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ICD-10 Coming October 1, 2015

The Centers for Medicare & Medicaid Services is implementing ICD-10 coding effective October 1, 2015 and the countdown is on as NKCH prepares for one of the biggest healthcare changes in more than 30 years. The change requires physicians to provide more specific information in patient medical records. Specific documentation allows the codes assigned to more accurate and will help avoid coding queries. For example, in ICD-9, a fractured femur had one code; 821.01, but in ICD-10, there are 24 possible codes.

Tips Sheet

Physicians do not need to learn or memorize the ICD-10 coding system. Tip Sheets highlighting the most common diagnoses by specialty will be provided to NKCH physicians. The new Tip Sheets highlight key documentation concepts such as site, causal agent or causal organism, which identify the specifics needed to clarify a diagnosis to the fullest extent possible.

Modern Codes

Our current coding system, ICD-9, was adopted in the late 1970s and no longer covers all new diagnoses, such as Ebola, or modern medical services and procedures. ICD-10 has capacity for about 68,000 diagnosis codes compared with 14,000 for ICD-9. Procedure codes increase from 4,000 to 72,000.
Additional codes require specific clinical documentation. This leads to an accurate reflection of the severity of the patients treated, facilitation of correct payment for services and more complete data for activities such as quality reviews.


For questions, copies of the ICD-10 Tip Sheets or to schedule personalized training, contact the clinical documentation specialist on your unit or Carol Hays at 816.691.5080 or