ICD Top 10

Andrew Slotnick

At GE Healthcare IT we have been spending a fair amount of time discussing the pending impact of ICD-10 and we have tried to do so through multiple lenses. What makes this issue dynamic, in my opinion, is that the impact will be felt primarily by providers and less so by patients. At GE Healthcare IT, we are committed to developing solutions such as Centricity Practice Solution that will minimize potential disruptions, such as ICD-10 for our customers.  Therefore it is critical that we understand exactly how ICD-10 will look, feel and sound to our customers, within the context of their daily workflows.

That process has taken us to incredible levels of granularity, examining the impact of ICD-10 from both a top down and bottom up approach. In this case I would consider product development efforts to be the top down approach and understanding the conversations that our customers will be having with patients and HMOs to be the bottom up approach.

Top Down

I will elaborate in greater detail on the exciting product developments we have planned with our next release of Centricity Practice Solution in my next blog post so stay tuned, but I will touch briefly on how those product attributes will impact our customers now. What we know is that the number of codes in ICD-10, as compared to the existing set of codes in ICD-9, will represent something similar to an explosion for our customers, close to a 5X increase. Introducing a solution that will help key stakeholders efficiently navigate this massive expansion within the context of various practice settings, depends on one that facilitates strong communication and repeatable workflows. Solutions that help medical staff work with administrative staff to capitalize on some of the potential benefits of ICD-10, including more streamlined billing and faster payments, will define Centricity Practice Solution.

Bottom Down

We have looked so closely at the new set of billing codes, to develop the product improvements alluded to above, and considered some of the potential conversations that our customers will have with patients that it is honestly hard not to interject some fun to the conversation at this point. In other words, while the scenarios represented in my “ICD top 10 codes” may exist today, we can all sleep more soundly knowing that as of October 1st 2014, there will be no confusion on how to bill for them.

ICD top 10 codes

10. W21: Striking against or struck by sports equipment (incl: hockey stick or puck)

9.  W53.0: Contact with a mouse

8. V89.73: Person outside of dune buggy injured in non-traffic accident.

7. V91.07XD Burn due to water skies on fire, subsequent encounter

6. W89.1 Struck by a dolphin

5. T75.3: Motion sickness

4. Y93.G2: Activity, grilling and smoking food

3. W59.22: Struck by turtle

2. V91.35X5: Hit or struck by falling object due to accident to canoe or kayak

1. W899.1: Exposure to tanning bed

After looking at this list, I may reconsider my initial statement about the impact of ICD 10 codes on patients. While I still believe that the lion’s share of it will be felt by providers, after spending some time reviewing these codes, it certainly seems that with this expansive new code list comes a world of possibility for patient care also.


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