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Course Objectives
Recognize new, revised, deleted ICD-10-CM codes taking effect
October 1, 2016 pertaining to Orthopedic practices
Avoid setbacks to reimbursement
Utilize expert orthopedic specific tools to accurately select codes
necessary for compliance and maximum reimbursement
ICD-10-CM Updates
Of Note:
The Addenda that was published in June is the complete, final list
of code changes going into effect this October
ICD-10-CM Updates
Much needed ICD-10-CM changes/clarifications:
885 new codes added to Chapter 19 (Injuries Chapter)
Increased site specificity for fracture codes of the following sites: neck,
base of skull, facial bones, Salter-Harris calcaneal fractures, and other
fractures.
ICD-10-CM Updates
Much needed ICD-10-CM changes/clarifications:
Guidance on the 7th character applications in Chapter 19
When aftercare Z codes are appropriate instead of injury codes as
it pertains to Orthopedics
Medical Necessity
Ensure medical necessity is met for:
Seventh Characters
Youll apply a seventh character to these codes from the following
list:
Atypical Fractures
Rationale:
Atypical fracture
Fosamax fracture
May refer to an atypical fracture
Atypical Fractures
Defining as Fosamax Fracture:
Large population of patients may be missed
These fractures can occur in absence of taking these drugs
M84.750:
M84.751:
M84.752:
M84.753:
M84.754:
M84.755:
M84.756:
M84.757:
M84.758:
M84.759:
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ICD-10-CM Updates
FY 2017:
The new codes are M and S for Orthopedics
Over thousands of new codes added to this specialty!
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