CHAPTER 2

AN OVERVIEW OF ICD-10-CM
Copyright 2013 by Saunders, an imprint of Elsevier Inc.

ICD-10-CM
ICD-10-CM

scheduled to replace

ICD-9-CM
Implementation date October 1, 2014

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 2

Improvements in ICD-10-CM
More

relevant ambulatory and managed

care encounter codes
Expanded injury codes
Combination diagnosis/symptom codes
Up to 7 characters
(Contd)

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 3

Improvements
(Contd)
Updated

diabetes codes
Greater overall specificity

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 4

ICD-10-CM
21

Structure

__

Chapters
V and E codes incorporated into
code set
Addition of chapters for

Eye and Adnexa

Ear and Mastoid Process

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 5

GEMs Files

Figure: 2.1
GEMs mapping files I-9 to I-10
(Courtesy U.S. Department of Health
and Human Services, Centers for
Disease Control and Prevention.)

ICD-9-CM

codes mapped to new

ICD-10-CM codes

(Contd)
Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 6

(Contd)

GEMs Files

ICD-10-CM codes mapped

to ICD-9-CM codes

Figure: 2.2
GEMS mapping files I-10 to I-9 (Courtesy
U.S. Department of Health and Human
Services, Centers for Disease Control and
Prevention.)

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 7

GEMs Flag (Column 3)

Mind of a coder: http://
www.youtube.com/watch?v=IYoBXDebK-c

Three

types of flags

Approximate
Direct

match from I-9 to I-10

Flags: 00000 and 10000

No Map
No

diagnosis code available

Combination
Requires

a combination of codes to map

from one system to another

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 8

 Main

terms and subterms

Index

Figure: 2.9
ICD-10-CM Index (From Buck CJ: 2013 ICD-10-CM Standard
Edition DRAFT (Softbound), St. Louis, 2013, Saunders.)

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 9

ICD-10-CM Chapters

Chapter 1 Certain Infectious and

Parasitic Diseases (A00B99)
Chapter 2 Neoplasms (C00D49)
Chapter 3 Disease of the Blood and
Blood-Forming Organs and Certain
Disorders Involving the Immune
Mechanism (D50D89)
Chapter 4 Endocrine, Nutritional, and
Metabolic Diseases (E00E89)
Chapter 5 Mental, Behavioral and
Neurodevelopmental Disorders (F01
F99)
Chapter 6 Diseases of the Nervous
System (G00G99)
Chapter 7 Diseases of the Eye and
Adnexa (H00-H59)
Chapter 8 Diseases of the Ear and
Mastoid Process (H60H95)
Chapter 9 Diseases of the Circulatory
System (I00I99)
Chapter 10 Diseases of the Respiratory
System (J00J99)
Chapter 11 Diseases of the Digestive
System (K00K95)

Chapter 12 Diseases of the Skin and

Subcutaneous Tissue (L00L99)
Chapter 13 Diseases of the Musculoskeletal
System and Connective Tissue (M00M99)
Chapter 14 Diseases of the Genitourinary
System (N00N99)
Chapter 15 Pregnancy, Childbirth, and the
Puerperium (O00O9A)
Chapter 16 Certain Conditions Originating
in the Perinatal Period (P00P96)
Chapter 17 Congenital Malformations,
Deformations, and Chromosomal
Abnormalities (Q00Q99)
Chapter 18 Symptoms, Signs, and
Abnormal Clinical and Laboratory Findings,
Not Elsewhere Classified (R00R99)
Chapter 19 Injury, Poisoning, and Certain
Other Consequences of External Causes
(S00T88)
Chapter 20 External Causes of Morbidity
(V01Y99)
Chapter 21 Factors Influencing Health
Status and Contact with Health Services
(Z00Z99)

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 10

Tabular

Figure: 2.10
ICD-10-CM Tabular, R codes. (Modified from Buck CJ: 2013 ICD-10-CM Standard Edition
DRAFT (Softbound), St. Louis, 2013, Saunders.)

Each

section begins with unique letter and

codes arranged in numerical order
Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 11

Official Instructional
Notations
Includes

Define or give examples of category

content

Figure: 2.11
Includes notation. (From Buck CJ: 2013 ICD-10-CM Standard
Edition DRAFT (Softbound), St. Louis, 2013, Saunders.)

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 12

 Excludes1

= Not Coded Here

Excludes1

Figure: 2.12

Excludes1 notation in I-10. (From Buck CJ: 2013 ICD-10-CM Standard Edition
DRAFT (Softbound), St. Louis, 2013, Saunders.)

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 13

 Excludes2

= Not Included Here

Excludes2

Figure: 2.13
Excludes2 notation. (From Buck CJ: 2013 ICD-10-CM Standard
Edition DRAFT (Softbound), St. Louis, 2013, Saunders.)

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 14

Code First/Use Additional Code

Code

First/Use Additional = Etiology/Manifestation

Paired Codes

Figure: 2.14
I-10 Tabular, Code first notation. (From Buck CJ: 2013 ICD-10-CM Standard Edition DRAFT
(Softbound), St. Louis, 2013, Saunders.)

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 15

 Code

Also = More than 1 code required

Code Also

Figure: 2.16
I-10 Tabular, Code also notation (From Buck CJ: 2013 ICD-10-CM
Standard Edition DRAFT (Softbound), St. Louis, 2013, Saunders.)

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 16

7th Character and

Placeholder X
Codes

<6 characters that have a 7th

character requirement, X is placeholder

Figure: 2.18
X as the placeholder. (From Buck CJ: 2013 ICD-10-CM Standard
Edition DRAFT (Softbound), St. Louis, 2013, Saunders.)

Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 17

http://www.youtube.com/watc
h?v=8UYRAtjpWn4
How to tab your coding books

Conclusion

CHAPTER
2
AN OVERVIEW OF ICD-10-CM
Copyright 2013 by Saunders, an imprint of Elsevier Inc.

Slide 18