagnosis codes
3-5 characters in length
3-7 characters in length
Approximately 14,000 codes
Approximately 69,000 codes
First digit may be alpha (E or V) or
numeric; Digits 2-5 are numeric
Character 1 is alpha; character 2 is
numeric; characters 3-7 are alphanumeric
Limited space for expansion
Room for expansion
Lacks detail and laterality
Very specific and added laterality
Difficult to analyze data due to non specific
codes
Specificity improved coding
accuracy/richness for data analysis/medical
research
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Is ICD-10 required on calendar date or date
of service Oct. 1, 2015?
Date of service
Code set billed
Prior to October 1, 2015
ICD-9-CM
October 1, 2015 and later
ICD-10-CM
Provider outpatient AND inpatient claims are
based on date of service. (DOS)
Note: Overlapping dates require separate
claims.
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Part 2
 Specialty specific documentation examples
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Diverticular disease:
Codes at a glance
ICD-9
ICD-10
562.10 Diverticulosis of colon
(without mention of
hemorrhage)
562.11 Diverticulitis of colon
(without mention of
hemorrhage)
562.12 Diverticulosis of colon with
hemorrhage
562.13 Diverticulitis of colon with
hemorrhage
K57.30 Diverticulosis of large
intestine without perforation
or abscess without bleeding
K57.31 Diverticulosis of large
intestine without perforation
or abscess with bleeding
K57.32 Diverticulitis of large
intestine without perforation
or abscess without bleeding
K57.33 Diverticulitis of large
intestine without perforation
or abscess with bleeding
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Documentation:
Diverticula disease
Patient was referred by his PCP for
colonoscopy due to frequent bouts of
constipation and diarrhea accompanied
by lower abdominal discomfort.
Colonoscopy revealed diverticulosis.
Recommended that he change his diet,
drink plenty of fluids, increase exercise,
take fiber supplement as needed, and
avoid foods that cause gas, bloating or
pain.
Patient was referred by his PCP for
colonoscopy due to frequent bouts of
constipation and diarrhea accompanied
by lower abdominal discomfort.
Colonoscopy revealed diverticulosis of
the large intestine. Recommended that
he change his diet, drink plenty of
fluids, increase exercise, take fiber
supplement as needed, and avoid foods
that cause gas, bloating or pain.
The diagnosis is documented as
diverticulosis
The diagnosis is documented as
diverticulosis of large intestine
K57.90
K57.30
Diverticulosis of intestine,
part unspecified, without
perforation or abscess
without bleeding
NOT ICD-10 SPECIFIC
ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Diverticulosis of large
intestine without
perforation or abscess
without bleeding
ICD-10 SPECIFIC
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Chronic skin ulcers:
Codes at a glance
ICD-10
ICD-9
707.13
Ulcer of ankle
Code, if applicable, any causal condition first:
Diabetes mellitus
(249.8x, 250.8x)
Atherosclerosis of the
extremities with ulcerations
(440.23)
L97.311
ulcer of
Non-pressure chronic
right ankle limited to
breakdown of skin
L97.312
ulcer of
Non-pressure chronic
right ankle with fat layer
exposed
L97.313
ulcer of
Non-pressure chronic
right ankle with necrosis
of muscle
L97.314
ulcer of
Non-pressure chronic
right ankle with necrosis
of bone
L97.319
ulcer of
Non-pressure chronic
right ankle with
unspecified severity
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Documentation:
Chronic skin ulcers
Patient presents with a painful, nonhealing ulcer on his right ankle. It is pale,
red and shallow. The leg and foot skin are
shiny and with little hair present.
The diagnosis is documented as ulcer,
ankle
L97.309 Non-pressure chronic ulcer of
unspecified ankle with unspecified
