Do you know ICD-9 concepts and guidelines?

The greatest obstacle to learning ICD-10 coding is not the specific new codes–it is because many Eyecare professionals have never learned ICD-9 concepts properly. The ICD-10 implementation date is October 1, 2014. Before you learn ICD-10 codes, be sure you are familiar with all the current ICD-9 concepts and guidelines below. While some, like fractures, will not be common in Eyecare (except a blowout fracture of the orbit) other concepts, such as┬ámultiple codes and combination codes, are very important.

One thing you can do now [before Oct 1 2014] is have a third-party audit of your current, ICD-9 diagnosis documentation. This will help uncover potential areas for training and improvement to prepare for ICD-10. The EyeCodingForum performs documentation audits.

  1. Familiarize yourself with the layout of the ICD-9 manual.
  2. Translate a written diagnosis into the correct ICD-9CM codes.
  3. Learn the correlation between the alphabetic index and the tabular list.
  4. Effectively use the Table of Drugs and Chemicals and the Index to External Causes of Injury and Poisoning.
  5. Know what “main terms” and “sub-terms” are.
  6. Know what Eponyms are.
  7. Understand the concept of sub-categories.
  8. Be familiar with ICD-9 Instructional Notes
  9. Know the nine steps for accurate coding.
  10. Know Acute versus Chronic coding.
  11. Coding Suspected Conditions.
  12. Combination Codes.
  13. Multiple Coding.
  14. Infectious and Parasitic Diseases.
  15. Know the difference between HIV and AIDS.
  16. Neoplasms.
  17. Diabetes.
  18. Arthritis and Arthropathies.
  19. Respiratory Diseases (related to Eyecare).
  20. Circulatory System (cardiology, related to Eyecare).
  21. Injuries.
  22. Fractures.
  23. Burns.
  24. E Codes.
  25. V Codes.
  26. Coding for Late Effects.
  27. Coding for Complications from Medical care.
  28. Specific Codes with numerous fifth digit options.
  29. Specific Codes were two or more codes are required.

Have you ever had a formal ICD-9 training course?

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