tci Part B Insider - 2016 Issue 17

Part B Coding Coach: Mastering Migraines: The Importance of the 4th Character in ICD-10 Coding

Understanding Character No. 4 is essential to select the right diagnosis code. When you’re coding for your patient’s migraine headaches, ICD-10 offers a challenge ICD-9 did not: more choices for more specific migraine diagnoses. Benefit: More specific diagnoses could lead to more specific treatments, which might improve patient outcomes. There is a learning curve to mastering ICD-10 migraine coding, however. In short, migraine ICD-10 coding goes long. Coding migraine patients correctly often involves coding to the sixth character. Before you get there, however, you must ID the correct fourth character of the ICD-10 code, as these numbers...

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