OBJECTIVES
1
ICD-10 BASICS REVIEW
2
BILLING UPDATES
3
ADDITIONAL INFORMATION
& RESOURCES
02/23/2015
2
ICD-10 BASICS REVIEW
ICD-10 was created to replace the current coding system, ICD-9. Florida Medicaid, following
the federal mandate, requires that ICD-10 codes MUST be used for all professional claims with
dates of service on or after 10/01/2015. Institutional claims MUST also use ICD-10 for all
claims with discharge dates on or after 10/01/2015.
BENEFITS OF ICD-10 INCLUDE
 Greater accuracy and detail within a single code
 Improved patient care management
 Boost efficiencies by identifying specific health
conditions, diagnoses, and procedures
 More precise quality measures
02/23/2015
4
ICD-10 BASICS REVIEW
GREATER ACCURACY & DETAIL WITHIN A SINGLE CODE
 A single ICD-10 code contains more detail and can
include laterality and encounter data.
 ICD-9 has nearly reached its capacity for growth at
approximately 13,000 codes. With the implementation
of ICD-10, the number of available codes will increase
to approximately 68,000.
 Sense organs are now separate from nervous system
disorders.
 Injuries are grouped by anatomical site (ex. injuries of
the head, injuries of the leg) instead of injury category
(fracture, bruise).
 Postoperative complications are now part of the
specific body system chapter.
02/23/2015
5
ICD-10 BASICS REVIEW
IMPROVED PATIENT CARE MANAGEMENT
 Improve patient care in targeted
areas.
 Identify candidates as their diagnosis
will be more specific.
 Track severity of conditions and
measure a patient’s progress if their
disease becomes less severe.
 Identify disease clusters and design
education programs and care
management programs for patients.
02/23/2015
6
ICD-10 BASICS REVIEW
INCREASED EFFICIENCIES
 ICD-10 codes could provide an
opportunity for more efficient care
and processing of claim payments.
 Ability to identify procedures that are
more effective and cost efficient
leading to greater savings.
 More information provided on the
claim which may reduce the need to
request additional information from
providers in making payment
decisions.
02/23/2015
7
ICD-10 BASICS REVIEW
MORE PRECISE QUALITY MEASURES
 Use more specific diagnostic information to
determine whether patients are getting the
right care at the right time.
 Measure the severity of patient conditions
enabling plans to track improvement in a
patient’s health.
 Perform comparisons among providers, among
treatment patterns, and between the health
care covered population and other populations.
02/23/2015
8
ICD-10 BASICS REVIEW
ICD-10 CONSISTS OF TWO PARTS
1
ICD-10
2
ICD-10-CM (Clinical Modification)
Refers to ICD-10’s diagnosis coding system.
ICD-10-PCS (Procedure Coding System)
Refers to ICD-10’s inpatient surgical procedure coding
system.
02/23/2015
9
ICD-10 BASICS REVIEW
NO DIRECT CROSSWALK
Due to the increased specificity of ICD-10-CM, there may not always be a direct
one-to-one code conversion between ICD-9 and ICD-10. Therefore the use of GEMs
(General Equivalence Mappings) tools developed by CMS (Centers for Medicare &
Medicaid Services) and the CDC (Centers for Disease Control and Prevention) can
guide code conversion and training activities, but it is not a direct crosswalk of ICD-9
and ICD-10 codes. Providers should not rely on GEMs as a substitute for
implementing ICD-10, learning to use the ICD-10 code sets, and coding directly in
ICD-10.
ICD-9
CROSSWALK
ICD-10
02/23/2015
10
ICD-10 BASICS REVIEW
NO DIRECT CROSSWALK
One-to-One
Some ICD-9-CM codes map easily to ICD-10-CM in a simple one-to-one conversion.
For example, the ICD-9-CM code 796.2 (Elevated blood pressure reading without
diagnosis of hypertension) converts directly to ICD-10-CM code R03.0. However,
an exact map does not always mean that the codes match in detail.
