ICD10 is Fast approaching.....

More info

Scope

All of medical management

Why am I writing

The compliance date for use of ICD-10 is fast approaching. All authorizations and claims with a begin date of 10/1/2015 must include ICD-10 codes. TCOD and Nav-10 have already been updated to accommodate the additions of ICD-10 codes. Today, if a user creates an authorization with a begin date of service of 10/1/2015 or later, they will see the system return an ICD-10 code. However, if the date of service is up to 9/30/2015, the system will return an ICD-9 code.

In addition to TCOD and Nav-10, there are a few other references that you can refer to with assistance in crossing walking ICD-9 codes to ICD-10 codes. In the ICD-10 world, codes will be more specific to conditions. So, you may not see a one-to-one match from a 9 to 10 code. Below are two additional resources that you can use along with TCOD and Nav-10 to search for codes.

1. I/S has placed two Excel spreadsheets out in the Public Outlook folders. These spreadsheets crosswalk diagnosis codes and procedure codes from 9 to 10.

a. Go to Folder List > All Public Folders > Legacy TAO Conferences > 5010 > ICD10

b. In that folder look for the emails with ICD9 and ICD10 in the subject lines. These spreadsheets get updated as I/S receives updated codes, so the most recent versions will always be available.


2. There is an external website available that you can use to convert 9 codes to 10 codes. (www.icd10data.com). Simply enter the code or verbiage and the system will return the appropriate codes to use.

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What you need to do

Utilize the resources available. Ask your supervisor if you have any questions


PLEASE NOTE: Systems Support does not support or maintain the documents in the Public Outlook folders or the external website. These have only been provided as additional references to assist you with the conversion of these codes.