Document Type

Research Project

Publication Date

12-2014

Abstract

Today, the International Classification of Diseases, Ninth Revision, Clinical Modification is more than 35 years old and there is a great need for the United States of America to implement the International Classification of Diseases, Tenth Revision. The International Classification of Diseases, Tenth Revision has two parts: The International Classification of Diseases, Tenth Revision, Clinical Modification for diagnosis codes and The International Classification of Diseases, Tenth Revision, Procedure Coding System for inpatient procedure codes. Both classification systems incorporate greater specificity, clinical data, and information relevant to ambulatory and to managed-care encounters. With the greater specificity, it is imperative for clinical documentation specialists to work side-by-side with physicians and with clinical staff to educate them on the changes from the International Classification of Diseases, Ninth Revision to the International Classification of Disease, Tenth Revision. Clinical documentation specialists are also needed to assist in the rise in physician queries. This can cause delayed coding of medical charts and delayed patient and/or insurance billing. However, with the help from the Clinical Documentation Improvement team, physicians can receive the proper education and training needed for a smooth transition to the International Classification of Diseases, Tenth Revision, Clinical Modification and Procedure Coding System.

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