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Review ICD-9 /Map ICD-10 Diagnosis Codes
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Job Aid This document will guide a clinician through reviewing and converting ICD-9 to ICD-10
diagnosis codes in SigmaCare. If you do not have access to the links and screens listed below, please speak with your supervisor about granting permissions to perform these tasks.
♦ Opening the Diagnosis Review page ………………..…..page 1
♦ Inactivate ICD-9 diagnosis codes ……………..…….…..page 2
♦ Map ICD-9 to ICD-10 diagnosis using GEMs …..………page 3 ♦ Manually map ICD-9 to ICD-10 …….………………..….page 4
♦ Using the Tabular Index ……………..……………………page 5
♦ Using the Alphabetic Index ………………….………… page 6
♦ Mark ICD-9 diagnoses as reviewed ……………………page 8
♦ Managing a residents ICD-10 diagnoses ………………page 8
Opening theOpening theOpening theOpening the Diagnosis Review pageDiagnosis Review pageDiagnosis Review pageDiagnosis Review page Do this…Do this…Do this…Do this… See this…See this…See this…See this…
Step Step Step Step 1111.... From the General
Notifications box on the
dashboard, , , , click
DiagnosisDiagnosisDiagnosisDiagnosis ReviewsReviewsReviewsReviews
NeededNeededNeededNeeded.
Step 2. Step 2. Step 2. Step 2. Click the next
to the resident to be
reviewed.
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Review ICD-9 /Map ICD-10 Diagnosis Codes
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Job Aid The Diagnosis Review
page opens.
Note:Note:Note:Note: To navigate through the list of residents on the Review Log, , , , select the next ResidentResidentResidentResident on the drop-down list or scroll through the list by clicking the arrows next to the drop down list.
Inactivating an Inactivating an Inactivating an Inactivating an ICDICDICDICD----9999 diagnosis codediagnosis codediagnosis codediagnosis code
Step 1Step 1Step 1Step 1.... On the Diagnosis
Review page, click the
next to the diagnosis.
The diagnosis is now inactive.
NoteNoteNoteNote: If you inactivate an ICD-9 diagnosis after a corresponding ICD-10 diagnosis has been added. Inactivate the ICD-10 diagnosis too.
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Review ICD-9 /Map ICD-10 Diagnosis Codes
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Mapping an Mapping an Mapping an Mapping an ICDICDICDICD----9999 to an to an to an to an ICDICDICDICD----10101010 diagnosis using GEMdiagnosis using GEMdiagnosis using GEMdiagnosis using GEMssss Do this…Do this…Do this…Do this… See this…See this…See this…See this…
Step 1Step 1Step 1Step 1. . . . On the Diagnosis
Review page, click the
GGGGEMEMEMEM icon next to the
diagnosis.
Step 2. Step 2. Step 2. Step 2. Click the
ScenarioScenarioScenarioScenario that applies.
Note: Note: Note: Note: In many cases, there will be only one scenario.
Step Step Step Step 3333. Click additional
options as specified below
the scenario.
In this example, there are
two groups of options
that each requires a
choice.
Note: Note: Note: Note: There may be only one set of options for a scenario. Additional codes that are required may be added with a scenario as in Scenario 2 shown here.
StepStepStepStep 4444. Add CommentsCommentsCommentsComments,,,, if
needed.
Step Step Step Step 5555. Review/edit Date Date Date Date
IdentifiedIdentifiedIdentifiedIdentified.
NoteNoteNoteNote: The Date IdentifiedDate IdentifiedDate IdentifiedDate Identified is automatically populated with same date identified of the original ICD-9 code.
Step Step Step Step 6666. Add PhysicianPhysicianPhysicianPhysician as
required by your facility.
Step Step Step Step 7777. Check all
appropriate TypeTypeTypeType options.
Step Step Step Step 8888. Click SaveSaveSaveSave.
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Review ICD-9 /Map ICD-10 Diagnosis Codes
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Job Aid Manually Manually Manually Manually mapping mapping mapping mapping an ICDan ICDan ICDan ICD----9999 to an to an to an to an ICDICDICDICD----10101010 diagnosis.diagnosis.diagnosis.diagnosis.
Do this…Do this…Do this…Do this… See this…See this…See this…See this…
Step 1. Step 1. Step 1. Step 1. On the Diagnosis Review
page, click the AddAddAddAdd icon next to
the diagnosis.
Step Step Step Step 2222. Enter a diagnosis code or
partial description.
NoteNoteNoteNote: To find diagnosis codes using the Tabular Index, see topic below.
StepStepStepStep 3333.... Click SearchSearchSearchSearch.
Search results appear below.
Step Step Step Step 4444.... Review the diagnosis
codes and descriptions to find
the appropriate diagnosis. Page
navigation will appear if there is
more than one page of codes.
