ICD is the "International Statistical Classification of Diseases and Related Health Problems" used by physicians to code a given medical problem whenever a patient sees a doctor. This "code" is what is submitted to insurance companies along with medical charges.
Periodically, ICD undergoes an update and in the United States, it is about to undergo a MAJOR update come October 1, 2013 to version ICD-10-CM. The current ICD being used in the Unites States is ICD-9-CM.
What are these changes as it relates to otolaryngolgists?
First the basics:
|Differences in organization & structure, code composition, and level of detail.|
| || |
|ICD-9-CM Code Format||ICD-10-CM Code Format|
SO... here are some examples of how the code changes from ICD-9-CM to ICD-10-CM:
|Right Earwax|| |
|Left Earwax|| |
|Bilateral Earwax|| |
|Unspec Earwax|| |
|Right Acute Otitis Externa|
|Left Acute Otitis Externa|| |
|Bilateral Acute Otitis Externa|| |
|Unspec Acute Otitis Externa|| |
- Combination codes for conditions and common symptoms or manifestations
- Combination codes for poisonings and external causes
- Added laterality
- Added extensions for episode of care
- Expanded codes (injury, postoperative complications)
- Expanded detail relevant to ambulatory and managed care encounters
- Changes in timeframes specified in certain codes
- External cause codes no longer a supplementary classification
Excludes2 indicates not included here. The excluded condition is not part of the condition represented by the code. It is acceptable to use both codes together if the patient has both conditions. For example, J04.0, Acute laryngitis has an Excludes2 of chronic laryngitis (J37.0).
An additional feature is the expansion of codes for certain conditions like postoperative complication codes. Here's one if you accidentally leave behind a neuro paddy in the nose after sinus surgery causing nasal obstruction:
- T81.524 codes for "obstruction due to foreign body accidently left in body following endoscopic examination"
- A Initial encounter
- D Subsequent encounter
- S Sequelae