[pshrinkery/med] FWD: ICD-10 Primer, Lesson 6 - OMG Codes

[siderea]

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Comments

[boobirdsfly]

omg thank you!
lolololol.

[jeriendhal]

Snorts. I'm only on the periphery of dealing with diagnoses (I rubber stamp state medicaid pharmaceutical requests) and these new codes make no damned sense to me.

[heavenscalyx]

Mmmmmm, reconciling ICD-9 and ICD-10 codes.

I'm glad I don't have to do the programming here, is all.

[siderea]

Thing is, there aren't always one-to-one correspondences between ICD-9 and ICD-10. ICD-10 == DSM5, so some diagnostic definitions have changed. For example, "partial remission" has disappeared from substance dependence diagnoses. So if you had somebody coded partial remission, you now need to reevaluate the case to see if it's full remission or not.

[heavenscalyx]

Oog. Yeah, the example I ended up using in a short writeup of the changes for people at work was the fact that ICD-10 only has one hypertension code, whereas ICD-9 had 5 or 6.

[siderea]

Huh. I wonder why. What benefit is there (and to whom) is there in going from greater specificity in coding hypertension to less?

(The substance dependence remission thing at least has some intellectual integrity behind it. I've always been dubious about the legitimacy of the whole idea of partial remission.)

[hugh_mannity]

So far so good. Mostly because my claims files are 60 to 90 day lagged, so I haven't had a close encounter with ICD-10 yet. And probably won't till the end of November.

[siderea]

You'll get yours. :)

[froganon]

still laughing!