Does Your Documentation Have To Change For ICD-10?

Issue Number: 

Volume 28 - Issue 10 - October 2015

Author(s): 

Jeffrey D. Lehrman, DPM, FACFAS, FASPS, FAPWH

The answer to this question really lies in how you have been documenting up until now. The rule to code to the highest specificity has not changed. The rule that your documentation must support the specificity of the code and justify the code has not changed either. ICD-10 gives us the ability to (and in some cases the requirement to) indicate the etiology, anatomic site, laterality, severity and progression of a pathology with our coding in instances when this was not always possible with ICD-9. Going through some examples is a good way to illustrate this.

Section: 

Practice Builders

Topics: 

Coding

ICD-10

Source Practice Builders http://ift.tt/1Wzjtnt