International Classification of Diseases, 10th Revision

The Government had planed to implement a new set of billing codes, based on the 10th Revision of the International Classification of Diseases, on October 1st, 2014. Due to the outcry from the Medical Establishment the implementation of ICD-10 has been delayed until October 1st 2015.

The reason for the outcry can be found by trying to grasp the complexity from simply trying to read the ICD-10 Instruction Manual. It is not as simple as just listing code G960 for a CSF Leak. Many codes require sub codes to indicate which location(s) on the body the issue applies to, such as right, left or bilateral, as can be seen in the 'details' links below:

CSF Leak Codes

These are the base codes to use for CSF Leaks:

Item Code in non-dot format ? Abbreviated format Full text format
6183:06183 G960 1 Cerebrospinal fluid leak Cerebrospinal fluid leak
6191:06191 G970 1 Cerebrospinal fluid leak from spinal puncture Cerebrospinal fluid leak from spinal puncture

G96.0 Details , G97.0 Details

Search ICD-10 Online

The ICD-10 database may be searched online.

Amusement with the codes

It is possible to arraigned the codes in rather amusing orders such as:

I required a Face Transplant, from a Cadaver; “0WY20Z0 Transplantation of Face, Allogeneic, Open Approach Transplantation of Face, Allogeneic, Open Approach” after my many spacecraft crashes into the ocean; “V9541XD Spacecraft crash injuring occupant, subsequent encounter”.

Sadly the first Face Transplant failed so one was grown in a lab for the second Face Transplant; “0WY20Z1 Transplantation of Face, Syngeneic, Open Approach Transplantation of Face, Syngeneic, Open Approach”.

Alas all of this made my “F52 Sexual dysfunction not due to a substance or known physiological condition” became so bad that I tried to harm myself with a jellyfish; “T63622A Toxic effect of contact with other jellyfish, intentional self-harm, initial encounter”. Amusement with the Medicare ICD10 Billing Codeshttp://www.kpaddock.com/ICD10


Background Information

On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015.

On October 1, 2014, a key element of the data foundation of the United States’ health care system will undergo a major transformation. We will transition from the decades-old Ninth Edition of the International Classification of Diseases (ICD-9) set of diagnosis and inpatient procedure codes, to the far more contemporary Tenth Edition of those code sets—or ICD-10—used by most developed countries throughout the world.

CD-10-CM is for use in all U.S. health care settings. Diagnosis coding under ICD-10-CM uses 3 to 7 digits instead of the 3 to 5 digits used with ICD-9-CM, but the format of the code sets is similar.

ICD-10-PCS is for use in U.S. inpatient hospital settings only. ICD-10­ PCS uses 7 alphanumeric digits instead of the 3 or 4 numeric digits used under ICD-9-CM procedure coding. Coding under ICD-10-PCS is much more speci [SIC] and substantially different from ICD-9-CM procedure coding.

The transition to ICD-10 is occurring because ICD-9 produces limited data about patients’ medical conditions and hospital inpatient procedures. ICD-9 is 30 years old, has outdated terms, and is inconsistent with current medical practice. Also, the structure of ICD-9 limits the number of new codes that can be created, and many ICD-9 categories are full.

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