Outpatient Surgery Magazine - Subscribers

What's the Harm? - December 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/611424

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1 4 7 D E C E M B E R 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T The Joys of ICD-10 Documentation The new coding system requires equal parts precision and patience. J ust when I thought I had had enough, ICD- 10 comes rolling in. Oy vey! What a pain in the K62.89! (That's the ICD-10 code for a disorder charac- terized by inflammation of the rectum.) ICD-10 has 141,000 codes — more than 8 times the 17,000 codes in ICD-9. This coding quagmire affords entries for diseases, signs and symptoms, complaints, social circumstances, abnor- mal findings and external causes of injury (whew!). Thankfully, they omitted the patient's Zodiac sign and wine preferences. LEO C FAR The implementation of ICD-10 on Oct. 1 sent seismic waves through surgical billers nationwide. Xanax consumption has never been higher amongst staff. The basic format for coding according to the new ICD- 10 guidelines requires the following: disease category, etiology, body part and severity. Since the launch of ICD-10, office note dictations C U T T I N G R E M A R K S John D. Kelly IV, MD Surgeons have to document why the patient was brought to the OR. "I was behind on my car payments" won't fly.

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