Are You Ready for ICD-10-CM? A new system for assigning codes to diagnoses will take effect in just over a year and half. Will you be prepared? Beginning Oct. 1, 2013, clinicians will be required to use the new International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) system, which will replace the current ICD-9-CM ... Bottom Line
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Bottom Line  |   February 01, 2012
Are You Ready for ICD-10-CM?
Author Notes
  • Janet McCarty, MEd, CCC-SLP, private health plans advisor, can be reached at jmccarty@asha.org.
    Janet McCarty, MEd, CCC-SLP, private health plans advisor, can be reached at jmccarty@asha.org.×
  • Neela Swanson, associate director of health care economics and coding, can be reached at nswanson@asha.org.
    Neela Swanson, associate director of health care economics and coding, can be reached at nswanson@asha.org.×
Article Information
Hearing Disorders / Practice Management / Bottom Line
Bottom Line   |   February 01, 2012
Are You Ready for ICD-10-CM?
The ASHA Leader, February 2012, Vol. 17, 3-8. doi:10.1044/leader.BML2.17022012.3
The ASHA Leader, February 2012, Vol. 17, 3-8. doi:10.1044/leader.BML2.17022012.3
A new system for assigning codes to diagnoses will take effect in just over a year and half. Will you be prepared?
Beginning Oct. 1, 2013, clinicians will be required to use the new International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) system, which will replace the current ICD-9-CM (International Classification of Diseases, 9th Revision, Clinical Modification). The transition to ICD-10-CM is a major undertaking for providers, payers, and vendors. Developing a preparation timeline now can help ease the process.
A new classification system is necessary because the current 30-year-old system is running out of codes. Hundreds of new diagnosis codes are submitted annually. The ICD-9-CM contains outdated and obsolete terminology and produces limited data. ICD-10-CM allows for more codes and greater specificity, yielding improved tracking of data related to disease incidence and prevalence. The new system can track 141,000 codes, more than eight times the 17,000-code capacity of the current system.
ICD-10-CM codes will also look very different. In speech-language pathology, for example, the ICD-9-CM code for hypernasality is 784.43; in the ICD-10-CM, the hypernasality code will be R49.21.
A typical audiology diagnosis—presbycusis—is coded 388.01 in ICD-9-CM. The new classification system includes five more specific presbycusis codes:
  • H91.1: Presbycusis

  • H91.10: Presbycusis; unspecified

  • H91.11: right ear

  • H91.12: left ear

  • H91.13: bilateral

ASHA is developing resources and information to help members prepare for ICD-10-CM (available at ASHA’s reimbursement webpage), including a preparation timeline, a list of ICD-10-CM codes relevant for speech-language and hearing conditions, and tools to assist with finding equivalent codes.
Clinicians can ease the transition to the new system with a few basic steps:
  • Identify current processes and systems that use ICD-9-CM codes, such as clinical documentation, superbills, and billing software.

  • Contact billing services and practice management vendors to discuss their plans for new billing software (Version 5010) and ICD-10-CM updates, when they expect to have them in place, and when you can begin testing the updated systems.

  • Discuss with payers how the change to ICD-10-CM may affect your contracts. (Because ICD-10-CM codes are much more specific, payers may consider modifying contracts or fee schedules.)

  • Analyze potential changes to work flow and business processes.

  • Develop an implementation strategy and timeline (with a budget).

  • Train staff (six to eight months before the new system takes effect).

  • Test transactions using updated systems with your payers and others (find out when testing begins and the dates of scheduled testing).

  • Educate yourself and be proactive about the changes.

For more information, visit ASHA’s reimbursement webpage or contact reimbursement@asha.org.
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FROM THIS ISSUE
February 2012
Volume 17, Issue 2