Category Archives: ICD-10

International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10); ICD-10-CM, ICD-10-PCS; ICD-9-CM; ICD-10-CM Clinical Modification; inpatient coding standard; granular; granularity; specificity; GEMs; general equivalence mappings; transition to ICD-10; new coding rules; coding regulations

HIMagine That! The 3M Client Experience Summit

Donna: Hi Sue! I had a great week at the 3M Client Experience last week! How about you?

Sue: Me, too! It was so nice meeting customers face-to-face and hearing about the cool and interesting things they’re doing in their organizations. Continue reading

HIMagine That! In Spain: ICD-10, por favor

Donna: Hola! How was your trip to Spain?

Sue: My trip was great! I really enjoyed sharing ICD-10 experiences with our customers there.

Donna: When are they transitioning to ICD-10? Continue reading

Taking a Closer Look at the March ICD-10 Coding Challenge

CHALLENGE QUESTION:

A 62-year old male who was diagnosed with pancreatic cancer two weeks ago, was admitted to the hospital with malaise, fever, and an elevated WBC of 15.21 k/uL. The patient was diagnosed with sepsis. Blood cultures were positive for carbapenem-resistant Enterobacteriaceae (CRE). Infectious Diseases was consulted. A review of the patient’s history revealed that the patient had undergone an ERCP with biopsy of the pancreas approximately two weeks ago at which time a diagnosis of cancer of the head of the pancreas was made. It was eventually determined that the patient had been contaminated with the CRE organism from the duodenoscope used during the ERCP. The patient was discharged to an extended care facility with a PICC line for ongoing IV antibiotic therapy. Assign diagnosis codes for this inpatient encounter and sequence appropriately. Continue reading

SGR and ICD-10: Time for Spring Cleaning

It’s that time of year again. For people not working in the healthcare industry, it’s time for flowers to start blooming, windows to be opened to fresh air, swimsuit shopping and, even though we had a short-lived blizzard in Colorado yesterday, I’m ready for spring! Let the spring cleaning begin. However, there is the painful memory of last year, when ICD-10 was delayed “at least until October 1, 2015” via the SGR repeal bill, also known as the doc fix bill. I remember exactly where I was when I heard the news. Continue reading

HIMagine That! Codes and Kangaroos Down Under

Donna: Hello from Down Under where they have been using ICD-10 since 1999!

Sue: Hi! How has your work and your visit been going? Have you learned any ICD-10 tips worth sharing? Continue reading

Taking a Closer Look at the February ICD-10 Coding Challenge

CHALLENGE QUESTION:

An 11-year old boy with severe autism presents to the Emergency Department with a fall from a 4-5 foot round hay bale. He landed backwards on his left arm and chest two hours ago at his family’s farm. His father was present at the time of the fall and states that he did not lose consciousness, but might have “gotten the wind knocked out of him.” He got up afterwards and was ambulatory. His parents brought him in because he was not moving his left arm and was supporting it with his right arm. On examination, the left arm is minimally swollen and there is moderate pain. Pain is relieved with positioning and immobilization of the arm. The exam was difficult due to pain and the patient’s autism. Intranasal fentanyl was administered so proper assessment could be completed. Continue reading

The GEMs are ICD-10 Training Wheels

It’s our 500th blog post! Our first blogs focused on ICD-10, so it’s fitting that today’s post is written by ICD-10 blogger Rhonda Butler. Read Rhonda’s very first blog post here.

The GEMs are nothing more than ICD-10 training wheels. You can use them to get the hang of ICD-10, but then you should just use ICD-10 directly—stop leaning on the extra wheels and just ride the bike.

Remember that first moment? Pedaling faster to get off the training wheels is intolerably scary for about two seconds, and then suddenly it’s like flying and you don’t even remember being afraid. As an industry we have had the training wheels on long enough. We should be weaning ourselves from the GEMs. Continue reading

HIMagine That! Don’t Just Hope…Take Action!

Donna: Sue, did you listen to the U.S. House Energy & Commerce Subcommittee hearing on health industry readiness for ICD-10 last week?

Sue: I wasn’t able to tune in as I was at a customer site that day, but I read all of the presenter remarks and watched video of the questions asked by the subcommittee and the responses from the panel of witnesses. It’s all posted on the Coalition for ICD-10 website. How about you?

Donna: I had the hearing on in the background while I was working, but I didn’t get to listen to the entire proceedings because I was on conference calls . . . you know how it goes. So what did you think? Continue reading

Taking a Closer Look at the January ICD-10 Coding Challenge

CHALLENGE QUESTION:

A subway train car filled with thick black smoke due to an electrical malfunction. One woman on board had difficulty breathing and collapsed to the floor of the train, unconscious. Fellow passengers began performing CPR in an effort to help the woman. Emergency workers arrived and transported the woman to the Emergency Room of a nearby hospital. Resuscitative efforts were continued to no avail and the woman expired. The Emergency Department physician recorded the following diagnoses: acute respiratory failure due to smoke inhalation.

Assign diagnosis codes for this outpatient encounter. Continue reading

Dumb Ways to Die: The 8 Not Dumbest ICD-10 Codes

Yes, there are ICD-10 codes for exceedingly rare ways to die, and yes, they are easy to parody. This does not matter at all, since not many people are admitted to the hospital for a prolonged stay in a weightless environment.

What does matter is that preventable errors in hospital care are the third leading cause of death, after cancer and heart disease. Updated estimates in a 2013 study in the Journal of Patient Safety say that between 210,000 and 440,000 people die in US hospitals every year because some preventable harm was done to them. Continue reading