1:1
1:24
1:4
1:2,530
One-to-Four
Other codes will require additional information to map for possible solutions. For
example, the ICD-9-CM code 649.51 (spotting complicating pregnancy) requires
information about weeks in pregnancy to map. There are four options: O26.851
(spotting complicating pregnancy, first trimester), O26.852 (spotting complicating
pregnancy, second trimester), O26.853 (spotting complicating pregnancy, third
trimester), and 026.859 (spotting complicating pregnancy, unspecified trimester).
One-to-Twenty-Four
Some codes require significantly more specificity and map into many more ICD-10-CM code set selections. For example, the
ICD-9-CM code 806.4 (closed fracture of lumbar spine with spinal cord injury) has 24 corresponding ICD-10-CM codes, requiring
a selection from one of the six scenarios, information about the type of injury and the level of lumbar spinal cord affected.
One-to-2,530
In an extreme example, the ICD-9-CM code 733.82 (other disorders of bone and cartilage, nonunion of fracture) has 2,530
corresponding ICD-10-CM codes due to the degree of specificity required in ICD-10-CM.
02/23/2015
11
ICD-10 BASICS REVIEW
NO DIRECT CROSSWALK
One-to-One
Some ICD-9-CM codes map easily to ICD-10-CM in a simple one-to-one conversion. For example, the
ICD-9-CM code 796.2 (Elevated blood pressure reading without diagnosis of hypertension) converts
directly to ICD-10-CM code R03.0. However, an exact map does not always mean that the codes match
in detail.
ICD-9-CM
ICD-10-CM
796.2 Elevated blood pressure reading without
diagnosis of hypertension.
R03.0 Elevated blood-pressure reading, without diagnosis of
hypertension.
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12
ICD-10 BASICS REVIEW
NO DIRECT CROSSWALK
One-to-Four
Other codes will require additional information to map for possible solutions. For example, the ICD-9-CM
code 649.51 (spotting complicating pregnancy) requires information about weeks in pregnancy to map.
There are four options: O26.851 (spotting complicating pregnancy, first trimester), O26.852 (spotting
complicating pregnancy, second trimester), O26.853 (spotting complicating pregnancy, third trimester), and
026.859 (spotting complicating pregnancy, unspecified trimester).
ICD-9-CM
ICD-10-CM
649.51 Spotting complicating pregnancy.
O26.851
O26.852
O26.853
O26.859
Spotting complicating pregnancy, first trimester.
Spotting complicating pregnancy, second trimester.
Spotting complicating pregnancy, third trimester.
Spotting complicating pregnancy, unspecified trimester.
02/23/2015
13
ICD-10 BASICS REVIEW
NO DIRECT CROSSWALK
One-to-Twenty-Four
Some codes require significantly more specificity and map into many more ICD-10-CM code set selections.
For example, the ICD-9-CM code 806.4 (closed fracture of lumbar spine with spinal cord injury) has 24
corresponding ICD-10-CM codes, requiring a selection from one of the six scenarios, information about the
type of injury and the level of lumbar spinal cord affected.
ICD-9-CM
ICD-10-CM
806.4 Closed fracture of lumbar spine with spinal
cord injury.
SCENARIO 1
S34.109A or
S34.119A or
S34.129A with
S32.009A
SCENARIO 3
S34.102A or
S34.112A or
S34.122A with
S32.029A
SCENARIO 5
S34.104A or
S34.114A or
S34.124A with
S32.049A
SCENARIO 2
S34.101A or
S34.111A or
S34.121A with
S32.019A
SCENARIO 4
S34.103A or
S34.113A or
S34.123A with
S32.039A
SCENARIO 6
S34.105A or
S34.115A or
S34.125A with
S32.059A
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ICD-10 BASICS REVIEW
NO DIRECT CROSSWALK
One-to-2,530
In an extreme example, the ICD-9-CM code 733.82 (other disorders of bone and cartilage, nonunion of
fracture) has 2,530 corresponding ICD-10-CM codes due to the degree of specificity required in ICD-10-CM.
