Find comprehensive resources and tools for ICD-9 to ICD-10 transition. This guide covers ICD-10 codes, ICD-10 mapping, ICD-10 lookup, ICD-9 crosswalk, GEMs (General Equivalency Mappings), clinical documentation improvement CDI, medical coding, healthcare documentation, and diagnosis coding conversion for accurate and compliant medical billing. Learn about ICD-10 implementation and the impact on healthcare providers and clinical practice.
Also known as
Persons encountering health services
Covers encounters for administrative purposes like ICD-10 transition discussions.
Problems related to education and literacy
May be used if ICD-10 training or understanding is a challenge.
Factors influencing health status and contact with health services
Broad category encompassing administrative issues like code transitions.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the diagnosis V22.0 (Well-baby examination)?
Yes
Code Z00.129 (Encounter for routine child health examination without abnormal findings)
No
Is the diagnosis 599.0 (Urinary tract infection, site not specified)?
When to use each related code
| Description |
|---|
| Hypertension, unspecified |
| Essential hypertension |
| Hypertensive heart disease |
| Type 2 diabetes mellitus |
| Diabetes with renal manifestations |
| Diabetic neuropathy |
| Acute bronchitis |
| Chronic bronchitis |
| Asthma |
| Osteoarthritis |
| Rheumatoid arthritis |
| Gout |
Increased use of unspecified ICD-10 codes due to coder unfamiliarity, leading to lower reimbursement and data quality issues.
Insufficient clinical documentation to support the greater specificity of ICD-10, impacting accurate code assignment and CDI efforts.
Errors in mapping ICD-9 codes to ICD-10, potentially causing claims denials, compliance violations, and skewed analytics.
**Diagnosis: ICD-9 493.90 (Asthma, unspecified type, unspecified state) to ICD-10 J45.909 (Unspecified asthma, uncomplicated)** Patient presents with complaints consistent with asthma exacerbation. Symptoms include wheezing, shortness of breath, and chest tightness. Onset of symptoms occurred two days prior to presentation, triggered by exposure to cold air. Patient reports a past medical history significant for asthma, diagnosed in childhood. Family history is positive for allergies and asthma. Physical exam reveals diffuse wheezing on auscultation. Pulmonary function testing demonstrates reversible airway obstruction consistent with asthma. Patient's current medications include albuterol as needed. Diagnosis of unspecified asthma, uncomplicated is made based on clinical presentation, history, and pulmonary function testing. Treatment plan includes continuation of albuterol as needed and initiation of inhaled corticosteroid for maintenance therapy. Patient education provided on asthma management, trigger avoidance, and proper inhaler technique. Follow-up scheduled in four weeks to assess response to therapy. ICD-10 diagnosis J45.909 reflects the patient's presentation of uncomplicated asthma, corresponding to the previous ICD-9 code of 493.90. This documentation supports medical necessity for prescribed medications and respiratory therapy. Keywords: asthma, wheezing, shortness of breath, chest tightness, airway obstruction, pulmonary function test, inhaled corticosteroid, albuterol, asthma management, ICD-10, ICD-9, J45.909, 493.90, medical coding, medical billing, clinical documentation, EHR, electronic health records, respiratory therapy, diagnosis, treatment plan. **Diagnosis: ICD-9 786.50 (Chest pain, unspecified) to ICD-10 R07.89 (Other chest pain)** Patient presents to the clinic complaining of chest pain. The pain is described as a dull ache, non-radiating, located in the center of the chest. Onset of pain was gradual and began approximately three days ago. Patient denies any associated shortness of breath, nausea, or diaphoresis. Past medical history is significant for hypertension and hyperlipidemia. Family history is negative for cardiac disease. Physical examination reveals normal heart sounds, regular rhythm, and no murmurs. Lungs are clear to auscultation bilaterally. Electrocardiogram (ECG) shows normal sinus rhythm with no ST-segment changes. Based on the clinical presentation and normal ECG findings, the chest pain is deemed non-cardiac in origin. Diagnosis of other chest pain is made. Patient was advised on lifestyle modifications including stress reduction techniques. Over-the-counter pain relievers are recommended as needed. Follow-up is scheduled as needed. ICD-10 code R07.89 accurately reflects the patient's nonspecific chest pain, corresponding to the previous ICD-9 code 786.50. This documentation supports the medical necessity of the evaluation and management services provided. Keywords: chest pain, non-cardiac chest pain, ECG, electrocardiogram, hypertension, hyperlipidemia, R07.89, 786.50, ICD-10, ICD-9, medical coding, medical billing, clinical documentation, EHR, electronic health records, diagnosis, treatment plan.