E/M Coding Alert - 2015 Issue 12
ICD-10: Perfect Your ICD-10 Claims With These 3 Tips
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Article Overview
This article reviews common ICD-10 transition issues and offers broad guidance for coders working through claim preparation and code crosswalking. It is aimed at coding professionals, compliance staff, and providers who need a clearer understanding of ICD-10 structure, terminology shifts, and mapping tools referenced by AHIMA, CMS, and related industry sources.
Why This Topic Matters
Understanding these ICD-10 topics helps readers recognize why some older coding habits do not translate cleanly to the newer system and where extra specificity may be required in claims workflows.
Article Sections
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Introductory guidance
An opening overview of ICD-10 transition concerns and the article’s focus on improving claim accuracy.
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Tip 1: Learn Relevant Combination Codes
A discussion of combination coding concepts under ICD-10 and how they relate to conditions and associated manifestations.
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Tip 2: V Codes Change to Z Codes
A review of the shift from older therapy-related coding conventions to ICD-10 Z code usage and related encounter categories.
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Tip 3: Beware GEM Shortcomings
An explanation of general equivalence mapping as a transition aid and the limitations of relying on crosswalks alone.
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Resources
A brief reference to external ICD-10 training and transition resources mentioned by the article.
What You Will Learn
- How ICD-10 combination coding affects claim preparation
- Why older V code concepts were replaced by Z code categories
- What limitations are associated with ICD-9 to ICD-10 mapping tools
- Where the article points readers for additional ICD-10 transition resources
Who Should Read This
- Medical coders
- Coding compliance staff
- Healthcare providers
- General surgery billing teams
- ICD-10 transition learners
Codes Discussed
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