Icd 10 for paroxysmal atrial fibrillation12/14/2023 ![]() ![]() One more thing: When doing ICD-10 audits, I’m seeing that physicians are documenting specificity, but it’s not being identified by coders. I hope we get some data soon now that we have one year under our belts. Sue: I am really interested to see what this will look like using ICD-10 data. I excluded claims with no unspecified codes reported. Thirty-two percent of all inpatient codes in the MedPar file were unspecified, with an average of 4.5 unspecified codes per claim. Back in 2013, I ran the MedPar 2012 data to look at the extent unspecified codes were used. Why do you think other settings are interested in the specificity angle?ĭonna: Well, I think a lot of healthcare groups and organizations did a big push to incorporate ICD-10 specificity in provider documentation starting on Octothose who didn’t are taking this opportunity to address documentation specificity effective October 1, 2016. During the grace period, the physician could continue to document atrial fibrillation without additional specificity and it would not be ide ntified as a coding error. As an example, there was one code for atrial fibrillation in ICD-9, whereas in ICD-10 there are several codes for different types of atrial fibrillation, such as paroxysmal, chronic, persistent and unspecified. As long as the physician used a code from the correct code family, the code was allowed. Sue: You know, the flexibility allowed by the grace period was intended for auditors performing medical reviews, so they would not deny claims solely for the specificity of ICD-10-CM codes. Even though CMS allowed flexibility in physician coding related to Part B claims during the grace period, many hospitals want to take another look at coded data in all settings to determine the percentage of unspecified codes reported in the grace period. It will take some time for providers and coding professionals to become familiar with all of them but they will! What impact do you see as a result of the 22,000-plus unspecified codes?ĭonna: Our clients are looking for ways to ascertain the specificity of their provider documentation as it relates to the specificity of ICD-10-CM. You know, there were approximately 1,943 new ICD-10-CM codes and 3,651 new ICD-10-PCS codes that became effective for claims dated October 1, 2016. Sue: That’s a lot of codes! The lifting of the code freeze was a great thing, allowing CMS and NCHS to introduce long awaited new or revised ICD-10-CM and PCS codes. Oh, and by the way, there are approximately 22,500 unspecified ICD-10 diagnosis codes. CMS had instituted the grace period to help physician practices transition to ICD-10 without fear of increased claim denials due to inaccurate codes. First, the ICD-10 code freeze was lifted and second, the physician grace period ended. Sue: No, haven’t had time to count them! Why do you ask?ĭonna: Well, as you know, two events occurred on Octothat impacted unspecified codes in ICD-10. 11, 2016 / By Donna Smith, RHIA, Sue Belley, RHIAĭonna: Sue, do you know how many unspecified codes there are in ICD-10-CM? To specify or not to specify – that is the question ![]()
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