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Icd 10 Research Paper

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Recommended: Medical terminology fundamental

A medical biller and coder needs to understand medical terminology when coding for many reasons. ICD-10 codes (both CM and PCS) are really specific, so a coder will need an in depth knowledge not only of medical terminology, but anatomy and physiology as well. To be proficient, a coder should know the organ systems as wells as their parts. A coder and biller should also know where to look for codes related to a certain part of the body. So knowledge of medical terminology is a must. It is used to lessen confusion and support data. Terminology in ICD-10-PCS might be different than what a coder is used to. So it is best to know which term is the best to use, and to know what it is exactly that you are coding. As long as you have a healthy knowledge …show more content…

Federal agencies and private businesses developed conversion tools to aid in the transition (crosswalks and mapping). There are also a few specific guidelines to follow when coding for ICD-10 such as in the selection for the full code. The coder needs to first check the tabular list to know whether or not a 7th character is required. If a dash is included then additional characters is required there is a dash at the end of an alphabetic index entry. If there is not a dash it is still important to be sure by checking the tabular list. ICD-10 diagnoses codes can have three, four, five, six, or even seven characters versus the five in ICD-9. Some of the new features found in ICD-10 are: Laterality Combination codes for certain conditions and common associated symptoms Combination codes for poisonings and associated external causes Character “X” used as a placeholder Two types of Excludes notes References BC Magazine. (2013, October 1). Terminology, anatomy and physiology: what is the real challenge in preparation for ICD-10? Retrieved from

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HCPCS level 1 uses CPT codes to identify medical services & procedures level 2 is used to identify the products, supplies, and services that are not in CPT codes ICD-10 used for diagnosis and in patient procedures There 's so many different types of services and procedures within the medical field that different codes are needed to specifically identify them properly. Coding was created to make medical billing simple. Proper coding will ensure accurate and timely reimbursements.

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How ICD-10 impacts the revenue cycle management by Sashi Padarthy discusses the “opportunity” for facilities to improve on “clinical documentation, revenue cycle performance, and analytic capabilities for business intelligence” (Padarthy, July 2012, p. 7). Padarthy suggests the shift from ICD-9-CM to ICD-10 will require multi-departmental assessments to determine core factors within ICD-10 will that will directly influence coding, billing and reimbursement. Padarthy proposes facilities analyze their current diagnostic and procedural codes to assess whether their current codes accurately represent services provided. In addition, he asks facilities to determine “if an opportunity to leverage ICD-10” exists, and if so, what is needed; updated eligibility requirements, increased medical necessity

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With the number of codes increasing from 14,000 to 70,000, the demand for coders and billing personnel has increased and exceeds local demand. Many healthcare organizations recently have contracted with coding vendors to provide ICD-9 coding assistance, in part to allow in-house coders to undergo ICD-10 training and participate in dual coding. However, It is still unclear how coding professionals and vendors will be impacted long-term by the implementation. According to Forbes, the ICD-10 switch for providers has been better than expected.

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