ICD- 10’s Increased Specificity
THIS SLIDE ILLUSTRATES the increased speci;city available for a diagnosis of foreign body left during a procedure.
Quality Measures and ICD- 10
• ICD- 10
• 50 codes
• Specify complications due to foreign
body (e.g., obstruction, adhesions,
perforations), procedures and initial
or subsequent encounter
Foreign B ody Left During Procedure: HAC, patient s afety
• ICD- 9
• 9984 – foreign body accidentally
left during a procedure
• 9987 – acute reactions to foreign
substance accidently left during a
sion indicator) and 25 procedure codes. ;e expanded number
of codes and increased speci;city signi;cantly improve the use
of clinical quality measures at the local, state, and federal level
to improve de;ning patient populations and supporting public
health initiatives and the overall care for the individual patient.
;e increased speci;city shown in the slide above for a foreign body left during a procedure highlights how the transition
to ICD- 10 directly a;ects performance improvement.
;e additional detail with the code conversion impacts analytical tools, reports, and comparative data used by all quality
measurement systems, including the Joint Commission, Centers for Medicare and Medicaid Services measures, Agency for
Healthcare Research and Quality Healthcare Cost and Utilliza-tion Project databases and quality indicators, clinical registries,
and state reporting. ;e more scrutiny the measures receive between now and 2013 (how the data are recorded and reported),
the better the outcome.
The speci;city available in ICD- 10
impacts analytical tools, reports,
and comparative data used by all
quality measurement systems.
;e implementation of ICD- 10 o;ers many quality bene;ts.
;e additional granularity of data collection and detail will require improved clinical documentation and care decisions,
facilitate ongoing performance improvement, enhance evaluations of population health, and enable comparisons across the
continuum of care.
Preparing for the Data Impact
While planning for system recon;guration and testing for claim
submission should have already begun, it is not too late to im-
plement a training plan. According to Linda Hyde, RHIA, joint
speaker at the December ICD- 10 virtual meeting, “Good docu-
mentation can start now.”
Training clinicians and providers on the code speci;city
needed is a critical step in preparing for October 1, 2013. Hos-
pitals and physician o;ces can begin education programs now
to ensure their sta;s are educated on the appropiate anatomy,
physiology, and level of ICD-10-CM/PCS training for their re-
spective sta; roles and settings.
;ere is great opportunity for data users to be trained right
now. Data users may include any individual who will be working to collect, analyze, or report ICD- 10 data, whether it be an
application analyst, data integrity coordinator, or billing or business analyst. ;ey will not require the same training as the clinical coding sta;, clinicians, or administration, but they do need
to understand how the new classi;cation system will a;ect the
work they do.
For more information on ICD- 10 data structures and their impact on patient care, visit AHIMA’s “ICD- 10 Resources” Web site
at www.ahima.org/icd10/resources.aspx. ¢
Jill S. Clark ( firstname.lastname@example.org) is a director of professional practice at
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