ICD-9-CM
ICD-10-CM
733.82 Other disorders of bone and cartilage,
nonunion of fracture.
02/23/2015
15
ICD-10 BASICS REVIEW
ICD-10-PROCEDURE CODING SYSTEM (PCS)
 PCS is a type of inpatient surgical procedure
coding system new to ICD-10 and was
created for inpatient hospital use ONLY.
 PCS codes require all 7 characters, unlike the
current ICD-9-CM surgical procedure coding
system that requires only 3-4 characters.
 Each character is either alpha (not case
sensitive) or numeric.
 Letters O and I are not used to avoid
confusion with numbers 0 and 1.
 The fourth character always refers to the
body part involved in the procedure.
02/23/2015
16
ICD-10 BASICS REVIEW
FOUR MAIN GOALS ACHIEVED WITH PCS
1. Unique coding for procedures, so that
they could be clearly distinguished.
2. Room for expansion, as new
procedures and devices are used.
3. A standardized, common
understanding of terminology that
reflects the current practice of
medicine.
4. A consistency in coding.
02/23/2015
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ICD-10 BASICS REVIEW
ICD-10-PCS CODE STRUCTURE
ICD-10-PCS
Excision of right lower arm and wrist tendon, open approach
0
L
B
5
0
Z
Z
Character 1
Character 2
Character 3
Character 4
Character 5
Character 6
Character 7
SECTION
BODY
SYSTEM
ROOT
OPERATION
BODY PART
APPROACH
DEVICE
QUALIFIER
1. SECTION Determines the broad procedure category where
the code is found. Example: Medical and Surgical.
5. APPROACH Defines the technique used to reach the
procedure site. Example: Open.
2. BODY SYSTEM Defines the general anatomical region
involved. Example: Tendons.
3. ROOT OPERATION Defines the objective of the procedure.
Example: Excision.
6. DEVICE Depending on the procedure, there may or may not
be a device left in place. Devices fall into four categories:
Grafts and Prostheses, Implants, Simple or Mechanical
Appliances, and Electronic Appliances. No device is
represented by the value Z.
4. BODY PART Defines the specific anatomical site.
Example: Lower arm and wrist, right.
7. QUALIFIER Can specify an additional attribute of the
procedure. No Qualifier is represented by the value Z.
02/23/2015
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ICD-10 BASICS REVIEW
A CLOSER LOOK AT ICD-10-PCS
To better understand ICD-10 Procedure Codes, we take a closer look and examine each
character of ICD-10-PCS code OLB50ZZ.
ICD-10-PCS
Excision of right lower arm and wrist tendon, open approach
0
L
B
5
0
Z
Z
Character 1
Character 2
Character 3
Character 4
Character 5
Character 6
Character 7
SECTION
BODY
SYSTEM
ROOT
OPERATION
BODY PART
APPROACH
DEVICE
QUALIFIER
02/23/2015
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ICD-10 BASICS REVIEW
A CLOSER LOOK AT ICD-10-PCS
ICD-10-PCS
Excision of right lower arm and wrist tendon, open approach
0
L
B
5
0
Z
Z
Character 1
Character 2
Character 3
Character 4
Character 5
Character 6
Character 7
SECTION
BODY
SYSTEM
ROOT
OPERATION
BODY PART
APPROACH
DEVICE
QUALIFIER
A procedure is divided into sections that identify the type of procedure performed in a hospital
inpatient setting. These sections are designated by an identifier which is a number or letter. In
this example, the SECTION is Medical and Surgical, represented by the value of 0.
There are sixteen sections, represented by the number 0 through 9 and the letters B through D
and F through H.
02/23/2015
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ICD-10 BASICS REVIEW
A CLOSER LOOK AT ICD-10-PCS
02/23/2015
21
ICD-10 BASICS REVIEW
A CLOSER LOOK AT ICD-10-PCS
ICD-10-PCS
Excision of right lower arm and wrist tendon, open approach
0
L
B
5
0
Z
Z
Character 1
Character 2
Character 3
Character 4
Character 5
Character 6
Character 7
SECTION
BODY
SYSTEM
ROOT
OPERATION
BODY PART
APPROACH
DEVICE
QUALIFIER
The body system is defined as the general physiological system or anatomical region involved.
