ICD-10 codes are used to diagnose and classify disease, complaints, findings, and symptoms. They are the 10th revision of the code set and have been used internationally since 1994. The codes are used in paperwork, electronic systems, and other processes, such as submitting reimbursement claims, identifying patient eligibility, getting prior authorization from a payer, and reporting quality data.
There are five times as many ICD-10 codes than ICD-9 codes. The new codes represent a greater degree of specificity than ICD-9 codes, especially in laterality. The good news is that roughly 75% of the new codes have a 1-to-1 match with the ICD-9 codes although the diagnosis text may have changed slightly.
Everyone covered by HIPAA must be ICD-10 compliant as of October 1, 2015. Claims for services provided on or after October 1, 2015 must use ICD-10 diagnosis codes.
According the CMS because ICD-10 codes provide greater clinical detail and specificity they will provide better data for a variety of areas including:
For a complete list reference the Statistical Classification of Diseases and Related Health Problems (ICD) code book. Like ICD-9, a whole chapter is devoted to diseases of the musculoskeletal system and connective tissue in ICD-10 where Physical Therapists will see most of their code usage. To make it easy, Clinicient has done an analysis and has a tip sheet with the most common codes used for physical therapy.
No. The transition to ICD-10 does not affect CPT coding for outpatient procedures and physician services.
The transition from ICD-9 to the more specific ICD-10 codes was a colossal change for the entire US healthcare system. It was built up to be a painful doomsday event that would cause dire consequences. For our clients, the transition was a non-event. They didn’t skip a beat processing claims. They didn’t experience cash flow disruptions due to problems with ICD-9 and ICD-10 codes for physical therapy. Clinicient stayed ahead of the requirements. We got our systems ready, made ICD-10 coding for therapy seamless and provided education along the way so our clients were prepared.
Our single system and built-in clinical decision support tools make handling ICD-10 codes for physical therapy, occupational therapy and speech language therapy a seamless part of your daily workflow so claims aren't denied due to issues with ICD-10 coding.
Therapists just select a diagnosis, the system does the rest. There’s no guesswork, so therapists can handle ICD-10 coding requirements and keep their focus where it should be—on patient care.
Not all payers are ready. That’s okay. Our system knows what codes to use. This means claims are processed without denials, payment delays or cash flow problems from improper ICD coding.
Because everything is together in one place, our system knows the payer requirements and automatically applies the right code for the payer.