PRAXIS Resource of the Month: ICD-10 COPD Resource Sheet
Posted on November 23, 2015 |
As of October 1, 2015, all organizations within the United States health system that are covered by The Health Insurance Portability and Accountability Act (HIPAA) were required to use the newest International Classification of Diseases diagnostic tool – ICD-10.
A little more on ICD in general:
The ICD is a set of codes that are used internationally to represent primary and behavioral health diagnoses. The World Health Organization – part of the United Nations – develops each version of the ICD and member states implement the coding system in a variety of languages (43 to date). The National Center for Health Statistics (NCHS) is the federal agency that oversees implementation of the system in the United States.
The diagnostic tool provides:
- Data on the incidence and prevalence of diseases in populations
- A consistent communication system for professionals using health and death records
- A set of codes for billing and resource allocation determination purposes
In the United States, in addition to the mortality coding and classification use, we use a clinical modification for diagnoses (ICD-10-CM) as well as a procedure coding system for inpatient use (ICD-10-PCS).
According to the CDC, the adoption of the ICD-10 system will allow the United States to capture more accurate clinical data about populations and enable our healthcare system to compare our data to that of other countries, many of whom have already adopted ICD-10 in full. The CDC indicates that the newest update will improve our collective data in the following areas: (taken from http://www.cdc.gov/nchs/icd/icd10cm_pcs_background.htm)
- Tracking public health conditions (complications, anatomical location)
- Improved data for epidemiological research (severity of illness, co-morbidities)
- Measuring outcomes and care provided to patients
- Making clinical decisions
- Identifying fraud and abuse
- Designing payment systems/processing claims
In August 2015, Chestphysician.org published a useful reference sheet of ICD-10 coding for chronic lower respiratory disease to include COPD. We hope you will find this clear one-page summary useful in your everyday practice as you become accustomed to the new guidelines! Download the PDF below.
(And don’t worry; we don’t expect the newest update to the tool – ICD-11 – to debut until 2018.)