Cross reference from ICD 9 to ICD 10 Diagnosis Codes
We would like to List ICD 9 and show corresponding ICD 10 code
As of 8/11/2015, we have deployed ICD-10 coding for Practice Fusion superbills in all PF practices to make sure you are prepared for the October 2015 CMS ICD-10 deadline.
We have also incorporated ICD-10 diagnosis coding directly in the clinical and lab ordering workflows.
To learn more, you can visit our ICD-10 Center here: http://www.practicefusion.com/icd-10/
Additionally, there are 3 helpful knowledge base articles available:
Shirin Nazarani commented
Only having ICD-10 for billing does not make sense. They both need to happen at the same time. Coder puts in the billing system what the doctor says is the diagnosis. We don't use your billing portion we have a separate online provider for that. If the provider /doctor dosesn't have the ICD 10 in practice fusion then he will have to have other resources to figure out what to give to the coder. This is an inefficient way of doing things.
I am looking forward to help, especially with the modifiers. It will make things easier for my billing company as well. I want to start working with this as soon as possible.
Hi Jonathan--you're going to love the way we've implemented ICD10. Our implementation will help you find the correct ICD10 code (including facets and modifiers) very easily.
Regarding the interim period, there will be a month or so overlap where many practices will be filing claims with dates of service prior to the 10/1/2015 deadline. Additionally, not all private payers are ready for ICD10 on Oct 1.
So our functionality will allow you to use both ICD9 and ICD10. That's what I mean when I talk about an interim period.
Dr. Jonathan Sisskind commented
by the way, currently there is no interim period. you are supposed to use icd9 until oct.1 and then icd10. this is based on the date of service, not date of submission. This is from a seminar i attended today and the instructor is a certified coder.
Dr. Jonathan Sisskind commented
this is a critical issue as the crosswalk conversion may not give the correct code. just went to a icd10 seminar today and there are going to be issues if providers are just doing a straight conversion without knowing what the modifiers mean.
Great News! Thank you for your efforts to make this a seamless process. The sooner the better. Thanks again for the feature, I am sure we will be using it.
This has the potential to be an incredibly complicated transition for everyone in the medical industry, so we are doing it in phases.
The requirement from CMS (Medicare & Medicaid) is that all claims for services after 10/1/2015 must be ICD-10 coded. So that is what we will be beta testing with practices in July and then rolling out to our entire community soon after. There will be an interim period where you will have the option to use ICD-9 or ICD-10 for your claims.
Regarding the clinical coding, we will also be updating those workflows to include ICD-10 searching and selection. We are waiting until later in the year to implement this because it is not required for you to be in compliance with CMS. But as you mention, it will have some value when it comes to speeding up billing coding on the superbill itself.
We'll have much more info on this in the coming months. We are dedicated to providing the best EHR experience for transitioning to ICD-10.
Jessie Dement commented
I was told a few months ago via live chat that though the billing side in Practice Fusion would be shifted to ICD-10, the clinical side would NOT transition and would continue to show ICD-9 codes in the patient summary.
PLEASE shift the clinical codes when you shift codes in the billing section. If I'm understanding this post correctly, that is the current plan - right? Clinical codes that are listed in the patient summary will have crosswalks to ICD-10 as well starting in the next couple of months?
Indeed. Dr. Gilmer. This is exactly how we're implementing this. You're going to be pleasantly surprised.
William Gilmer commented
displaying and sending both ICD 9 and ICD 10 codes with each diagnosis will provide redundancy for error correction, as well as help educate users during transition.
Dr Peter Ferrara commented
Being able to code both ways prior to October 1st would be very helpful.
Lynna Standridge commented
A report by PF showing our top 50-100 diagnoses would be helpful, so that we could prepare a list of commonly used ICD9's with their ICD10 counterpart for staff training and use.
Being able to test as early as possible will help us be more prepared for October 1st. Our Practitioners are requesting to be able to code both ways ICD 9 and 10 prior to October 1st in order to get practice.
Hi Ellie--the way we're implementing ICD10 for billing will be quite similar to that compact version you're describing.
You might want to contribute to the conversation here for your compact charting diagnosis request: http://knowledgebase.practicefusion.com/forums/276361-product-ideas/suggestions/7135920-diagnosis-list-ranking-linking
And your RAF idea should probably be its own standalone, since we are not a billing system and haven't had anyone ask about that yet: www.practicefusion.com/ideas
Doctor B commented
If you search for ICD-10 resources online, there is a very good site under construction http://www.icd10data.com/ICD10CM/Codes that uses a branching method to arrive at the correct diagnosis. First you click on the Chapter (GI, Derm, Neuro, etc.) and then each menu lets you select one of the elements until you arrive at the full 7 character code. Notice that the format is very COMPACT, requiring little or no scrolling, an attribute that has been sorely lacking in the new EHR. I haven't trained yet on how to do the documentation required by CMS in the S and O sections to bill each ICD-10 code, but help for that should be incorporated, perhaps in a COMPACT drop down for the selected code, or there may be general rules for each diagnostic chapter. One other HUGE need is to display the HCC RAF value for each code. The average RAF points per patient is what will determine the reimbursement rates that CMS will pay to physicians and groups in the subsequent year. Selecting the right code for a diagnosis will give RAF credit while selecting a very similar and equally accurate code with no RAF value makes you lose the points. Our owners give substantial bonuses based on the RAF credits we generate for senior HMO patients. I keep expecting Practice Fusion to at least acknowledge plans to add the RAF function but haven't seen anything.
I am following this closely, as we are preparing our practice. Thank you.
Hi Sue--you're correct. This is a complicated situation. We'll be following up on this thread soon with information and training on how all of this will work. Rest assured that we're trialing this with some of our beta testing practices and are working very hard to keep this as simple a transition as possible.
Sue Aguilar commented
As I understand this, our current ICD 9 system has some 11,000 billing codes, while the new ICD 10 will have > 60,000. If a practitioner chooses 250.02 in the ICD 9 system, is there not more than 20 (or thereabout) ICD 10 qualifying codes to transition to? Where will we see these options as we assign codes to out visit notes? We will see the ICD 10 options that will correspond to our ICD 9 choice, correct? Before we finalize the note?
Dr Dipti Patel commented
Agree ,searching withj icd 9,as we have been doing and icd 10 codes poppingup for us to populate ,best seamless way to do it. Thank you PF
The workflow would be: you search by ICD9 code, PF returns ICD10 results, you choose the most appropriate ICD10 code. The only reason we're allowing searching by ICD9 code is to make this a much more seamless transition for those of you (basically, everyone) who are used to searching by ICD9 codes and descriptions.