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ICD-10

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Angie:
I had a question about the ICD 10 coding.
We have the new code set. Our therapist currently are using the DSM 5 (ICD 9) on the patient charts.
The therapist/provider will need to start putting the ICD 10 code on the chart 10/1/15 correct; this is not just for insurance billing purposes? It has to be on their charts?

RichardP:
None of our providers puts codes "on their charts".  They put words.  Insurance carriers won't accept words; they need the ICD codes.  But - the codes sent for payment must be supported by the words in the chart.

PMRNC:
I never allowed my mental health clients to use DSM which has been a good thing over the years, less of a transition to ICD-10. My clients with the exception of ONE who has a CPC on staff are ready, they are required to give codes as I'm not a coder. Anything I receive without a code goes back to them. There are and have been many different ICD-10 courses over the last few years that physicians/providers should not have a  problem like many are thinking they will. They have an advantage over any coder as they are in the room with the patient. My providers all know the importance of good coding and documentation. All my encounters come in to me coded.

RichardP:
Linda - your experience is similar to mine.  We receive fee slips / superbills with the codes on them.  If the original poster meant fee slips / superbills then my response was inappropriate.  Her use of the word chart led me to think she was refering to the documentation of the encounter that physicians must do, not the fee slip / superbill.

Angie:
Thanks for your response.
This one is for a facility that I am employed through and the therapists do not think they need to put codes on the Discharge Summary; which is where they are now putting the ICD 9 codes on that we use to create the super bill with. They are stating I can just convert them but I am not a coder. I have the new book to convert them but feel the documentation should match what we are putting on the super bill......
Am I correct here or am I missing something?

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