Question: On October, 1 2015 we know we need to start using the new ICD-10 diagnosis codes. Do you have any suggestions on how we can start preparing now to help with the change?
Answer: One way to help prepare for ICD -10 is to work on improving how you document your clinical services.
Remember, ICD-10 will not affect the way you provide patient care; but it will be more important to make your documentation as detailed as possible since ICD-10 gives more specific choices for coding diagnoses.
Below are some examples of the specific information that will be needed to accurately code the following common diagnoses:
- Type of diabetes
- Body system affected
- Complication or manifestation
- If type 2 diabetes, long-term insulin use
- If gestational diabetes, diet vs insulin controlled
- Overlapping sites
- Include anemia (when applicable)
- Include pathological fracture (when applicable)
- Include specific trimester
Detailed documentation will also help reduce the need to follow-up on submitted claims or the coding staff emailing you for clarification.