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    Coding systems like ICD-9, ICD-10, and CPT allow practitioners to efficiently communicate patient diagnoses and medical services. ICD-10 was implemented on October 1, 2015 to replace the outdated ICD-9 system and provide more specific diagnostic codes and flexibility to expand the code set. ICD-10 features over 68,000 codes compared to only 14,000 in ICD-9. Similarly, CPT codes identify medical procedures rather than diagnoses, and practitioners must apply relevant ICD codes to any CPT claims submitted. Transition fairs have helped practitioners at one VA medical center adapt to the changes required by the new ICD-10 system.

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    Coding systems like ICD-9, ICD-10, and CPT allow practitioners to efficiently communicate patient diagnoses and medical services. ICD-10 was implemented on October 1, 2015 to replace the outdated ICD-9 system and provide more specific diagnostic codes and flexibility to expand the code set. ICD-10 features over 68,000 codes compared to only 14,000 in ICD-9. Similarly, CPT codes identify medical procedures rather than diagnoses, and practitioners must apply relevant ICD codes to any CPT claims submitted. Transition fairs have helped practitioners at one VA medical center adapt to the changes required by the new ICD-10 system.

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    26 views2 pages

    Coding

    Uploaded by

    api-280277788
    Coding systems like ICD-9, ICD-10, and CPT allow practitioners to efficiently communicate patient diagnoses and medical services. ICD-10 was implemented on October 1, 2015 to replace the outdated ICD-9 system and provide more specific diagnostic codes and flexibility to expand the code set. ICD-10 features over 68,000 codes compared to only 14,000 in ICD-9. Similarly, CPT codes identify medical procedures rather than diagnoses, and practitioners must apply relevant ICD codes to any CPT claims submitted. Transition fairs have helped practitioners at one VA medical center adapt to the changes required by the new ICD-10 system.

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    1

    Jenny Kouri
    DOS 752
    November 17, 2015
    ICD-9, ICD-10, and CPT Coding
    Countless diseases and relevant health care information must be communicated
    efficiently, uniformly, and electronically so all practitioners and third party companies can access
    globally. Coding systems have been designed to ease the communication of labeled medical
    diagnoses with a set of numbers. Health care teams must document/justify their actions to be
    paid by insurance companies by coding for every diagnosis, reason for visit, and service
    provided.
    The World Health Organization (WHO) published a set of codes known as the
    International Classification of Disease (ICD). As the field of medicine has advanced in the last
    30 years with new drugs and quality care, the ICD-9 code has become vastly outdated and long
    due for an overhaul. Even though health care teams were highly comfortable with the current
    code system, it did not reflect advances in medicine and lacked the ability to expand the code set
    to new codes. To overcome this problem, the WHO has implemented ICD-10 to provide more
    specific details about diagnoses and expand the nomenclature of disease within the advanced
    practices of medicine. The mandatory change of ICD codes went into effect October 1, 2015.
    ICD-10 was also designed with the flexibility to add new codes futuristically and to assure
    clinical accuracy and utility. ICD-10 is a 3-7 digit code with 68,000 possibilities, where as ICD9 was only 3-5 with 14,000 possibilities. At the VA Medical Center in Minneapolis, ICD fairs
    have been ongoing this fall to help the transition from ICD-9 to ICD-10.1
    Similar to the ICD codes, the Current Procedural Terminology (CPT) is a set of codes to
    identify the medical service performed and complexity of evaluation, rather than claiming the
    diagnosis. The American Medical Association (AMA) has trademarked the CPT codes. For
    every CPT code, a practitioner must apply ICD codes (reason for the medical visit) to the CPT
    claim (type of service provided).
    1. International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).
    Centers of Disease Control and Prevention Website. http://www.cdc.gov/nchs/icd/icd10cm.htm.
    Accessed November 17, 2015.

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