review icd -9 /map icd -10 diagnosis...

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Review ICD-9 /Map ICD-10 Diagnosis Codes

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Job Aid This document will guide a clinician through reviewing and converting ICD-9 to ICD-10

diagnosis codes in SigmaCare. If you do not have access to the links and screens listed below, please speak with your supervisor about granting permissions to perform these tasks.

♦ Opening the Diagnosis Review page ………………..…..page 1

♦ Inactivate ICD-9 diagnosis codes ……………..…….…..page 2

♦ Map ICD-9 to ICD-10 diagnosis using GEMs …..………page 3 ♦ Manually map ICD-9 to ICD-10 …….………………..….page 4

♦ Using the Tabular Index ……………..……………………page 5

♦ Using the Alphabetic Index ………………….………… page 6

♦ Mark ICD-9 diagnoses as reviewed ……………………page 8

♦ Managing a residents ICD-10 diagnoses ………………page 8

Opening theOpening theOpening theOpening the Diagnosis Review pageDiagnosis Review pageDiagnosis Review pageDiagnosis Review page Do this…Do this…Do this…Do this… See this…See this…See this…See this…

Step Step Step Step 1111.... From the General

Notifications box on the

dashboard, , , , click

DiagnosisDiagnosisDiagnosisDiagnosis ReviewsReviewsReviewsReviews

NeededNeededNeededNeeded.

Step 2. Step 2. Step 2. Step 2. Click the next

to the resident to be

reviewed.



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Job Aid The Diagnosis Review

page opens.

Note:Note:Note:Note: To navigate through the list of residents on the Review Log, , , , select the next ResidentResidentResidentResident on the drop-down list or scroll through the list by clicking the arrows next to the drop down list.

Inactivating an Inactivating an Inactivating an Inactivating an ICDICDICDICD----9999 diagnosis codediagnosis codediagnosis codediagnosis code

Step 1Step 1Step 1Step 1.... On the Diagnosis

Review page, click the

next to the diagnosis.

The diagnosis is now inactive.

NoteNoteNoteNote: If you inactivate an ICD-9 diagnosis after a corresponding ICD-10 diagnosis has been added. Inactivate the ICD-10 diagnosis too.



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Mapping an Mapping an Mapping an Mapping an ICDICDICDICD----9999 to an to an to an to an ICDICDICDICD----10101010 diagnosis using GEMdiagnosis using GEMdiagnosis using GEMdiagnosis using GEMssss Do this…Do this…Do this…Do this… See this…See this…See this…See this…

Step 1Step 1Step 1Step 1. . . . On the Diagnosis

Review page, click the

GGGGEMEMEMEM icon next to the

diagnosis.

Step 2. Step 2. Step 2. Step 2. Click the

ScenarioScenarioScenarioScenario that applies.

Note: Note: Note: Note: In many cases, there will be only one scenario.

Step Step Step Step 3333. Click additional

options as specified below

the scenario.

In this example, there are

two groups of options

that each requires a

choice.

Note: Note: Note: Note: There may be only one set of options for a scenario. Additional codes that are required may be added with a scenario as in Scenario 2 shown here.

StepStepStepStep 4444. Add CommentsCommentsCommentsComments,,,, if

needed.

Step Step Step Step 5555. Review/edit Date Date Date Date

IdentifiedIdentifiedIdentifiedIdentified.

NoteNoteNoteNote: The Date IdentifiedDate IdentifiedDate IdentifiedDate Identified is automatically populated with same date identified of the original ICD-9 code.

Step Step Step Step 6666. Add PhysicianPhysicianPhysicianPhysician as

required by your facility.

Step Step Step Step 7777. Check all

appropriate TypeTypeTypeType options.

Step Step Step Step 8888. Click SaveSaveSaveSave.



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Job Aid Manually Manually Manually Manually mapping mapping mapping mapping an ICDan ICDan ICDan ICD----9999 to an to an to an to an ICDICDICDICD----10101010 diagnosis.diagnosis.diagnosis.diagnosis.

Do this…Do this…Do this…Do this… See this…See this…See this…See this…

Step 1. Step 1. Step 1. Step 1. On the Diagnosis Review

page, click the AddAddAddAdd icon next to

the diagnosis.

Step Step Step Step 2222. Enter a diagnosis code or

partial description.

NoteNoteNoteNote: To find diagnosis codes using the Tabular Index, see topic below.

StepStepStepStep 3333.... Click SearchSearchSearchSearch.

Search results appear below.

