Physicians Practice: Key Changes to Note When Preparing for the ICD-10 Transition

As you prepare for next year’s ICD-10 implementation by studying the new codes, don’t forget to study how to use these codes. One of AAPC’s ICD-10 Trainers, Brenda Edwards, CPC, CPMA, CPC-I, CEMC, recently published an article in Physicians Practice where she outlined key ICD-10 guidelines and conventions to note in preparation for implementation.

“Some of these guidelines mirror what’s written in ICD-9-CM (e.g., level of detail in coding, how to locate a code); while other guidelines are specific to the new codes (e.g., borderline diagnosis, laterality),” she says. “Chapter specific coding guidelines explain the finer points of some of the more complicated diagnoses, including anemia associated with other conditions, diabetes, hypertension with other diseases, injuries, HIV infections, sepsis, pressure ulcers, and pregnancy.”

Ms. Edwards also points out a particularly important rule of thumb that appears at the beginning of the general conventions and guidelines: “The conventions and instructions of the classification take precedence over guidelines.”

Read the full article.


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