icd-10 preparation
TRANSCRIPT
ICD-10 Preparation
2015 Weblab Series
April - Clinicians
ICD-10 Roadmap● v6.27 Deployed March 29th
– SNOMED to ICD-10 mapping (Read-only...so far)
– ICD10 to ICD9 For claims– Immunization Forecasting in EHR
● V6.28 Deploys June 28th
– Increased specificity of SNOMED selections– 3rd Party Interfaces
Education Plan
● Monthly weblabs● Workshops● Users' Conference
Workshops
● Winooski, VT 4/20● Boston, MA 4/24● Columbus, OH 5/4● Dallas, TX 5/6***● Philadelphia, PA 5/8***
***Class is full (4/2/15)
● Tulsa, OK 6/15● Jacksonville, FL 6/17● Atlanta, GA 6/19● Denver, CO 7/17● San Francisco, CA
7/20***
Workshops
● Notes for top 5 conditions– These notes are ready for 10? Great!– These are not ready for 10? Here are
specific adaptations to your notes which will make them ICD-10 ready.
Eczema in ICD-10Index
Eczema (acute) (chronic) (erythematous) (fissum) (rubrum) (squamous) (see also Dermatitis) L30.9
- contact —see Dermatitis, contact
- dyshydrotic L30.1
- external ear —see Otitis, externa, acute, eczematoid
- flexural L20.82
- herpeticum B00.0
- hypertrophicum L28.0
- hypostatic —see Varix, leg, with, inflammation
Eczema in ICD-10 Index (cont'd)
- impetiginous L01.1
- infantile (due to any substance) L20.83
- - intertriginous L21.1
- - seborrheic L21.1
- intertriginous NEC L30.4
- - infantile L21.1
- intrinsic (allergic) L20.84
- lichenified NEC L28.0
- marginatum (hebrae) B35.6
Eczema in ICD-10 Index (cont'd)
- pustular L30.3
- stasis —see Varix, leg, with, inflammation
- vaccination, vaccinatum T88.1
- varicose —see Varix, leg, with, inflammation
EczemaSNOMED vs. ICD-9 vs. ICD-10
EczemaICD-9
Eczema in ICD-10Tabular - Chapter Guidance
Excludes2:
certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
Eczema in ICD-10Tabular - Chapter Guidance(cont'd)
Excludes 2 (cont'd):
lipomelanotic reticulosis (I89.8)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
systemic connective tissue disorders (M30-M36)
viral warts (B07.-)
Eczema in ICD-10Tabular - Section Guidance
Excludes2:
chronic (childhood) granulomatous disease (D71)
dermatitis gangrenosa (L08.0)
dermatitis herpetiformis (L13.0)
dry skin dermatitis (L85.3)
factitial dermatitis (L98.1)
Eczema in ICD-10Tabular - Section Guidance(cont'd)
Excludes2 (cont'd):
perioral dermatitis (L71.0)
radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
stasis dermatitis (I83.1-I83.2)
Eczema in ICD-10Tabular
L20 Atopic dermatitis
L20.0 Besnier's prurigo
L20.08 Other atopic dermatitis
Excludes 2: circumscribed neurodermatitis (L28.0)
L20.81 Atopic neurodermatitis
Diffuse neurodermatitis
Eczema in ICD-10Tabular (Cont'd)
L20 Atopic dermatitis (cont'd)
L20.82 Flexural eczema
L20.83 Infantile (acute) (chronic) eczema
L20.84 Intrinsic (allergic) eczema
L20.89 Other atopic dermatitis
L20.9 Atopic dermatitis, unspecified
EczemaNotes for Notes
● Acute/chronic● Category
– Erythematous
– Fissum
– Rubrum
– Squamous
EczemaNotes for Notes (cont'd)
● Due to– Exposure to __________– Ingestion of __________
Body Mass Index - BMI
BMI – Z68._● BMI adult codes are for use for persons 21
years of age or older● BMI pediatric codes are for use for
persons 2-20 years of age. These percentiles are based on the growthcharts published by the Centers for Disease Control and Prevention (CDC)
Pediatric BMI
Z68.5_ Body mass index (BMI) pediatric● Z68.51 … less than 5th percentile for age● Z68.52 … less than 85th percentile for age● Z68.53 … less than 95th percentile for age● Z68.54 … greater than or equal to 95th
percentile for age
CDC vs.....
...WHO
Dietary Counseling
Z71.3 Dietary counseling and surveillance● Use additional code ...
– ...for any associated underlying medical condition
– ... to identify body mass index (BMI), if known (Z68.-)
April AAP Coding NL Highlights
● Chronic Care Management Q&A● Epilepsy in ICD-10● Effects of 2015 OIG Work Plan
Suggestions? Questions?
174 days until Thursday, 10/1/15
Next Workshop:
Mon 4/20/15, Winooski, VT
Next Weblab:
Thurs 5/8/15 3:30p EST Billers
Reference & Resource
Slides, materials, links, video recordings:
http://www.pedsource.com/ICD-10-resources
https://www.youtube.com/user/PhysiciansComputerCo
Many Thanks for Attending!
www.independentpediatrician.com