2. Why Change?
• The practice of medicine has changed dramatically in the last 25 years or so
3. ICD-9
•Previous HIPAA mandated diagnosis code set.
•Has 17 chapters and two supplemental classifications,V
codes and E codes.
4. ICD-9
•Codes are 3-5 characters
•Implemented since 1979
•Approximently 13,00 codes
•First digit may be alpha(E orV) or numeric, digits are 2-5
numeric
5. ICD-9
• Consists of 3 volumes. Physicians use volume 1 & 2 only to assign diagnoses
codes
• Physicians use Current ProceduralTerminology (CPT), Published by the
American Medical Association, to report medical and surgical procedures
and physician service codes.
6. ICD-10
•Provides many more categories for disease and other
health-elated conditions with higher level of specificity
possible
•Codes are combined etiology and manifestations,
poisoning and external cause or diagnosis and syptoms
7. ICD-10
•Codes are 5-1 characters to reach a higher level of
specificity.
•The federal government ha used ICD-10 to categorize
mortabilit data from death certificates from 1999.
•Approximently 87, 000 codes for procedures
8. ICD- 10
• About 68,000 codes, available
• Digit 1 is alpha, digit 2 and 3 are numeric, digit 4-7 alpha or numeric
• Is very specific on duty of care
