There are a number of significant changes involved with the transition to
ICD-10. In addition to ensuring that
systems and processes are updated to be ICD-10-compliant by the mandated
implementation date of
October 1, 2013, providers and office staff must become familiar with the new
ICD-10 codes to ensure accurate clinical documentation.
The thought of transitioning from approximately 24,000 codes to over 140,000
codes might seem daunting. To help educate providers and office staff about
what to expect when coding various diagnoses with the new ICD-10 codes,
beginning with this month?s edition of Partners in Health
UpdateSM, we will include examples of how ICD-9 codes
translate to ICD-10 codes in this new section called ?ICD-10 Spotlight: Know
the codes.? We will present coding examples from different specialties and
popular disease categories to demonstrate the granularity that the new ICD-10
code set will provide.
This example of coding obesity demonstrates how many of the new codes may
require documentation using ICD-10 Coding Guidelines such as the "code first"
ICD-10 has a coding convention that requires the underlying or causal
condition be sequenced first followed by the manifested condition, which is
referred to as the "code first" guideline.
For example, if a patient is on the antidepressant drug Tryptanol
(amitriptyline), and this drug is what caused the patient's weight gain, it is
considered an adverse effect and is the underlying or causal condition of the
patient' sobesity. Therefore, diagnosis code T43.015 (adverse effect of
tricyclic antidepressants) must be coded first.
- 278.01 Morbid obesity
- 278.02 Overweight
- 278.03 Obesity
- E66.01 Morbid (severe)
obesity due to excess calories
- E66.09 Other obesity due
to excess calories
- E66.1 Drug-induced
- E66.2 Morbid (severe)
obesity with alveolar hypoventilation
- E66.3 Overweight
- E66.8 Other obesity
- E66.9 Obesity,
T43.015 Adverse affects of
E66.1 Drug-induced obesity
*Condensed list of codes
Go to our ICD-10 web page for additional
information related to IBC's transition to ICD-10.