Coding > Coding

ICD-10

<< < (2/3) > >>

RichardP:
The codes you use to bill with must be supported by what is written (words, not codes) in the chart.  Many of the ICD-9 codes convert directly to ICD-10 codes.  If the therapist has picked the correct ICD-9 code, there would not be any problem with simply substituting the ICD-10 code in those instances where there is a direct conversion.

The problem comes when a single ICD-9 code is broken out into, say, 3 different ICD-10 codes.  Without knowing what the words in the chart say, how do you know which of the three choices is supported by what is written in the chart?  In that situation, it is extremely irresponsible for the provider / therapist to say "oh, just pick one; any one of the three will do".

In our situation, in most instances, our providers only mean one thing out of many possible things when they choose an ICD-9 code.  So we would have a pretty good idea about which of the three ICD-10 codes we should substitute for the ICD-9 code (to continue the example given above).  Even with that, we aren't going to do it.  We are asking our providers to choose which ICD-10 to substitute for the traditional ICD-9s they have used over the years.  When they have finished choosing, we will substitute all of the chosen ICD-10 codes for the ICD-9 codes they are replacing.  They will still choose a code by the definition attached to it (we aren't changing that).  It's just that the code at the end of the definition will be ICD-10, not ICD-9.

Angie:
That is what I thought and thank you very much for clarifying this!

PMRNC:
I would just like to add that you want to try and get your clients away from the DSM. The DSM-5 actually only has HALF of the codes needed for transition to ICD-10!!   If you get your clients used to their ICD-10 NOW, it will help tremendously. There are so many resources for clinicians and therapists to have been learning ICD-10 that they really cannot use that as an excuse. If they refuse, then they need to bite the bullet and hire a CPC proficient in ICD-10. The billers should NOT take on the responsibility of coding.

http://store.samhsa.gov/product/Transition-to-ICD-10-What-it-Entails-and-Why-It-s-Important-to-Behavioral-Health-Providers/SMA14-4804

Angie:
Agreed Linda! They are giving me such push back on this; I have one therapist that does not even believe me about the whole ICD-10; even with all of the resources I sent to him, he said none of it is true! I am just not going to put codes on anything that they do not provide me a code with; Guess if they dont I will be unemployed and looking for another job!
Also I read an article that said the DSM are not HIPPA compliant? Have you heard that at all?

PMRNC:
No DSM is NOT compliant.. I made all my clients get rid of DSM YEARS ago .. so I'm not running into a problem now.

Navigation

[0] Message Index

[#] Next page

[*] Previous page