General Surgery Coding Alert - 2014 Issue 36
ICD-10: These 3 ICD-10 Answers May Surprise You
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Article Overview
This article explains several practical ICD-10 transition topics for coders and billing staff, with emphasis on CMS, CDC, and MAC guidance. It discusses where crosswalks may not exist, how to locate coverage-related resources that reference ICD-10, and how the official ICD-10-CM guidance distinguishes between two kinds of exclusion notes. The piece is aimed at readers who need a general orientation to ICD-10 policy and documentation concepts during the transition period.
Why This Topic Matters
Understanding these ICD-10 topics helps coding and reimbursement staff navigate transition-era questions, locate payer coverage information, and interpret official guidance from CMS and the CDC without relying on ICD-9 assumptions.
Article Sections
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What If There’s No Crosswalk?
Discusses the possibility that some ICD-9 to ICD-10 mappings do not exist and points readers to official guidance about using more general diagnosis reporting when needed. It also introduces the transition timing referenced in the article.
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Find Your New LCDs
Explains where to look for local coverage resources that have been updated for ICD-10 and mentions CMS and contractor-based coverage indexes. It focuses on how readers can locate relevant LCD listings during the transition.
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Why Are There Two Types of Excludes Notes?
Summarizes the CDC’s explanation of the two ICD-10-CM exclusion note categories and how they differ at a high level. The section also points to example diagnosis groupings used to illustrate the note types.
What You Will Learn
- How the article frames common questions about ICD-10 transition planning
- Where to look for ICD-10-related local coverage resources
- How the official ICD-10-CM guidance distinguishes between two exclusion note categories
- Which organizations are referenced as sources of ICD-10 guidance
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance staff
- Practice managers
- Healthcare administrators
Codes Discussed
Code Ranges Discussed
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