ICD-10 Codes

ICD-10 Codes

QS/1 has implemented First Databank (FDB) Medical LexiconTM 2.0. A new file is loaded during clinical updates that contains ICD-9 and ICD-10 files from FDB. Updated patient, prescription, outcomes, price plans, etc. and any checks/billing (clinical) records to use Lexicon 2.0 for ICD-9 and ICD-10. New fields and functions include:

Store Control, Pricing Options, Price Plans, Plan Parameter Options

• Renamed Send Diagnosis Code to Send ICD-9 Diagnosis Code

• Added Send ICD-10 Diagnosis Code. Default = Unchecked

• Both options cannot be selected. If both are checked and saved, the message, Only ICD-9 Diagnosis Code or ICD-10 Diagnosis Code is Allowed, displays.

Store Control, Pricing Options, Price Plans, Messages

• Renamed the Price Plan Message ICD-9 is Blank to Rx Diagnosis is Blank or Wrong Type. The option looks for ICD-9 or ICD-10 when filling or refilling a prescription. If the System Date is PRIOR to 10/01/2015, the ICD-9 Code is populated. If the System Date is EQUAL to or AFTER 10/01/2015, the ICD-10 Code is populated.

• Updated the Price Plan Message Diagnosis Required for Drug to look for ICD-9 or ICD-10 when filling or refilling a prescription. If the System Date is PRIOR to 10/01/2015, the ICD-9 Code is populated. If the System Date is EQUAL to or AFTER 10/01/2015, the ICD-10 Code is populated.

Store Control, Store Level Options, Clinical Checking

• Added Display Warning if Patient ICD-10 is Blank. Default = Unchecked.

Patient Record

• When the Patient Record is accessed and the clinical checking option above (Display Warning if Patient ICD-10 is Blank) = Y, a warning displays when ONLY ICD-9 Medical Conditions exist for the patient. This message continues to display until an ICD-10 Code is added to the Patient Record, Medical Conditions screen.

  

• The Patient Record Medical Conditions screen incorporates new fields and functionality for ICD-10 Codes. Changes include:

  

• • Adding No Known Medical Conditions

   

  • Renamed ICD-9 column to Code

   

  • Added Type column to the right of Code. This column displays ICD-9, ICD-10 or both. Select the Type from the Display Options drop-down list.

   

• The Patient Chart Progress Notes screen displays updated Patient Medical and Alternate Conditions when New Note is selected from Patient Progress Notes. Before October 2014, ICD-9 Codes display first, then ICD-10 Codes. After October 2014, ICD-10 Codes display first, then ICD-9 Codes.

  

e-Prescription New Order Screens

• Added Diagnosis field on Step 2 - New Electronic Prescription From Prescriber. If the ICD Code Type = 01, 02 or 03, it is saved as ICD-10.

Rx Processing

• Updated Bill through HME program to send the Rx Diagnosis/Medical Condition as ICD-9 or ICD-10.

Clinical Checking

• Updated Clinical Checking for Patient Medical Conditions and Drug-Disease Contraindication to use the FDB Medical Lexicon 2.0 tables.

Fastclaim

• Updated process for Primary, Secondary and Tertiary claim transmittal to submit up to five (5) Rx Diagnosis Codes as ICD-9 or five (5) Rx Diagnosis Codes as ICD-10. The diagnosis submitted is determined by the Price Plan setting.

Security Journals

• Updated the Patient Security Journal - Medical Condition Type M0 for ICD-10

• Updated the Prescription File - Rx Diagnosis for Type ICD-10

Price Plan/Patient Record Batch File Updates

• Added the option to update ICD-9 and ICD-10 Codes in the batch update process.

File Maintenance

• Updated Store Information, Patient, Patient Outcome and Rx File to include additional fields for ICD-10 changes. Maintenance options include Copy, Clear, Reload, Automatic File Purge, Compress and Rebuild Key. This change does not apply to new FDB Files.

Clinical Data CD Updates

• Updated programs that load FDB Clinical Files from CD to include FDB FML 2.0 Files.

Updated reports to support ICD-10 Codes. Added the report, Patient Medical Conditions List, to the Patient report menu. Click here for Select, Sort and Print Options. Click here for a sample report.

Updated Label Routines to support ICD-10 Codes:

• Routine 483 = ICD:

• Routine 496 = RX ICD Code

• Routine 497 = RX ICD Description

Nursing Home Forms that print ICD-9 codes now have the option to print ICD-10 Codes.

Updated batch third party forms that currently print ICD-9 Codes to print ICD-10 Codes. A new box on the 02-12 1500 Form indicates if an ICD-9 or ICD-10 is printed. 9 = ICD-9 and 0 = ICD-10.

Updated HME Compliance Documentation to incorporate ICD-10 Codes when printing Mobility Assistive Equipment (MAE) Forms and Physician Orders.