severity
Patient presents with a painful, non-healing
ulcer on his right ankle. It is pale, red and
shallow and limited to the breakdown of the
skin. The leg and foot skin are shiny and with
little hair present. Popliteal and dorsalis
pedis pulses cannot be identified. Patient
does not recall any injury to the ankle and
since he has atherosclerosis it appears to be
related to the poor leg circulation.
The diagnosis is documented as
atherosclerosis with ulcer, ankle
L70.233 Atherosclerosis of native
arteries of right leg with
ulceration of ankle.
I97.311 Non-pressure chronic ulcer of right
ankle limited to breakdown of skin
NOT ICD-10 SPECIFIC
ICD-10 SPECIFIC
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Complications of breast implants:
Codes at a glance
ICD-9
996.54 Mechanical complication of
other specified prosthetic
device, implant, and graft,
due to breast prosthesis
NOTE: If documentation
indicates capsular contracture of
breast implant, see instead
code 611.83.
611.83 Other specified disorders of
breast, capsular contracture
of breast implant
ICD-10
T85.4 (√ 5th) Mechanical complication
of breast prosthesis and implant
T85.41 (√ 7th) Breakdown (mechanical)
of breast prosthesis and implant
T85.42 (√ 7th) Displacement of breast
prosthesis and implant
T85.43 (√ 7th) Leakage of breast
prosthesis and implant
T85.44 (√ 7th) Capsular contracture of
breast implant
T85.49 (√ 7th) Other mechanical
complication of other ocular
prosthesis and implant
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Documentation:
Complications of breast implants
This patient had breast implants placed 5
months ago and her breasts have gotten
progressively harder. Her breast have
become painful and look distorted. An
open procedure was recommended.
Patient agreed to surgery.
The diagnosis is documented as
complication, breast implant
T85.49xA Mechanical complication of
breast prosthesis and implant, Other
mechanical complication of breast
prosthesis and implant
This patient had breast implants placed 5
months ago and her breasts have gotten
progressively harder. Her breasts have
become painful and look distorted. Patient
has capsular contracture of breast implants.
Open capsulectomy was recommended.
Patient agreed to surgery.
The diagnosis is documented as
complication, breast implant, capsular
contracture
T85.44xA Mechanical complication of
breast prosthesis and implant, Capsular
contracture of breast implant
NOT ICD-10 SPECIFIC
ICD-10 SPECIFIC
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Trigger finger:
Codes at a glance
ICD-9
727.03 Trigger Finger (acquired)
756.89 Other specified anomalies of
muscle, tendon, fascia, and
connective tissue, other
(congenital)
ICD-10
M65.30 Trigger finger, unspecified finger
M65.31x Trigger Thumb
M65.32x Trigger Finger, index finger
M65.321 Trigger finger, right
index finger
M65.322 Trigger finger, left
index finger
M65.329 Trigger finger,
unspecified index finger
M65.33x Trigger finger, middle finger
M65.34x Trigger finger, ring finger
M65.35x Trigger finger, little finger
Q74.0 Other congenital malformations
of upper limb(s), including
shoulder girdle
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Documentation:
Trigger finger
This female patient is complaining of her
joint of her finger locking/popping and
also pain at the base of her finger.
Treatment with ice, anti-inflammatories
and even steroid injections has not
relieved the pain. The finger cannot be
straightened all the way and the joint
exhibits a popping as her hand is opened
or closed. Surgical treatment for trigger
finger was explained.
This female patient is complaining of her joint
of her left middle finger locking/popping and
also pain at the base of her finger. Treatment
with ice, anti-inflammatories and even steroid
injections has not relieved the pain. The finger
