Medical Billing Forum

Coding => Coding => Topic started by: Annie1 on September 05, 2013, 01:03:13 PM

Title: ICD-10 and Decimal points
Post by: Annie1 on September 05, 2013, 01:03:13 PM
Does anyone know if the decimal points are going to be required for the ICD-10 diagnosis codes? Our system currently only stores 7 characters, not including the decimal. Currently we have the new ICD-10 tables set up as 7 characters with no decimal.
I'm wondering if these will get rejected.
Title: Re: ICD-10 and Decimal points
Post by: Merry on September 06, 2013, 12:35:11 AM
You should not have been using decimal points even on ICD-9 codes. Using the decimal moves all your numbers to the right of the decimal over one. We haven't used decimals for eons. If you look at a paper claim, and you use a computer, when you print it out, your system should suppress the punctuation. Electronic claims would be rejected unless your clearinghouse is doing it for you.
Title: Re: ICD-10 and Decimal points
Post by: RichardP on September 06, 2013, 11:21:42 AM
If you look at a paper claim ... your system should suppress the punctuation.

Merry - I'm looking at the CMS 1500 (08-05) Form.  In Box 21, I see a place for four diagnosis codes (1-4).  At each place, there is a red underline, a red period, and then another red underline.  That is, the CMS 1500 provides a place for the numbers before the period, the period, and the numbers after the period.

I'm looking at a printed CMS 1500 Form for one of our clients.  The software prints the period right where the red period is printed on the Form.  We've been submitting these HCFA/CMS Forms with the period printed on them since the late 1990's.

Edit:  I'm looking at some ICD-10 codes right now - and see some with 1 digit to the right of the decimal point, some with 2 digits to the right, and some with 3 digits.  Those codes that I am looking at only have 1 Letter and 2 digits (total of 3) to the left of the decimal point.

Take B37.0 for example (a real code).  Assuming there is a B37.01 code, and we don't use a decimal point, we end up with B3701.  How does the computer know that is supposed to be B370.1 rather than B37.01?  Inquiring minds want to know, if you know.

Also - do you know what the total length of the ICD-10 Codes will be.  Not to exceed 7 digits?  10 digits?  Or is that undefined?
Title: Re: ICD-10 and Decimal points
Post by: rdmoore2003 on September 06, 2013, 01:50:38 PM
Up to 7 digits RichardP
Title: Re: ICD-10 and Decimal points
Post by: RichardP on September 07, 2013, 01:06:15 PM
Thank you.