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It explains ICD-10 objectives such as greater coding specificity and new concepts like laterality and severity, plus the growth in injury and musculoskeletal codes. It contrasts mapping with coding using a fracture example, describes GEMs crosswalks and their purpose, and summarizes implementation timeline delays and industry readiness metrics from provider, health plan, and survey sources.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/are-we-there-yet-getting-ready-for-icd-10-january-30-2015/469559/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/are-we-there-yet-getting-ready-for-icd-10-january-30-2015/469559.png","ImageObject",300,407,{"name":92,"@type":93},"Terk","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why was ICD-10 introduced instead of continuing with ICD-9?","Question",{"text":112,"@type":113},"ICD-9 had become outdated and inconsistent with current medical practice, and it ran out of available codes as medical science generated new diagnoses.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What new coding concepts does ICD-10 add?",{"text":117,"@type":113},"ICD-10 provides greater detail and introduces concepts such as location (e.g., laterality) and severity, along with thousands of new injury and musculoskeletal codes and coding of patient encounters (initial, subsequent, sequela).",{"name":119,"@type":110,"acceptedAnswer":120},"How does mapping differ from coding in the ICD-10 transition?",{"text":121,"@type":113},"Mapping links concepts across two code sets without context, while coding assigns the most appropriate code(s) based on the medical record documentation and applicable coding rules and guidelines.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},469559,1791360529,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},1099525198933,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Are We There Yet?  \nGetting Ready for ICD-10  \nBarbara F. Rubel, MBA, FRBMA  \nJanuary 30, 2015  \nBackground  \n• ICD-10: 10th revision of the International Statistical Classification of Diseases and Related Health Problems  \n• Codes diseases, signs & symptoms, abnormal findings, complaints, social circumstances, external causes of injury or diseases  \n• Why change?  \n• ICD-9 is 30 years old  \n• Outdated, obsolete, inconsistent with current medical practice  \n• As medical science makes new discoveries, ICD-9 is out of numbers to assign these diagnoses  \n[http://www.who.int/classifications/icd/factsheet/en/](http://www.who.int/classifications/icd/factsheet/en/)  \nObjectives of ICD-10  \n• Greater detail, more specificity  \n• ICD-10 introduces concepts of:   \n• Location, e.g.“Laterality”  \n• Right or left hand injury  \n• Severity, e.g. types of pain codes  \n• Thousands of new injury codes  \n• ~37,000 new musculoskeletal & injury codes  \n• Codifying patient encounters  \n• Initial, subsequent, sequela  \n[http://www.weeklystandard.com/articles/code-chaos_783576.html?page=3\\#. Uxc6QrkR-tw.gmail](http://www.weeklystandard.com/articles/code-chaos_783576.html?page=3#. Uxc6QrkR-tw.gmail)  \nICD-9 = Coding;  \nICD-10 = Information Collection  \n• A provider sees a patient in a [subsequent encounter] for a [non-union] of an [open][fracture] of the [right] [distal] [radius] with [intra-articular extension] and a [minimal opening] with [minimal tissue damage].  \n• ICD-9 Code: 813.52 Other open fracture of distal end of radius (alone)  \n• ICD-10-CM Code: S52.571M Other intra-articular fracture of lower end of right radius, subsequent encounter for open fracture type I or II with nonunion  \n• Codes related to fractures of the radius:  \n• ICD-9 = 32  \n• ICD-10 = 1,731  \nMapping v. Coding  \n• Mapping links concepts in two code sets without considering context or medical record documentation  \n•  Coding involves assignment of most appropriate code(s) based on medical record documentation & applicable coding rules/guidelines  \n• GEMs (General Equivalence Mappings)  \n• 2-way translation dictionaries for diagnosis codes from which crosswalks will be developed  \n• Developed by CMS & CDC for ALL providers, payers, data users  \n• Free of charge, in public domain  \n[http://www.cms.gov/Medicare/Coding/ICD10/downloads/GEMs-CrosswalksBasicFAQ.pdf](http://www.cms.gov/Medicare/Coding/ICD10/downloads/GEMs-CrosswalksBasicFAQ.pdf)  \nSince We Last Spoke  \n• June 17, 2014: Interim Final Rule implementing ICD-10 by October 2015 “limps” into Office of Management & Budget (OMB)  \n• Final Rule issued July 31 st, 2014  \n• The most recent delay (4th to date) came in the Protecting Access to Medicare Act of 2014  \n• Signed March 31st & averted 24% cut in Medicare payments  \nIndustry Preparedness  \n• 27% of providers ready for ICD-10 testing 3rd Qtr 2014  \n• 14% 4th Qtr 2014  \n• 12% 1st Qtr 2015  \n• 10% 2nd Qtr 2015  \n• 2.5% 3rd Qtr 2015  \n• Concerns include:  \n• Interacting with accounting & billing systems (45%)  \n• Interacting with EHR systems (39%)  \n• Interacting with analytics software (37%)  \n• Interacting with health information exchanges (33%)  \n[http://www.healthdatamanagement.com/news/Providers-Expect-Short-Term-Pain](http://www.healthdatamanagement.com/news/Providers-Expect-Short-Term-Pain)rom-ICD-10-Delay- 48303-1.html  \nIndustry Preparedness  \n• During the 1 st year of ICD-10 compliance:  \n • 38% believe revenue will decrease   \n• 14% predict revenue will stay the same  \n• 6% believe revenue will increase  \n• 26% have not conducted a revenue impact assessment  \n• November 7, 2014: ICD-10 preparation is still lagging as providers continue to worry about testing, revenue & productivity  \n| HBMA Survey (Sept 2014)\u003Cbr>• Is/are your software systems(s) fully updated for ICD-10? |  |\n| --- | --- |\n| • Not just a crosswalk but dual coding capability? Cross over claims? |  |\n| Yes\u003Cbr>No | |\n| 0% 20% 40% 60% 80% 100% |  |\n\n• >50% of health plans have begun external testi","cbCairAK3FKt968M","https://ap.wps.com/l/cbCairAK3FKt968M","pdf",922528,45,"English","# Background\n## Objectives of ICD-10\n## Mapping v. Coding\n## Since We Last Spoke\n## Industry Preparedness","[{\"question\":\"Why was ICD-10 introduced instead of continuing with ICD-9?\",\"answer\":\"ICD-9 had become outdated and inconsistent with current medical practice, and it ran out of available codes as medical science generated new diagnoses.\"},{\"question\":\"What new coding concepts does ICD-10 add?\",\"answer\":\"ICD-10 provides greater detail and introduces concepts such as location (e.g., laterality) and severity, along with thousands of new injury and musculoskeletal codes and coding of patient encounters (initial, subsequent, sequela).\"},{\"question\":\"How does mapping differ from coding in the ICD-10 transition?\",\"answer\":\"Mapping links concepts across two code sets without context, while coding assigns the most appropriate code(s) based on the medical record documentation and applicable coding rules and guidelines.\"}]","Are We There Yet? - Getting Ready for ICD-10 - January 30, 2015 | PDF",1790775836,113]