cannot be straightened all the way and the
joint exhibits a popping as her hand is opened
or closed. Surgical treatment for trigger finger
was explained.
The diagnosis is documented as trigger
finger
The diagnosis is documented as trigger finger,
left middle finger
M65.30 Trigger finger, unspecified
M65.332 Trigger finger, left middle finger
NOT ICD-10 SPECIFIC
ICD-10 SPECIFIC
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Heart disease:
Codes at a glance
ICD-9
ICD-10
414.00 Coronary Atherosclerosis of
unspecified type of vessel, native
or graft
I25.110 Atherosclerotic heart disease of
native coronary artery with unstable
angina pectoris
414.01 Coronary Atherosclerosis of
native coronary artery
I25.111 Atherosclerotic heart disease of
native coronary artery with angina
pectoris with documented spasm
411.1
Intermediate coronary syndrome
(Unstable angina)
413.9
Other and unspecified angina
pectoris
I25.118 Atherosclerotic heart disease of
native coronary artery with other
forms of angina pectoris
I25.119 Atherosclerotic heart disease of
native coronary artery with
unspecified angina pectoris
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Documentation:
Heart disease
Patient was consulted for chest pain
radiating down her left arm with dyspnea.
EKG showed non-specific T-wave changes,
Troponin levels were normal. Cardiology
felt she had angina and proceeded with
cardiac catheterization and coronary
angiography. The left anterior descending
coronary artery showed 80% narrowing
shortly after takeoff from the left main and
with 40% narrowing of the diagonal and
circumflex. CABG was planned.
Diagnosis is documented as atherosclerosis
with angina
I25.119 Atherosclerotic heart disease of
native coronary artery with
unspecified angina pectoris
NOT ICD-10 SPECIFIC
Patient was consulted for chest pain
radiating down her left arm with dyspnea.
EKG showed non-specific T-wave changes,
Troponin levels were normal. Cardiology felt
she had unstable angina and proceeded with
cardiac catheterization and coronary
angiography. The left anterior descending
coronary artery showed 80% narrowing
shortly after takeoff from the left main and
with 40% narrowing of the diagonal and
circumflex. CABG was planned.
Diagnosis is documented as atherosclerosis
with unstable angina
I25.110 Atherosclerotic heart disease of
native coronary artery with
unstable angina pectoris
ICD-10 SPECIFIC
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Chest pain:
Codes at a glance
ICD-10
ICD-9
786.50 Chest pain, unspecified
786.51 Precordial pain
R07.1 Chest pain on breathing
R07.2 Precordial pain
R07.81 Pleurodynia
786.52 Painful respiration
R07.82 Intercostal pain
786.59 Chest pain, other
R07.89 Other chest pain
R07.9 Chest pain, unspecified
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Documentation:
Chest pain
This 22 y/o male was seen for recurring,
chest pain, lasting several weeks with
duration of less than a minute and
unrelated to activity, eating, or body
position. There is no dyspnea, cough,
sputum, hemoptysis or fever. Physical exam
was normal with no pleural or pericardial
rubs. His chest X-ray, EKG and lab tests were
normal, D-Dimer was normal.
Diagnosis is documented as chest pain.
R07.9
Chest pain, unspecified
NOT ICD-10 SPECIFIC
This 22 y/o male was seen for recurring,
stabbing chest pain, for last several weeks
with duration of less than a minute and
unrelated to activity, eating, or body
position. Pain located to the right of the
sternum, does not radiate and is not related
to respiration. There is no dyspnea, cough,
sputum, hemoptysis or fever. His physical
exam was normal with no pleural or
pericardial rubs. There was tenderness of
the right costochondral junctions. His chest
X-ray, EKG and lab tests were normal, DDimer was normal.
Diagnosis is documented as cardiacpulmonary chest pain.
