ICD-10 Quick Reference Cards

ICD-10 Quick Reference Cards

Beginning January 2015, Munson Healthcare implemented ICD-10 early adoption as a way to focus on clinical documentation improvement and test revised outpatient order forms and processes. 

UPDATE: ICD-10 Medical Necessity Tips

ICD-10 is here and we wish to thank  all of you who have been sending ICD-10 codes that meet medical necessity. 

TIP 1: We have noticed a trend in some tests where the codes that would have met medical necessity prior to Oct. 1 do not pass now. The biggest trend we have seen is with the Ultrasound Vascular and Arterial Studies, including:
 

(L35753) Non-Invasive Cerebrovascular Studies

  • USV Carotid (93880)

(L35751) Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

  • USV CALF REFLUX STUDY BILATERAL (93965)
  • USV DIALYSIS GRAFT (93990)
  • USV HEMODIALYSIS (93990)
  • USV LOWER EXTREMITY VEIN BILATERAL (93970)
  • USV LOWER EXTREMITY VEIN RIGHT OR LEFT (93971)
  • USV UPPER EXTREMITY VEIN BILATERAL (93970)
  • USV UPPER EXTREMITY VEIN RIGHT OR LEFT (93971)

(L35761) Non-Invasive Peripheral Arterial Vascular Studies

  • USV Lower Arterial ABI Only (93922)
  • USV Lower Arterial W/ABI Non (93925)
  • USV Upper Arterial W/ABI Non (93923)

TIP 2: These common diagnoses need more specificity to pass medical necessity:Peripheral Vascular Disease

  • What is the condition? Atherosclerosis, Atheroembolism, Non-pressure ulcer, other
  • Does the patient also have Claudication?
  • Claudication will not pass if it is the only diagnosis provided

Pain/Pain in limb

  • Laterality
  • Site

Swelling

  • Localized edema
  • Is there a mass and lump?
  • Laterality
  • Site

Phlebitis and thrombophlebitis

  • Vein
  • Site
  • Laterality

Varicose veins

  • Laterality
  • Other symptoms

Carotid bruit

  • Codes to R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems

Weakness - Does not pass medical necessity

For more information and the latest medical necessity guides, go to: munsonhealthcare.org/medicalnecessity

Quick Reference Cards

Quick Reference cards are informative, fingertip guides designed to help both specialty and primary care physicians document with the level of specificity needed for ICD-10. The cards include top documentation needs, key definitions, and other changes that will help physicians be prepared. All files are downloadable PDF documents.  

Cardiology

Emergency Services

Orthopedics

Outpatient Services

Women's & Children's 

General & Specialty ICD-10 Courses Online

Physicians are also encouraged to complete general ICD-10 awareness and specialty-specific optimal documentation courses via HealthStream. HealthStream is available at: https://www.healthstream.com/hlc/munsonhealthcare.