[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-640763-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-640763-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","icd-10-clinical-close-up-icd-10-documentation","ICD-10 CLINICAL CLOSE-UP - ICD-10 Documentation","","ICD-10 CLINICAL CLOSE-UP explains the ICD-10 system and why organizations must transition from ICD-9. It outlines adoption under HIPAA-covered entities, timing requirements for services after and before October 1, 2015, and the growth in available ICD-10-CM and ICD-10-PCS codes. The material compares ICD-9-CM versus ICD-10-CM and ICD-10-PCS, emphasizing specificity, laterality, interoperability, and improved procedure detail. 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For services rendered before October 1, 2015, claims must use ICD-9 codes.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What is the main difference between ICD-9-CM and ICD-10-CM/PCS?",{"text":68,"@type":64},"ICD-10 provides greater detail, improved accuracy, and flexibility for adding new codes. It supports laterality and offers interoperability with other countries, while ICD-9 is described as outdated and lacking detail.",{"name":70,"@type":61,"acceptedAnswer":71},"What are GEMs and how are they used?",{"text":72,"@type":64},"GEMs (General Equivalency Mappings) are tools used to convert data between ICD-9-CM and ICD-10-CM/PCS, also called crosswalks. They provide mapping information to translate ICD-9-based data and support applications such as quality tracking, morbidity/mortality recording, reimbursement, and risk adjustment logic.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},640763,1792899892,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":55,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},2336478487870,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Welcome to  \nICD-10 CLINICAL CLOSE-UP  \nTopics    \nClinical  \nClose-Up  \n􀂃 ICD-10 Overview  \n􀂃 About ICD-10  \n􀂃 Why ICD-10 Matters  \n􀂃 ICD-9 vs ICD-10  \n􀂃 ICD-10 Documentation  \n􀂃 GEMs Mapping Tool  \n􀂃 GEMS vs Coding Manual  \n􀂃 Bi-Directional GEMS  \n􀂃 Code Translator Examples  \n􀂃 Crosswalk Examples  \n􀂃 Hospital & Physician Coding Examples  \n􀂃 Specified vs Un-specified Coding  \n􀂃 Subsequent vs Sequela Coding  \n􀂃 Benefits & Rewards of ICD-10 Compliance  \n􀂃 Resources  \n􀂃 Contact  \nICD-10 Overview  \n􀂃 World Health Organization developed ICD-10 in 1994  \n􀂃 Later adopted by Health and Human Services (HHS) and Centers for Disease Control and Prevention (CDC)  \n􀂃 ICD-10 is a provision of Health Insurance Portability and Accountability Act (HIPAA) regulations  \n􀂃 HIPAA-covered entities include health care providers, payers, clearinghouses, billing services and others that must transition to ICD-10  \n􀂃 Moving from ICD-9 to ICD-10-US is the last industrialized nation to adopt ICD-10  \n􀂃 ICD-9 is outdated- limited capacity, capability, and unable to serve future needs  \n􀂃 ICD-10-CM and ICD-10-PCS code sets  \n􀂃 ICD-10-CM replaces ICD-9-CM (Volumes 1 and 2)  \n􀂃 ICD-10-PCS replaces ICD-9-CM (Volume 3)  \n􀂃 ICD-10 has no direct impact on Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS)  \nICD-10 Overview  \n􀂃 For services rendered on or after October 1, 2015  \n􀂃 All claims must use ICD-10 codes  \n􀂃 Claims using ICD-9 codes for services rendered on or after October 1, 2015 will NOT be accepted  \n􀂃 For services rendered before October 1, 2015  \n􀂃 All claims must use ICD-9 codes  \n􀂃 Systems must accommodate BOTH ICD-9 and ICD-10 codes  \n􀂃 Effective with the October 1, 2015 compliance date  \n􀂃 Significant Code Increase from ICD-9 to ICD-10  \n􀂃 Increasing from 14,000 to approximately 69,000 ICD-10-CM codes  \n􀂃 Increasing from 3,000 to approximately 87,000 ICD-10-PCS codes  \n􀂃 ICD-10 has more than nine times the codes in ICD-9  \n About ICD-10    \nMaking the transition to ICD-10 is NOT optional  \nWhy is the transition necessary?  \n􀂃 ICD-9 code sets are outdated, limited and not expandable  \n􀂃 ICD-9 cannot accommodate current needs nor future advances in medical technology and knowledge  \n􀂃 ICD-10 code sets use current medical terminology and will allow for advances in medical technology and knowledge  \n􀂃 ICD-10 allows for greater detail in diagnosesand treatments  \nWhy ICD-10 Matters  \nWhy ICD-10 Matters:  \n􀂃 ICD-10 advances health care and the implementation of eHealth initiatives  \n􀂃 ICD-10 captures advances in medicine and medical technology  \n􀂃 ICD-10 improves data for quality reporting  \n􀂃 ICD-10 improves public health research, reporting and surveillance  \n ICD-9-CM vs ICD-10-CM    \n\n| ICD-9-CM | ICD-10-CM |\n| --- | --- |\n| 3-5 characters in length | 3-7 characters in length |\n| Approximately 14,000 codes | Approximately 69,000 available codes |\n| 1st character = alpha or numeric Characters 2-5 = numeric | 1st Character = alpha\u003Cbr>2nd Character = numeric\u003Cbr>3rd Character = alpha or numeric Characters 4-7 = alpha or numeric\u003Cbr>7th Character extension = episode of care |\n| Limited Space to add new codes | Flexibility to add new codes |\n| Lacks detail | Very specific |\n| Lacks laterality | Allows laterality |\n| Non-specified codification issues:\u003Cbr>• Difficult to analyze data\u003Cbr>• Difficult to support research | Improved accuracy |\n| Not interoperable with other industrialized nations who have adopted ICD-10 | Interoperable with the global health care community and has been adopted in 99 countries |\n\nICD-9-CM vs ICD-10-PCS  \n\n| ICD-9-CM | ICD-10-PCS |\n| --- | --- |\n| 3-4 characters in length | 7 alpha-numeric characters in length |\n| Approximately 3,000 codes | Approximately 87,000 available codes |\n| Based on outdated technology | Reflects current usage of medical terminology and devices |\n| Limited space for adding new codes | Flexible for adding new codes |\n| Lacks detail | Very specific |\n| Lacks l","cbCairCu50VkrhV4","https://ap.wps.com/l/cbCairCu50VkrhV4","pdf",858536,26,"English","# ICD-10 Overview\n## About ICD-10\n## Why ICD-10 Matters\n## ICD-9 vs ICD-10\n# ICD-10 Documentation\n## Transition requirements\n## What are GEMs?\n## Code Translator and crosswalk examples\n## Documentation and compliance benefits","[{\"question\":\"When must claims use ICD-10 codes instead of ICD-9 codes?\",\"answer\":\"For services rendered on or after October 1, 2015, all claims must use ICD-10 codes; claims using ICD-9 for that period will not be accepted. For services rendered before October 1, 2015, claims must use ICD-9 codes.\"},{\"question\":\"What is the main difference between ICD-9-CM and ICD-10-CM/PCS?\",\"answer\":\"ICD-10 provides greater detail, improved accuracy, and flexibility for adding new codes. It supports laterality and offers interoperability with other countries, while ICD-9 is described as outdated and lacking detail.\"},{\"question\":\"What are GEMs and how are they used?\",\"answer\":\"GEMs (General Equivalency Mappings) are tools used to convert data between ICD-9-CM and ICD-10-CM/PCS, also called crosswalks. They provide mapping information to translate ICD-9-based data and support applications such as quality tracking, morbidity/mortality recording, reimbursement, and risk adjustment logic.\"}]","ICD-10 CLINICAL CLOSE-UP - ICD-10 Documentation | PDF",1792711434,66]