Download ICD-10 & Friends Sampler and more Exams Medicine in PDF only on Docsity!

ICD-10 & Friends Sampler

Resistance is futile

Disclaimer

This presentation is brought to you by Harry Goldsmith, DPM who is solely responsible for its content and delivery so don’t complain to or blame the American Podiatric Medicine Association for any demonstrated insensitivity, poor judgment, unfunny jokes, puns that aren’t punny, or lack of taste.

• Always check with individual payers for their policies and guidelines

APMA Coding Resource Center

www.apmacodingrc.org

“59” Modifier Question

Distinct Procedural Service

• Modifier of last resort (i.e., use more specific modifiers if you can)
• Identifies the procedure(s) as being distinct and separate from other procedures performed the same date

“59” Modifier

• This modifier unbundles CCI or other global bundling edits
• The documentation must clearly evidence that the procedure or service was comprehensive, and not a component of another billed procedure

The ICD-10 “Why” Question

 ICD-9 has been used by the US for 35 years

 ICD-9 has outgrown its intended level of specificity

 ICD-9 cannot reasonably accommodate new codes

 HIPAA regulations mandate the move to ICD-  CMS announced it will no longer support ICD-  The rest of the world is moving toward ICD-

Timing

Less than 1 year away (again)

Transitioning Your Members

1. Someone in the office/group needs to be designated the ICD-10 “project manager”
2. Primary vendors need to be contacted and asked how ready they are for ICD-
3. Practice major payers need to be contacted about signing up for ICD-10 “testing”

• Crosswalking ICD-9 to ICD-
• Crosswalking ICD-9 to ICD-
• Crosswalking ICD-9 to ICD-
• Crosswalking ICD-9 to ICD-
• Crosswalking ICD-9 to ICD-