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

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

HIMagine That! Dual Coding

Sue: Happy New Year, Donna! Did you enjoy the holidays?

Donna: The holidays were wonderful, and you know I always feel reenergized in the new year!

Sue: Me, too! Instead of making New Year’s resolutions though, I focus on cleaning, straightening and getting organized.

Donna: Speaking of getting organized, I started making a list of what needs to be accomplished before ICD-10 goes live in October. Continue reading

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

CHALLENGE QUESTION:

 A 72 –year old male was admitted to the hospital with a chief complaint of a  fever with a temperature of 101° F and feeling ill with worsening chills, cough, nasal congestion and body aches that began two days prior to admission. A chest x-ray revealed bilateral infiltrates in both lower lobes of the lungs. A viral culture was positive for AH3N2 influenza.  The patient received antiviral medication and supportive care.  The patient recovered enough to be discharged three days later with a diagnosis of pneumonia due to AH3N2 influenza.

Assign ICD-10 diagnosis codes for the inpatient hospitalization. Continue reading

Three Resolutions Any Hospital Can Follow for Better Performance in 2015

There is plenty of speculation about the fate of hospitals and healthcare IT. The uncertainty could make it difficult for hospital executives to set strategies for the coming year. Yet, there are a few near-certainties as we go into 2015. Here are three resolutions hospital executives should make to keep pace with 2015 trends. Continue reading

ICD-10: Defining Clearer Boundaries

What makes a species distinct enough that it gets its own unique name? In my last blog, I discussed the taxonomy of living things developed by Carl Linnaeus in the 18th century. Like any classification system, Linnaeus’ conceptual framework for organizing and naming living things is an exercise in drawing boundaries. Similar things are grouped together, initially by laying out general boundaries—is it animal, vegetable, or mineral?—and making progressively finer distinctions.

All classification systems work in basically the same way, because all classification systems are products of the human mind. Classification is a profoundly human endeavor. We invent systems that allow us to organize and codify our understanding of the world and ourselves. Continue reading

Himagine That! A New Year, a New Coding System

Sue: Donna, you look reflective?

Donna: I guess I am. You know how you kind of take stock of everything as the year winds to a close?

Sue: Yes, I know what you mean.

Donna: Well, I was thinking about ICD-10 . . .

Sue: It was a roller coaster ride! Continue reading

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

CONTEST QUESTION:

A 49-year old female arrived in the trauma ED via helicopter in cardiac arrest after sustaining a stab wound to her upper torso. The patient was attacked by an unknown assailant with a knife (found at the scene) as she was walking to her car in a parking lot. The patient was unable to be resuscitated and expired. The Emergency Department physician documented the following diagnoses:

1. Penetrating laceration of anterior left thorax with near complete laceration of thoracic aorta
2. Hemopneumothorax

Assign diagnosis codes for this Emergency Department encounter. Continue reading