Each body system contains a list of anatomical region such as lower arteries, central nervous
system, and respiratory system. In this example, the BODY SYSTEM is Tendons, represented by
the value L.
02/23/2015
22
ICD-10 BASICS REVIEW
A CLOSER LOOK AT ICD-10-PCS
ICD-10-PCS
Excision of right lower arm and wrist tendon, open approach
0
L
B
5
0
Z
Z
Character 1
Character 2
Character 3
Character 4
Character 5
Character 6
Character 7
SECTION
BODY
SYSTEM
ROOT
OPERATION
BODY PART
APPROACH
DEVICE
QUALIFIER
The root operation or the objective of the procedure is the third character of an ICD-10-PCS
code. Each anatomical region offers a list of procedures to choose from such as bypass,
drainage, and reattachment. In this example, the ROOT OPERATION is Excision, represented by
the value B.
02/23/2015
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ICD-10 BASICS REVIEW
A CLOSER LOOK AT ICD-10-PCS
ICD-10-PCS
Excision of right lower arm and wrist tendon, open approach
0
L
B
5
0
Z
Z
Character 1
Character 2
Character 3
Character 4
Character 5
Character 6
Character 7
SECTION
BODY
SYSTEM
ROOT
OPERATION
BODY PART
APPROACH
DEVICE
QUALIFIER
The body part informs where the procedure was performed. The body part along with the body
system provides a precise description of the procedure site. Examples of body parts are
kidney, tonsils, and thymus. In this example, the BODY PART is Lower Arm and Wrist, Right,
represented by the value 5.
02/23/2015
24
ICD-10 BASICS REVIEW
A CLOSER LOOK AT ICD-10-PCS
ICD-10-PCS
Excision of right lower arm and wrist tendon, open approach
0
L
B
5
0
Z
Z
Character 1
Character 2
Character 3
Character 4
Character 5
Character 6
Character 7
SECTION
BODY
SYSTEM
ROOT
OPERATION
BODY PART
APPROACH
DEVICE
QUALIFIER
The approach is the technique used to reach the procedure site. Examples of techniques are
open, percutaneous, and percutaneous endoscopic. In this example, the APPROACH is Open,
represented by the value 0.
02/23/2015
25
ICD-10 BASICS REVIEW
A CLOSER LOOK AT ICD-10-PCS
ICD-10-PCS
Excision of right lower arm and wrist tendon, open approach
0
L
B
5
0
Z
Z
Character 1
Character 2
Character 3
Character 4
Character 5
Character 6
Character 7
SECTION
BODY
SYSTEM
ROOT
OPERATION
BODY PART
APPROACH
DEVICE
QUALIFIER
There may or may not be a device left in place depending on the procedure performed. There
are four categories to select from: grafts and prostheses, implants, simple or mechanical
appliances, and electronic appliances. In this example, there is no DEVICE used in the
procedure. The value Z is used to represent ‘No Device’.
02/23/2015
26
ICD-10 BASICS REVIEW
A CLOSER LOOK AT ICD-10-PCS
ICD-10-PCS
Excision of right lower arm and wrist tendon, open approach
0
L
B
5
0
Z
Z
Character 1
Character 2
Character 3
Character 4
Character 5
Character 6
Character 7
SECTION
BODY
SYSTEM
ROOT
OPERATION
BODY PART
APPROACH
DEVICE
QUALIFIER
The qualifier is the seventh character which specifies any additional attribute of the procedure.
Qualifier choices will vary depending on the device selected. In this example, since there was
no device used, there is no specific QUALIFIER applicable to this procedure. The value Z is used
to represent ‘No Qualifier’.
02/23/2015
27
BILLING UPDATES
PAPER CLAIMS
CMS-1500 CLAIM FORM (VERSION 02/12)
Important: As of April 1, 2014, Florida Medicaid discontinued use of CMS-1500 (version 08/05). Medicaid
currently accepts only CMS-1500 form (version 02/12) for filing claims.
