november physician's computer company - pcc learn...2014 icd-10 guidelines 2014guidelines.pdf...
TRANSCRIPT
![Page 1: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/1.jpg)
ICD-10 for Billers
2014 Weblab Series
November
Physician's Computer Company
![Page 2: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/2.jpg)
ICD-10 Roadmap
● ICD-10 to SNOMED smarts in place by April 2015 (v6.28)
● Some carriers actively looking for end-to-end testers
– CMS hand picking clearinghouses only– United Health completed selection of
a limited number of provider testers– Researching Mass Health now
![Page 3: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/3.jpg)
2014 ICD-10 Guidelines
● 2014Guidelines.pdf on PedSource.com● ICD-10-CM 2015 Addendum:
“There were no changes to the 2014 ICD-10-CM, therefore there are no 2015 ICD-10-CM Addenda.”
![Page 4: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/4.jpg)
UTI
● ICD-9 – 599.0 Urinary tract infection, site not
specifed
![Page 5: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/5.jpg)
UTI – ICD-10 (Index)
![Page 6: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/6.jpg)
UTI – ICD-10 (Tabular)
![Page 7: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/7.jpg)
Vaccine Codes
● Last month's slides detailed Immunization ICD-10s
![Page 8: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/8.jpg)
CPT Updates ef 1/1/15
● Vaccines● E&M● Care Management
![Page 9: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/9.jpg)
Pending FDA Approval
● 90630 IIV4 Flu, Preservative free● 90651 HPV 9 (nonvalent), 3 dose IM
![Page 10: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/10.jpg)
Vaccine Edits
● 90654 now Infuenza trivalent● 90721 & 90723 - “T” Capitalized in
DTaP● 90734 Meningococcal became
quadrivalent (*was* tetravalent)
![Page 11: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/11.jpg)
Evaluation & Management
● Pediatric Critical Care– Transport– Inpatient Neonates, Critical and
Intensive Care
![Page 12: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/12.jpg)
Care Management
● Chronic Care Management– 99490 Chronic Care Services
● 20” minimum for the month● At least two chronic problems
– Expected to last at least 1 yr– Signifcant risk
![Page 13: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/13.jpg)
Complex Care Management
● 99487 60” & 99489 +30”
– Chronic Care requirements plus moderate to high MDM
– 60 minutes of time● 30” increments thereafter
– 99488 deleted
![Page 14: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/14.jpg)
New Partner Features
● PartnerTalk for commiserating between Non-electronic Partner users
![Page 15: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/15.jpg)
New EHR Features
● v6.25 released 11/9/14● V6.26 expected 1/25/15
![Page 16: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/16.jpg)
Migration
● More disease-specifc encounters give you more specifc tools to customize
![Page 17: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/17.jpg)
Nov 2014 issue highlights
● Medical Decision Making– Root of carriers downcoding E&M
services
![Page 18: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/18.jpg)
Questions?
320 days until 10/1/15
Next Weblab: 12/9/14 1p EST
![Page 19: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/19.jpg)
AAPC CEU approved for live attendance only
![Page 20: November Physician's Computer Company - PCC Learn...2014 ICD-10 Guidelines 2014Guidelines.pdf on PedSource.com ICD-10-CM 2015 Addendum: “There were no changes to the 2014 ICD](https://reader035.vdocuments.us/reader035/viewer/2022081411/60a7cd97836f536da5694cbd/html5/thumbnails/20.jpg)
Resources
● Slides, reference materials, links, video recordings at:
– http://www.pedsource.com/ICD-10-resources