R07.89 Other chest pain
ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
ICD-10 SPECIFIC
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Peripheral vascular disease:
Codes at a glance
ICD-9
443.0
Raynaud’s syndrome
(use additional code to
identify gangrene 785.4)
443.82 Erythromelalgia
ICD-10
I73.00 Raynaud’s syndrome without
gangrene
I73.01 Raynaud’s syndrome with
gangrene
I73.81 Erythromelalgia
443.89 Other
I73.89 Other specified peripheral
vascular diseases
443.9
I73.9
Peripheral vascular
disease, unspecified
Peripheral vascular disease,
unspecified
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Documentation:
Peripheral vascular disease
The patient is seen for bilateral disabling
calf cramping that occurs after 1 1/2 to 2
blocks of ambulation. Symptoms resolve
with rest. Physical examination
demonstrates dependent rubor of the feet
and pedal pulses are palpable, but weak.
Segmental lower extremity Doppler studies
confirm peripheral vascular disease.
Warned patient to be cautious when using
a heating pad due to the risk of burns on
the feet and to try and avoid any type of
injury.
Diagnosis is documented as peripheral
vascular disease
I73.9
Peripheral Vascular Disease
The patient is seen for discoloration of
the skin after being out in the cold for a
short time. Symptoms include
numbness, stinging, and throbbing of
fingers and toes. Explained to patient
the blood is not circulating properly to
the hands and feet. Cautioned patient
to watch for signs of gangrene.
Diagnosis is documented as Raynaud's
syndrome without gangrene
I73.00
NOT ICD-10 SPECIFIC
ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Raynaud’s syndrome without
gangrene
ICD-10 SPECIFIC
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Varicose veins:
Codes at a glance
ICD-9
Varicose veins of lower extremities:
454.0
With ulcer
454.1
With inflammation
454.2
With ulcer and inflammation
454.8
With other complications
454.9
Asymptomatic varicose veins
ICD-10
I83
Varicose veins of lower extremities
I83.0xx
With ulcer
I83.00x
Unspecified lower extremity with
ulcer
I83.001
ulcer of thigh
I83.002
ulcer of calf
I83.003
ulcer of ankle
I83.004
ulcer of heel and midfoot
I83.005
ulcer of other part of foot
I83.008
ulcer of part of lower leg
I83.009
ulcer of unspecified site
I83.01x Right lower extremity with ulcer
I83.02x Left lower extremity with ulcer
I83.1x Lower extremities with inflammation
I83.2x Lower extremities with ulcer and
inflammation
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Documentation:
Varicose veins
This patient has noted painful and tender
enlarged veins primarily in the greater
saphenous vein distribution. Tylenol has
not helped, however, leg elevation has
helped. These enlarged varicose veins
measure 3 to 6 mm. in diameter. Patient
was advised to change positions frequently,
to avoid standing for long periods of time
and to try foot exercises to increase blood
flow.
Diagnosis is documented as varicose vein
with inflammation
This patient has noted painful and tender
enlarged veins primarily in the right greater
saphenous vein distribution. Tylenol has
not helped, however, leg elevation has
helped. These enlarged varicose veins
measure 3 to 6 mm. in diameter. Patient
was advised to change positions frequently,
to avoid standing for long periods of time
and to try foot exercises to increase blood
flow.
Diagnosis is documented as varicose vein
with inflammation
I83.10
I83.11 Varicose veins of right lower
extremity with inflammation
Varicose veins of unspecified
lower extremity with
inflammation
NOT ICD-10 SPECIFIC
ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
ICD-10 SPECIFIC
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Part 3
Part 3
 Next steps and wrap up
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
In summary

