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1 Roger F Suchyta, MD, FAAP Associate Executive Director March 16, 2014 ICD-10- CM

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Roger F Suchyta, MD, FAAP Associate Executive Director March 16, 2014. ICD-10-CM. ICD-10-CM. Implementation Date Firmly set. October 1, 2014. All HIPAA covered entities are required to switch. Are you ready?. ICD-9. ICD-9 first published by WHO in 1975 - PowerPoint PPT Presentation

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Page 1: ICD-10-CM

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Roger F Suchyta, MD, FAAPAssociate Executive

DirectorMarch 16, 2014

ICD-10-CM

Page 2: ICD-10-CM

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ICD-10-CM

Implementation Date Firmly set

October 1, 2014All HIPAA covered entities are required to switch

Are you ready?

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ICD-9

• ICD-9 first published by WHO in 1975• ICD-9-CM has been in continuous use in the US since 1979

• Most of the world has been using ICD-10 since 1994…

•…so we are already behind!

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Why the switch?• ICD-9-CM not robust enough to meet needs•Some content no longer clinically accurate A lot has changed in 30 years!

•Structure limits ability to expand to meet new demands for codes•Difficult to compare state, national, international morbidity and mortality data

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ICD-10 History

• 1994: Released by WHO• Jan 1999: Adopted for reporting US

mortality data• Jan 2009: CMS published Final Rule

for US Clinical Modification (ICD-10-CM)• Oct 1, 2014: Effective for all

encounters for diagnoses and inpatient resources reporting

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ICD-10-CM Benefits•Reflects advances in medicine, medical technology •Uses current medical terminology and classification of diseases •More specificity: Laterality and episode of care

•Flexible•Can quickly incorporate emerging diagnoses

•More room for expansion•Supports improved public health surveillance and epidemiological research

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AAP ResourcesPublicationsPrinciples of Pediatric ICD-10-CM CodingPediatric Code Crosswalk: ICD-9-CM to ICD-10-CM

ICD-10-CM Website aap.org/coding/icd10

WebinarsVisit ICD-10-CM Website

CodingPractice management