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
(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
Swelling
- Localized edema
- Is there a mass and lump?
- Laterality
- Site
Phlebitis and thrombophlebitis
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.