ICD-10 LifeLine for physicians - Feb. 26
Welcome to the fourth edition of the ICD-10 Lifeline. We are excited to announce that the ICD-10
Lifeline is now more accessible than ever! All issues of the ICD-10 Lifeline (past and present) have been
added to the Physician Portal (http://dr.beaumont.edu) along with a ICD-10 Countdown clock to remind
us that the migration to ICD-10 is coming soon. Look for the link on the right side of the home page, just
underneath the “Quick Links” section.
ICD-10 Diagnosis & Documentation Tip of the Week
In the last issue of the ICD-10 Lifeline, we emphasized the redundancy built into the new code set. The
diagnosis we are covering this week, Congestive Heart Failure, shows that some of this redundancy was
present in the ICD-9 code set.
Diagnosis: Congestive Heart Failure
Key Documentation Requirements:
Severity: Acute, Chronic, Acute on Chronic
Type: Systolic, Diastolic, Combined systolic and diastolic
Etiology, if known (e.g. due to dilated cardiomyopathy)
ICD-9
428.0
428.1
428.20
428.21
428.22
428.23
Descriptor
Congestive Heart Failure unspecified
Left heart failure
Systolic heart failure, unspecified
Systolic heart failure, acute
Systolic heart failure, chronic
Systolic heart failure, acute on chronic
ICD-10
I50.9
I50.1
I50.20
I50.21
I50.22
I50.23
428.30
428.31
428.32
428.33
428.40
Diastolic heart failure, unspecified
Diastolic heart failure, acute
Diastolic heart failure, chronic
Diastolic heart failure, acute on chronic
Combined systolic and diastolic heart
failure, unspecified
Combined systolic and diastolic heart
failure, acute
Combined systolic and diastolic heart
failure, chronic
Combined systolic and diastolic heart
failure, acute on chronic
I50.30
I50.31
I50.32
I50.33
I50.40
428.41
428.42
428.43
I50.41
I50.42
I50.43
Descriptor
Heart failure, unspecified
Left ventricular failure
Unspecified systolic (congestive) heart failure
Acute systolic (congestive) heart failure
Chronic systolic (congestive) heart failure
Acute on chronic systolic (congestive) heart
failure
Unspecified diastolic heart failure
Acute diastolic (congestive) heart failure
Chronic diastolic heart failure
Acute on chronic diastolic heart failure
Unspecified combined systolic and diastolic
(congestive) heart failure
Acute combined systolic and diastolic
(congestive) heart failure
Chronic combined systolic and diastolic
(congestive) heart failure
Acute on chronic combined systolic and
diastolic heart failure
428.9
Heart failure, unspecified
I50.9
Heart failure, unspecified
When diagnosing CHF, it is key to document the severity, type and etiology of the problem along with
the diagnosis.
Note: If you have a diagnosis that you would like to see discussed in a future issue, please let us know by
taking the survey below!
IT Update
Information Technology is preparing for Stage 2 conversion of oneChart, also known as Clinical Go Live,
which allows users to get familiar with ICD-10 codes and workflows. To assist clinicians, oneChart will
offer a new feature called Diagnosis Calculator. The Diagnosis Calculator will appear during clinical
workflow when adding a diagnosis and help guide the clinicians with options to select from a Generic
term to a Specific term.
For example, consider a patient with the problem “Broken Nose,” which is a generic term. The Diagnosis
Calculator prompts the clinician for the required details, such as fracture type (closed fracture or open
fracture).
Stay tuned for more information and education tools.
Training & Education Update
We are listening to your feedback! Based off of suggestions gathered from surveys and our physician
champion group, we are looking at many different ways for getting ICD-10 material out to Beaumont
physicians, including some options that are worth CME credit.
We already are working on presenting ICD-10 material at department Grand Rounds and staff meetings.
Please check with your meeting coordinators to see if your department has one of these presentations
scheduled.
We’re also considering several other training and education opportunities and will keep you informed as
plans are finalized:
- Implementing computer-based training material for physicians to review.
- Broadcasting ICD-10 training material on TVs inside of physician break rooms.
- Printing pocket-sized tip sheets detailing increased documentation requirements.
In the meantime, if you have a suggestion for another way we could get this information out to out
physicians, please let us know using this month’s survey!
Give us your feedback through our short online survey
We hope you found this edition of the Lifeline to be useful!
Please take just a couple of minutes to answer our four-question survey here:
https://www.surveymonkey.com/s/SQ3XYRX
Thank you for reading! Look for the next issue to come out on Mar. 12.
For questions, concerns and suggestions, please contact:
ICD-10 Lifeline – Tom Schuelke, thomas.schuelke@beaumont.edu, ext. 11181 (248-551-1181)
IT / oneChart – Pam Muller, pmuller@beaumont.edu, ext. 72810 (248-597-2810)
Coding – Sheila Bowlds, sbowlds@beaumont.edu, ext. 15002 (248-551-5002)
Rochelle Cooper, rcooper@beaumont.edu, ext. 15120 (248-551-5120)