Are you ready to step in to an ICD-10 future?

  • Let’s face it, a lot of providers have plans to eventually migrate to computer assisted coding solutions. After all who wouldn’t want to improve the productivity and reduce coding errors. Is your company making the switch too? Have they accelerated their migration to CAC now that the ICD deadline moved?


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  • ICD-10 has a number of codes which refer to ‘Subsequent Encounters’… just what does this term mean?

    For example,

    W59.22XD – Struck by turtle, subsequent encounter

    V93.41XD – Struck by falling object on passenger ship, subsequent encounter

    T75.01XD – Shock due to being struck by lightning,  subsequent encounter


    Carl Natale has an excellent post explaining just what a ‘Subsequent Encounter’ is.  Contrary to popular belief these codes do not mean the 2nd time something happened. After all, what is the probability of being struck by a turtle, an object on a passenger ship or lightning a 2nd time!

    Instead a subsequent encounter simply means that a patient is receiving routine care during the healing process for the injury.

    For most ICD-10 diagnosis codes, the 7th character indicates the following,

    • A – Initial encounter. The patient is receiving active treatment for the injury
    • D – Subsequent encounter. Used for encounters after the patient has received active treatment of the injury and is receiving routine care for the injury during the healing or recovery phase
    • S – Sequela. Used to indicate complications or conditions that arise as a direct result of an injury

    For more details refer the ICD-10-CM Official Guidelines for Coding and Reporting


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  • You don’t necessarily need a degree for ICD-10, but it is certainly more complex than ICD-9 and recent postings for medical coding and billing jobs seem to show that employers believe that the skill required is higher. Where they may have hired high school graduates before, recent job posts ask for an associate degree or at least the appropriate certification.

    For more check out – While Physicians Protest, Coders Prepare

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  • An interesting overview by Michael Calahan on how a physician’s practice uses ICD-9 today, and the operations they may need to change to support ICD-10.

    ICD-10 Operational Impact Points in the Physician Practice

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  • At Edifecs, Gartner recommended that payers and providers look at ICD-10 remediation as a golden opportunity. A few tips for moving forward, including one tip not to overlook the importance of in-house training needs.


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  • The HHS announced that it intends to delay the ICD10 deadline from October 1, 2013 to a later date. The details haven’t been announced yet including whether this delay applies to everyone (e.g. Providers, Payers, Vendors etc.) or not.

    Read the official announcement from Health and Human Services Secretary Kathleen G. Sebelius at http://www.hhs.gov/news/press/2012pres/ … 0216a.html

    Some like the AMA have lobbied hard for this change, while others see this as a costly setback. Your thoughts?

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