02/23/2015
29
BILLING UPDATES
PAPER CLAIMS
CMS-1500 CLAIM FORM (VERSION 02/12)
1
2
Changes: Locator 21 Diagnosis or Nature of Illness or Injury
1.
An ICD Indicator Field has been added to the claim form. Using this new ICD Indicator Field, providers will
enter “9” if billing with ICD-9 codes or “0” if billing with ICD-10 codes. This will help Florida Medicaid
determine how to process the claim. Claims that do not contain a 9 or 0 will be returned to the Provider
(RTP).
2.
In fields A-L, enter the codes to identify the patient’s diagnosis and/or condition. List no more than 12
ICD-9 or ICD-10 diagnosis codes.
For more information including training and documents, we encourage you and your staff to visit the
CMS-1500 Transition page under the Agency Initiatives menu on the Florida Medicaid Web Portal.
02/23/2015
30
BILLING UPDATES
PAPER CLAIMS
UB-O4 CLAIM FORM
1
2
Changes: Locator 66 and Location 74
1.
Locator 66 field is used for diagnosis code indicator. Providers will need to enter the qualifier that
identifies the version of ICD reported:
9 – Ninth Revision
0 – Tenth Revision
2.
When filling an Institutional claim, Locator 74 field should display an ICD-10-PCS code.
02/23/2015
31
BILLING UPDATES
ELECTRONIC CLAIMS (WEB PORTAL)
PROFESSIONAL AND INSTITUTIONAL CLAIMS
1
2
Changes: Version and Diagnosis Code
1.
As of 10/01/2015, the version selection for the Diagnosis section on Professional and Institutional
claims will default to ICD-10. Providers who file a claim with a date of service (DOS) prior to 10/01/2015
will need to change the version indicator to ICD-9.
2.
Diagnosis codes should not be entered in the Web Portal with a decimal point after the third character.
02/23/2015
32
BILLING UPDATES
ELECTRONIC CLAIMS (WEB PORTAL)
PROFESSIONAL AND INSTITUTIONAL CLAIMS
1
Change: ICD-9 Qualifier
1.
Providers will now see a new qualifier in the diagnosis panel.
Qualifiers will be systematically entered based on the
submission of ICD-9 or ICD-10 codes. Currently, since only
ICD-9 diagnosis codes are being accepted at this time,
providers will see qualifiers indicating ICD-9 entries (BK and
BF) via the Web Portal.
Qualifier BK indicates the ICD-9 Principal Diagnosis
Qualifier BF indicates all other ICD-9 Diagnosis
02/23/2015
33
BILLING UPDATES
ELECTRONIC CLAIMS (WEB PORTAL)
PROFESSIONAL AND INSTITUTIONAL CLAIMS
1
Change: ICD-10 Qualifier
1.
When submitting an ICD-10 claim on or after 10/01/2015,
other qualifiers related to ICD-10 (ABK and ABF) will be
systematically assigned to the claim.
Qualifier ABK indicates the ICD-10 Principal Diagnosis.
Qualifier ABF indicates all other ICD-10 Diagnoses.
02/23/2015
34
BILLING UPDATES
ELECTRONIC CLAIMS (WEB PORTAL)
INSTITUTIONAL DDE (DIRECT DATA ENTRY) CLAIMS
1
Reminder: Enter a Procedure Code
1.
When submitting an Institutional DDE claim, remember to
enter a procedure code.
02/23/2015
35
BILLING UPDATES
ELECTRONIC CLAIMS (WEB PORTAL)
ELECTRONIC CLAIMS SUBMISSION
 Single claims submitted electronically through
our Electronic Data Interchange (EDI) system
will need to indicate if ICD-9 or ICD-10 codes
are being submitted.
 Batch claim files can contain both ICD-9 and
ICD-10 codes.
 For all Professional and Institutional 837
transactions, providers will use the
appropriate qualifier (BK, BF, ABK and ABF) in
the header information to indicate whether
ICD-9 or ICD-10 codes are included.
