ICD-10 Codes in the Healthcare Field

ICD-10 codes are the newest and most updated version of coding we have in the United States since ICD-9 codes that were implemented in 1979. The update to the coding is meant to provide more specific and accurate documentation for diagnosis and patient procedures for everyone that is covered by the Health Insurance Portability Accountability Act (HIPAA) and those who submit Medicare or Medicaid claims.

ICD-10 codes consist of anywhere between three and seven characters and these codes allow for more than 14,000 different codes and can also be used with optional sub-classifications.

The new coding system allows physicians and scribes to select a more precise and accurate diagnosis. Scribes document the codes in real time which provides the improved accuracy and a more complete documentation process.

With the implementation of the new coding system that was begun in 2015, it has provided some benefits for healthcare facilities including, but not limited to:

  • More accurate and precise coding
  • Less down coded charts and decreased lack of documentation
  • Physicians can spend more time with the patients and less time on the computer

Terminology and different advancements in technology have received updates and reflect current practices, devices that are being used, and better descriptions of methodology.

A medical scribe is a valuable asset to have when dealing with the coding system. A reduced number of errors can lead to a higher financial return on the investment of hiring the extra assistance. The codes are documented in real time, so there is little room for error, and the scribes are being trained to understand this system and medical terminology which makes it possible for the physician to spend less time entering this information into the system, and instead can spend more time with their patients.

With the help of a medical scribe, the charts will be filled out correctly and accurately with more specific terminology. The healthcare facility can potentially save millions with these complete documents, and all of the details discussed can be found in the diagnosis. The provider can now name the section of the body, the body system and the body parts involved. They can also list the approach that is used, which devices were used, as well as other qualifiers in the coding for the diagnosis.

Medical scribes have made the transition from ICD-9 to the ICD-10 coding quick and easy. At ProScribe MD, we can offer you the valuable assistance of one our professionally trained scribes to assist with all aspects of the office. The scribe can ultimately be one of the physician’s strongest and biggest assets in the office.