Step Step Step Step 5555.... Click the diagnosis CodeCodeCodeCode
or DescriptionDescriptionDescriptionDescription.
NoteNoteNoteNote: Click the next to the Description to open the Tabular Index for more information.
NoteNoteNoteNote: You will be notified when a coding rule exists. Click the link for details.
Step Step Step Step 6666. . . . Add CommentsCommentsCommentsComments if
needed.
Step Step Step Step 7777.... Review/edit Date Date Date Date
IdentifiedIdentifiedIdentifiedIdentified.
Step Step Step Step 8888.... Add PhysicianPhysicianPhysicianPhysician and TypeTypeTypeType
as required by your facility.
NoteNoteNoteNote: The Type does not default to the primary diagnosis.
Step Step Step Step 9999.... Review/edit EncounterEncounterEncounterEncounter.
Step 10Step 10Step 10Step 10.... Click SaveSaveSaveSave.
The new diagnosis now shows on the Review Diagnosis page.
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Review ICD-9 /Map ICD-10 Diagnosis Codes
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Using the Using the Using the Using the TabularTabularTabularTabular IndexIndexIndexIndex.... Do this…Do this…Do this…Do this… See this…See this…See this…See this… Step 1Step 1Step 1Step 1. From the add diagnosis
page, click Alphabetic/Tabular Alphabetic/Tabular Alphabetic/Tabular Alphabetic/Tabular
SearchSearchSearchSearch.
Step 2Step 2Step 2Step 2. Click the chapter and
sub-chapters that apply to the
diagnosis.
Step 3Step 3Step 3Step 3. Click the diagnosis code
and review the coding rules.
Step 4Step 4Step 4Step 4. Click SelectSelectSelectSelect.
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Review ICD-9 /Map ICD-10 Diagnosis Codes
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Job Aid Step 5Step 5Step 5Step 5. Click SaveSaveSaveSave.
Using the Alphabetic IndexUsing the Alphabetic IndexUsing the Alphabetic IndexUsing the Alphabetic Index.... Do this…Do this…Do this…Do this… See this…See this…See this…See this… Step 1Step 1Step 1Step 1. From the add diagnosis
page, click Alphabetic/Tabular Alphabetic/Tabular Alphabetic/Tabular Alphabetic/Tabular
SearchSearchSearchSearch.
Step 2.Step 2.Step 2.Step 2. Click the AlphabeticAlphabeticAlphabeticAlphabetic tab.
Step 3. Step 3. Step 3. Step 3. Type the first few letters
of the diagnosis name in the
SearchSearchSearchSearch box.
Step 4. Step 4. Step 4. Step 4. Click SearchSearchSearchSearch.
Step Step Step Step 5555. Click the section and
sub-sections that apply to the
diagnosis.
NoteNoteNoteNote: See references to related diagnoses may provide more information.
Step Step Step Step 6666. Click the diagnosis code
and review the coding rules.
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Review ICD-9 /Map ICD-10 Diagnosis Codes
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Job Aid Step Step Step Step 7777. Click SelectSelectSelectSelect.
Step Step Step Step 8888. Click SaveSaveSaveSave.
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Review ICD-9 /Map ICD-10 Diagnosis Codes
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Job Aid Marking aMarking aMarking aMarking a diagnosis reviewed.diagnosis reviewed.diagnosis reviewed.diagnosis reviewed.
Do this…Do this…Do this…Do this… See this…See this…See this…See this…
Step 1Step 1Step 1Step 1. . . . On the Diagnosis
review page, click the
ReviewedReviewedReviewedReviewed checkbox next
to the diagnosis.
NoteNoteNoteNote: You can mark all diagnoses for the resident as
reviewed by clicking ReviewReviewReviewReview
AllAllAllAll .
Step 2Step 2Step 2Step 2. . . . Proceed to the
next diagnosis to be
reviewed.
NoteNoteNoteNote: You can hide the diagnoses that have been reviewed by clicking Hide Hide Hide Hide ReviewedReviewedReviewedReviewed.
Managing a residentManaging a residentManaging a residentManaging a resident’’’’s s s s ICDICDICDICD----10101010 ddddiagnosesiagnosesiagnosesiagnoses
Do this…Do this…Do this…Do this… See this…See this…See this…See this…
Step 1. Step 1. Step 1. Step 1. On the Diagnosis
review page, click the
icons next to the ICD-10
diagnosis to do the
following:
♦ The Magnifying
Glass opens the
diagnoses details
page.
♦ The up and down
Arrow icons move
the diagnosis up
or down the list.
♦ The Check Mark
icon inactivates
the diagnosis.
♦ Add ICDAdd ICDAdd ICDAdd ICD----10 10 10 10
opens a new
diagnosis detail
page to add a new
diagnosis.