02/23/2015
36
ADDITIONAL INFORMATION & RESOURCES
BILLING REMINDERS
1.
Correct coding practice for Florida Medicaid includes coding to the most specific and appropriate
diagnosis codes on all claims.
2.
Always make sure to indicate whether your claim contains ICD-9 or ICD-10 codes, no matter how
the claim is submitted to Florida Medicaid.
3.
An “Invalid Indicator” message will display if the claim indicator is left blank or if numbers other
than “9” or “0” are entered.
4.
Claims must be submitted with EITHER ICD-9 or ICD-10 codes. Claims submitted with both ICD-9
and ICD-10 codes will be denied.
Edit 701: ICD-10 IMPROPER INDICATOR
This edit will post of an ICD-10 indicator (“0”) is included before the October 1, 2015 ICD-10 implementation date.
Edit 702: INVALID ICD INDICATOR
This edit will post if any indicator other than “9” or “0” is used or if the indicator is left blank.
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ADDITIONAL INFORMATION & RESOURCES
BILLING REMINDERS
Edit 703: DIAGNOSIS CODE IS MISSING INDICATOR PRESENT
This edit will post if the indicator is included but there is no diagnosis code on the claim.
Edit 704: CLAIM CONTAINS AN ICD-9 CODE
This edit will post if an ICD-9 indicator (“9”) is included on claims that have ICD-9 codes with dates of service or discharge date
after 10/01/2015.
Edit 705: CLAIM CONTAINS ICD-9 AND ICD-10 DIAGNOSIS OR PROCEDURE
This edit will post on claims that contain both ICD-9 and ICD-10 qualifiers.
Edit 706: DATE SPAN BETWEEN ICD-9 AND ICD-10
This edit will post on claims where the date of service on claim spans between the September 2015 and October 2015 dates
unless it is an exception.
Edit 707: ICD INDICATOR AND DIAGNOSIS/PROCEDURE QUALIFIER MISMATCH
This edit will post on claims when there is a mismatch between the ICD indicator and diagnosis/procedure qualifier.
02/23/2015
39
ADDITIONAL INFORMATION & RESOURCES
PROVIDER HANDBOOKS
Provider Handbooks affected by the implementation of ICD-10 are currently being revised by
AHCA. Any policy changes related to the ICD-10 implementation will be conveyed to providers
via Provider Alerts. Please check the public Web Portal often for important updates and
announcements related to ICD-10.
Accessing Provider Handbooks
To access Provider Handbooks follow these
steps:
1.
From the Public Web Portal main page,
refer to the Provider left navigation menu.
2.
Click Provider Support  Provider
Handbooks.
02/23/2015
40
ADDITIONAL INFORMATION & RESOURCES
ICD-10 PROVIDER ALERTS
Sign up today for provider alerts by filling out the Florida Medicaid Health Care Alerts form at
http://ahca.myflorida.com/Medicaid/alerts/alerts.shtml.
Provider Alerts are the primary way in which Florida Medicaid alerts the provider community
to important changes and training workshops.
Signing-up To Receive Provider Alerts
To sign-up and receive provider alerts, follow
these steps:
1.
2.
3.
4.
5.
Enter First Name.
Enter Last Name.
Select Field Office.
Select Provider Type.
Click Submit.
02/23/2015
41
ADDITIONAL INFORMATION & RESOURCES
ICD-10 TESTING
AHCA (Agency for Health Care Administration)
continues to work alongside its fiscal agent HP
to complete the remaining system changes.
AHCA and HP look forward to working closely
with the Provider Community, Managed Care
Organizations, and Clearinghouses to ensure
they are prepared for the ICD-10 changes in
10/01/2015.
We encourage you to sign up for provider
alerts to receive announcements regarding
testing and to visit the Florida Web Portal frequently to learn more about ICD-10.
For questions on testing with Florida Medicaid, email icd10_flsupport@hp.com.