Step Step Step Step 4444.... Review the diagnosis

codes and descriptions to find

the appropriate diagnosis. Page

navigation will appear if there is

more than one page of codes.

Step Step Step Step 5555.... Click the diagnosis CodeCodeCodeCode

or DescriptionDescriptionDescriptionDescription.

NoteNoteNoteNote: Click the next to the Description to open the Tabular Index for more information.

NoteNoteNoteNote: You will be notified when a coding rule exists. Click the link for details.

Step Step Step Step 6666. . . . Add CommentsCommentsCommentsComments if

needed.

Step Step Step Step 7777.... Review/edit Date Date Date Date

IdentifiedIdentifiedIdentifiedIdentified.

Step Step Step Step 8888.... Add PhysicianPhysicianPhysicianPhysician and TypeTypeTypeType

as required by your facility.

NoteNoteNoteNote: The Type does not default to the primary diagnosis.

Step Step Step Step 9999.... Review/edit EncounterEncounterEncounterEncounter.

Step 10Step 10Step 10Step 10.... Click SaveSaveSaveSave.

The new diagnosis now shows on the Review Diagnosis page.



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Using the Using the Using the Using the TabularTabularTabularTabular IndexIndexIndexIndex.... Do this…Do this…Do this…Do this… See this…See this…See this…See this… Step 1Step 1Step 1Step 1. From the add diagnosis

page, click Alphabetic/Tabular Alphabetic/Tabular Alphabetic/Tabular Alphabetic/Tabular

SearchSearchSearchSearch.

Step 2Step 2Step 2Step 2. Click the chapter and

sub-chapters that apply to the

diagnosis.

Step 3Step 3Step 3Step 3. Click the diagnosis code

and review the coding rules.

Step 4Step 4Step 4Step 4. Click SelectSelectSelectSelect.



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Job Aid Step 5Step 5Step 5Step 5. Click SaveSaveSaveSave.

Using the Alphabetic IndexUsing the Alphabetic IndexUsing the Alphabetic IndexUsing the Alphabetic Index.... Do this…Do this…Do this…Do this… See this…See this…See this…See this… Step 1Step 1Step 1Step 1. From the add diagnosis

page, click Alphabetic/Tabular Alphabetic/Tabular Alphabetic/Tabular Alphabetic/Tabular

SearchSearchSearchSearch.

Step 2.Step 2.Step 2.Step 2. Click the AlphabeticAlphabeticAlphabeticAlphabetic tab.

Step 3. Step 3. Step 3. Step 3. Type the first few letters

of the diagnosis name in the

SearchSearchSearchSearch box.

Step 4. Step 4. Step 4. Step 4. Click SearchSearchSearchSearch.

Step Step Step Step 5555. Click the section and

sub-sections that apply to the

diagnosis.

NoteNoteNoteNote: See references to related diagnoses may provide more information.

Step Step Step Step 6666. Click the diagnosis code

and review the coding rules.



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Job Aid Step Step Step Step 7777. Click SelectSelectSelectSelect.

Step Step Step Step 8888. Click SaveSaveSaveSave.



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Job Aid Marking aMarking aMarking aMarking a diagnosis reviewed.diagnosis reviewed.diagnosis reviewed.diagnosis reviewed.


Step 1Step 1Step 1Step 1. . . . On the Diagnosis

review page, click the

ReviewedReviewedReviewedReviewed checkbox next

to the diagnosis.

NoteNoteNoteNote: You can mark all diagnoses for the resident as

reviewed by clicking ReviewReviewReviewReview

AllAllAllAll .

Step 2Step 2Step 2Step 2. . . . Proceed to the

next diagnosis to be

reviewed.

NoteNoteNoteNote: You can hide the diagnoses that have been reviewed by clicking Hide Hide Hide Hide ReviewedReviewedReviewedReviewed.

Managing a residentManaging a residentManaging a residentManaging a resident’’’’s s s s ICDICDICDICD----10101010 ddddiagnosesiagnosesiagnosesiagnoses


Step 1. Step 1. Step 1. Step 1. On the Diagnosis

review page, click the

icons next to the ICD-10

diagnosis to do the

following:

♦ The Magnifying

Glass opens the

diagnoses details

page.

♦ The up and down

Arrow icons move

the diagnosis up

or down the list.

♦ The Check Mark

icon inactivates

the diagnosis.

♦ Add ICDAdd ICDAdd ICDAdd ICD----10 10 10 10

opens a new

diagnosis detail

page to add a new

diagnosis.

review icd -9 /map icd -10 diagnosis...

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