What is ICD-10?

The 10th revision of the International Classification of Diseases consists of:
• a tabular list containing cause of death titles and codes
• inclusion and exclusion terms for cause of death titles
• an alphabetical index to diseases and nature of injury, external causes of injury, table of drugs, and chemicals
• descriptions, guidelines, and coding rules

ICD-10 has two components:
ICD-10-CM
ICD-10-CM is the new diagnosis coding system that is being developed as a replacement for ICD-9-CM, Volumes 1 & 2. The number of diagnostic codes under ICD-10-CM will swell from around 13,000 to 68,000.

ICD-10-PCS
ICD-10-PCS, for “procedural coding system,” is being developed as a replacement for ICD-9-CM, Volume 3, for inpatient procedure reporting. ICD-10-PCS would be used by hospitals and payers. ICD-10-PCS is significantly different from Volume 3 and from CPT codes, and will require significant training for users. The number of inpatient procedure codes will jump from 4,000 to 72,500 with ICD-10-PCS. ICD-10-PCS will not affect the coding of physician services in their offices. However, physicians should be aware that documentation requirements under ICD-10-PCS are quite different, so their inpatient medical record documentation will be affected by this change.

About HCIM

Since 2000, HealthCare Information Management, Inc. (HCIM) has delivered expert consulting services and robotic automation tools for small to mid-sized healthcare payer and managed care organizations. Our concierge consulting services include everything from core claims system procurement to go live, including configuration, migration, upgrades, reporting, benefits and fee schedules, user training, and project resourcing. We also offer strategic consulting in the areas of value based payments, population health, medical management, medical loss analysis and recovery, care management, provider contract modeling, data analytics, and business process reengineering/analysis.