The following information will help answer many common ICD-10 questions and will guide you through the ICD-10 process in pMD.ADMINHow do we convert ICD-9 codes to ICD-10 codes for our group? Users with a Supervisor or Biller account will have a red ICD-10 button next to their group’s name on the Home page. Click on this badge to begin the process of updating your existing diagnosis list to an ICD-9 + ICD-10 diagnosis list. You will see both the ICD-9 and ICD-10 codes in pMD.What happens to the codes in our list that we don’t use? The system will remove any codes that have never been used by your group (for groups that have been using pMD for 6+ months) to help keep your list manageable.How will the names of our diagnoses change when we update our list with ICD-10 codes? If an ICD-9 code has a single matching ICD-10 code, then pMD keeps the existing name from your list without changing it. If an ICD-9 code has multiple matching ICD-10 codes, then pMD uses the existing name from your list and attaches more specificity such as "Left" or "Right" to the end. Your administrators can then manually customize the names further.How do we name the ICD-10 codes that could not be automatically updated by the system? The system will perform an automatic update to many of the common diagnosis codes in your list. After that step, you will be able to customize the remaining codes manually. Use the descriptions on the right to guide you as you update or rename each new ICD-10 code. Uncheck the blue box if you do not want to add the code to your list. Click on the original display name if you want to change it to better match the ICD-10 code.
Do we have to do anything with the codes that were automatically updated? Yes! It’s important to review your entire diagnosis list to make sure you are happy with the names and make necessary edits. For example, ICD-9 code 682.3 “Cellulitis/Abscess” maps to separate ICD-10 codes for “Cellulitis” and “Abscess” so the original phrase may need to be edited.Why are some of the visits showing up with red codes and a strikethrough? Visits already in Approved, Queued, or Billed status may have ICD-9 codes in red with a strikethrough, which means that these old ICD-9 codes now have a more specific ICD-10 code counterpart. The visit was created before the codes were converted to ICD-10. The red codes are harmless and can be ignored. Groups with interfaces should not be affected by these red codes.
When should we run the ICD-10 Converter? As soon as possible! (read: not on October 1st) Updating your diagnosis list now will give you more time to make changes to your code list and will give your providers more time to become accustomed to choosing more specific diagnoses on visits.What happens when we add a new diagnosis code after the conversion? New diagnosis codes will be added to your list as ICD-9 codes. Click on the “Convert” button from the diagnosis list, or click on the “Convert to ICD-10” link from your Admin tab.
PROVIDERS
What will the providers see on their mobile devices? The ICD-10 diagnosis list will look very similar to the list they have already been using. The original ICD-9 name will remain the same and will have the additional ICD-10 specificty added on. All diagnoses will display with both the ICD-9 and ICD-10 codes.
Do our providers need to have a minimum version of pMD on their mobile devices for ICD-10? No, but pMD version 8.7 and higher has new ICD-10 features! View the Homepage when you log in to find out which providers, if any, are not running version 8.7+.What happens to diagnoses that pull forward from a visit entered before the ICD-10 transition? Some ICD-10 codes map to a single ICD-10 code, and these codes will automatically update in pMD. However, many of the original ICD-9 codes in your diagnosis list will map to more than one ICD-10 code. So when an old ICD-9 code pulls forward on a new visit, they will need to select a more specific ICD-10 code for the visit. This is a one-time update after the conversion to phase out any old ICD-9 codes on past visits. Tap on the gold triangle to choose a new code from the pre-populated list of ICD-10 codes that the original ICD-9 code has mapped to.
Last modified: September 12, 2015