02/23/2015
42
ADDITIONAL INFORMATION & RESOURCES
CMS (CENTERS FOR MEDICARE & MEDICAID SERVICES)
Visit the CMS website at http://www.cms.gov for numerous pages containing informational
ICD-10 resources, such as implementation plans, timelines, CMS-sponsored teleconferences,
and more.
02/23/2015
43
ADDITIONAL INFORMATION & RESOURCES
CMS (CENTERS FOR MEDICARE & MEDICAID SERVICES)
Exploring CMS’s ICD-10 Coding Resources
Numerous coding guides and indexes
can be found on the CMS ICD-10 pages.
Within these ICD-10 coding guides,
health care providers can find
information on coding that specifically
pertains to their practice.
Outlined on the next slide are general
steps that can be taken by any specialty
provider to find their own ICD-10 codes.
CMS will continue to issue coding
updates every year, but these same
steps will also apply to future code
tables and indexes.
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44
ADDITIONAL INFORMATION & RESOURCES
CMS (CENTERS FOR MEDICARE & MEDICAID SERVICES)
Navigate to CMS’s ICD-10 Pages
To navigate to CMS’s ICD-10 pages, follow these
steps:
1.
From the CMS.gov home page, select
Medicare from the top menu.
2.
On the Medicare page, scroll down until you
see Coding. Under Coding, click ICD-10.
3.
On the ICD-10 page left menu, click 2015
ICD-10-CM and GEMs.
4.
On the 2015 ICD-10-CM and GEMs page,
under Downloads, select 2015 Code Tables
and Index zip file.
Note: Once the download is complete, open the PDF file titled Tabular.
02/23/2015
45
ADDITIONAL INFORMATION & RESOURCES
CMS (CENTERS FOR MEDICARE & MEDICAID SERVICES)
Finding ICD-10-CM Codes
To find ICD-10-CM codes using the PDF file titled
Tabular, follow these steps:
1.
Start at the Table of Contents page and
select a chapter related to the code for which
you wish to obtain information.
2.
Each chapter contains blocks that provide a
list of code ranges and their description.
Select a desired block to review.
Note: Use the hyperlinks listed in the Table of
Contents and in the chapters to quickly navigate
through the document.
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46
ADDITIONAL INFORMATION & RESOURCES
THE ICD-10 PUBLIC WEB PORTAL PAGE
The Florida Medicaid Web Portal has a dedicated ICD-10 page that contains three submenus:
TRAINING
PUBLICATIONS
SUPPORT
CONTENTS
CONTENTS
CONTENTS
Quick Reference Guides

Monthly Newsletters
(QRGs)

Fast Facts

PowerPoint Presentations

Quick Reference Links

Web Based Training (WBTs)


Frequently Asked Questions
(FAQ)

ICD-10 Field Services Map

Contact Support
Modules

Training Schedules
02/23/2015
47
ADDITIONAL INFORMATION & RESOURCES
ICD-10 WEB BASED TRAININGS (WBTs)
View the interactive WBT under the Training section of the ICD-10 pages. The WBT includes narration and
an overview of ICD-10 basics, benefits, and coding structure, as well as other important ICD-10
information.
View Introduction to ICD-10 to learn more about:







What is ICD-10?
What are the Benefits of ICD-10?
The Difference Between ICD-9 and ICD-10
Frequently Asked Questions
Additional Resources
Provider Alerts
Contact Information
View ICD-10 Coding Basics to learn more about:


An overview of the ICD-10 Basics
How to navigate the Centers for Medicare & Medicaid
Services (CMS) website for coding resources
02/23/2015
48
SUMMARY
In this presentation, we’ve discussed:
1
ICD-10 BASICS REVIEW
2
BILLING UPDATES
3
ADDITIONAL INFORMATION
& RESOURCES
02/23/2015
50
WE’RE HERE TO HELP
There are eight Provider Field Services
(PFS) Representatives available
throughout the state of Florida to assist
providers with Florida Medicaid’s ICD-10
Implementation.
Contact us today
1-800-289-7799, Option 7
02/23/2015
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