Do you know how much documentation you will need to accurately assign an ICD-10-CM code? ICD-10-CM uses three to seven alpha and numeric digits and full code titles, even though the format is very much the same as ICD-9-CM (e.g., ICD-10-CM has the same hierarchical structure as ICD-9-CM).
The changes in ICD-10-CM are in its organization and structure, code composition, and level of detail. This new ICD-10-CM structure will allow for further expansion that was previously not possible with ICD-9-CM because more positions in more chapters are left open and available for future modifications.
Let’s take look at acne, one of the most frequently reported conditions in a dermatology practice. In ICD-9-CM we code acne as 706.1, whereas in ICD-10-CM we need to have enough information provided in the patient medical record to define which type of acne the patient is presenting.
ICD-10-CM has eight codes for acne, as follows:
Excludes 2 acne keloid (L73.0)
L70.0 Acne vulgaris
L70.1 Acne conglobata
L70.2 Acne variolifornis
Acne necrotica miliaris
L70.3 Acne tropica
L70.4 Infantile acne
L70.5 Acn’ excorl’e des jeunes filles
L70.8 Other scne
L70.9 Acne, unspecified