Physician claims for outpatient and inpatient services will
transition to ICD-10 Clinical Modification (ICD-10-CM) for
reporting diagnoses on October 1, 2015

Also, please note that ICD-10-PCS will NOT replace the CPT
procedure codes

Remember, insurers making payment decisions, rating severity
of illness or trying to predict recovery time, all need physician
documentation that is at the highest level of specificity
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Start with a checklist
 Obtain a list of your most commonly used ICD-9 codes
 Use existing tools to develop a list of viable ICD-10 codes
http://www.aapc.com/ICD-10/crosswalks/pdf-documents.aspx
 Become familiar with the level of detail needed in the
medical record
 Make sure that medical record documentation supports
ICD-10 codes
 Use existing content-based testing environments and
practice ICD-10 coding of those scenarios
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Content-based testing objectives

Give healthcare professionals (physicians, etc.) pre-defined,
clinically-based medical scenarios to review and have them
determine the ICD-10 codes they would use on the claim

Allow providers to enter the data in an easy, efficient manner

Share the effects of their selection in the form of Peer Reports
and/or notification of the correlation of their inputs against
expected codes
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Content-based testing organization

Each Specialty has a maximum of nine Narratives available.

Each Narrative defines a specific healthcare encounter

Narratives are grouped into Scenarios (3 narratives per
Scenario)

Providers register via a website, and will receive an email
inviting them to participate with an embedded link to the testing
tool
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Content-based testing specialties
Allergy/Immunology
Audiologist
Cardiovascular
Disease
Certified Nurse
Midwife
Chiropractic
Clinical Psychologist
Dermatology
Emergency Medicine
Endocrinology
Family Practice
Gastroenterology
General Practice
General Surgeon
Group Practice
Hematology
Hematology-Oncology
Infectious Disease
Internal Medicine
Nephrology
Neurology
Nurse Practitioner
Obstetrics &
Gynecology
Occupational Therapist
Ophthalmology
Optometry
Orthopedic Surgery
Otolaryngology
Pediatric Medicine
Physical Medicine and
Rehabilitation
Physical Therapist
Plastic and Reconstructive Surgery
Podiatry
Psychiatry
Psychologist
Pulmonary Disease
Radiation Oncology
Rheumatology
Thoracic Surgery
Urology
Vascular Surgery
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Content-based testing links
Humana
http://hureg.providercodingimpact.com/Registration.aspx
BCBSM
http://bcbsmicd10providerregistry.highpoint-solutions.com/Registration.aspx?Test=y
Michigan Dept of Community Health
http://www.michigan.gov/mdch/0,1607,7-132-2945_42542_42543_42546_42552_42696-256928--,00.html#Testing
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Additional ICD-10 coding resources
Crosswalks for the Top 50 codes by specialty
http://www.aapc.com/ICD-10/crosswalks/pdf-documents.aspx
ICD-10 CM/PCS documentation tips
http://bok.ahima.org/PdfView?oid=300621
100 Tips for ICD-10-PCS coding
http://icd10monitor.com/enews/item/615-100-tips-for-icd-10-pcs-codingtips-1-10
Free code conversion tool
http://www.icd10data.com/Convert
FAQs: ICD-10 transition basics
http://www.cms.gov/Medicare/Coding/ICD10/downloads/ICD10FAQs.pdf
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Post webinar
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 Q&A and webinar replay will be posted on Payers website
Join us next time
7/23/2015
Allergy, immunology, rheumatology and endocrine
https://cc.readytalk.com/r/8fns0lwf5qi4&eom
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Thank you!
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery
Disclaimer
This presentation is intended only for information use accompanying a live teleconference by the Payer
Collaboration (Collaboration). No copy or use of this presentation should occur without expressed permission
from the Collaboration. While our best efforts are to provide accurate and useful information, the Collaboration
makes no claim, promise, or guarantee of any kind about the accuracy, completeness, or adequacy of the content
of the presentation and expressly disclaims liability for errors and omissions in such content.
As diagnostic codes changes annually, you should reference the current version of coding guidelines for the most
detailed and up-to-date information. The information contained in this presentation is intended for informational
purposes only.
The Collaboration has no liability or responsibility to any person or entity with respect to any loss or damage
caused by the use of this seminar, including but not limited to any loss of revenue, interruption of service, loss of
business or indirect damages resulting from the use of this program. The Collaboration makes no guarantee that
the use of this program will prevent differences of opinion or disputes with Medicare or other third party payers
as to the amount that will be paid to providers of service.
The material is designed and provided to communicate information about coding and documentation in an
educational format and manner. The presenter(s) are not providing or offering legal advice, but rather, practical
and useful information and tools in the area of clinical documentation, data quality and coding. Every reasonable
effort has been taken to ensure that the educational information provided is accurate and useful.
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ICD-10 CM: Focus on documentation - General surgery, vascular, thoracic, and plastic surgery