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Some of the more frequently used diagnoses for primary-care providers will see major changes with ICD-10 Coding. Understanding these can also aid in getting a better feel for the impact of ICD-10 on documenting the visit. Whether you are ready or not, ICD-10 will come. Don't let the fact that the number of codes is increasing from about 13,000 to more than 69,000 scare you. You will only need to focus on the new codes relevant to your specialty. While there are many steps a practice needs to take to get ready for ICD-10, the ones that most affect providers are documentation improvement and understanding which codes will change for their practice specifically.
The best way to prepare for the coding changes is code mapping the most frequently used codes in your practice. Depending on the practice, it could be the top 20 codes or top 100. For many primary-care providers, the number will be more like 20 codes to 50 codes. Mapping these top ICD-9 codes to their ICD-10 equivalents will help providers get a feel for the new codes and prepare to start using them. Providers should not rely entirely on an ICD-9 to ICD-10 crosswalk because some new codes have many very specific options.
7 Big ICD-10 Changes for Primary Care…Part II
4. Hypertension: This category will see many more choices of coding to
describe hypertension and the other body systems impacted by having it. There
is an ICD-10 code to denote essential (primary) hypertension. Then, there are
separate codes for hypertension involving vessels of the brain and vessels of
the eye. There are also codes for hypertension heart disease with or without
heart failure, hypertensive chronic kidney disease, hypertensive heart and
chronic kidney disease, and secondary hypertension. In addition the provider
will need to document tobacco use or exposure.
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5. Diabetes: Physician must now document whether the diabetes is Type 1,
Type 2, drug- or chemical-induced, or due to an underlying condition. They will
also have to document the specific underlying condition, the specific drug or
toxin, as well as the use of any insulin. ICD-10 requires very specific details
regarding any specific details regarding any complications or manifestations of
the diabetes. The one gets into the nitty-gritty, so a careful review of diabetes
codes is recommended.