Preparing for the ICD-10 Code Set:October 1, 2013 Compliance Date
Get the Facts to be Compliant
ICD-9 Diagnosis Codes ICD-10 Diagnosis Codes
415.0 Acute cor pulmonaleAnd415.12 Septic pulmonary embolismI26.01 Septic pulmonary embolism withacute cor pulmonale707.06 Pressure ulcer, ankleAnd707.21 Pressure ulcer stage IL89.501 Pressure ulcer of unspecified ankle,stage IThe increased specificity of the ICD-10 codes is more flexible, which means that emerging diseases canbe quickly incorporated. The higher level of detail in the codes provides the ability to more precisely codethe diagnosis. As with ICD-9, ICD-10 codes are to be reported at the highest level of detail possiblewithin the code structure. ICD-10 reflects advances in medicine and medical technology making the codeset more relevant to today’s understanding of diagnoses. ICD-10 also provides an improved ability tomeasure health care services and conduct public health surveillance.Procedure CodesICD-10-PCS will not replace the Current Procedural Terminology (CPT
) and Healthcare CommonProcedure Coding System (HCPCS) code sets for reporting services and procedures in outpatient andoffice settings.The following table is a comparison of the differences in the features between the ICD-9 and ICD-10procedure code sets.
Table 2 – Comparisons of Procedure CodesICD-9 ICD-10
3-4 numbers in length 7 alpha-numeric characters in lengthApproximately 3,000 codes Approximately 87,000 available codesBased on outdated technology Reflects current usage of medical terminologyand devicesLimited space for adding new codes Flexible for adding new codesLacks detail Very specificLacks laterality Has lateralityGeneric terms for body parts Detailed descriptions for body partsLacks descriptions of methodology andapproach for proceduresProvides detailed descriptions of methodologyand approach for proceduresLacks precision to adequately defineproceduresPrecisely defines procedures with detailregarding body part, approach, any deviceused, and qualifying informationThe following are examples showing the different formats of the procedure codes.
ICD-9 Procedure Code
39.50 Angioplasty39.31 Suture of artery47.01 Laparoscopicappendectomy
ICD-10 Diagnosis Code
0DN90ZZ Release of duodenum, open approach0FB03ZX Excision of liver, percutaneous approach, diagnostic02PS0CZ Removal, extraluminal device from pulmonary vein,right, open
CPT is a registered trademark of the American Medical AssociationCopyright 2010 American Medical Association All Rights Reserved.Last Updated June 2, 2010