The use of the term hypomania in this and other countries impressively follows the Humpty Dumpty principle. Indeed, in the UK many, perhaps a majority of, inpatients are diagnosed to be ‘hypomanic’, perhaps partly out of a sense of politeness. The term manic does, after all, have a pejorative flavour to some ears (pace Jamison, 1996). The original Greek sense of the word is that hypomania is hi...

Convert to ICD-10-CM: 553.9 converts approximately to: 2015/16 ICD-10-CM K46.9 Unspecified abdominal hernia without obstruction or broad ligament 553.8. Free, official coding info for 2016/17 ICD-10-CM N83.40 includes coding rules. Noninflammatory disorders of ovary, fallopian tube and broad ligament N83. Free, official coding info for 2016/17 ICD-10-CM Q50.6 includes coding rules & notes,. Oth...

W e are told that we need ICD-10 because ICD-9 isn’t modern or granular enough and is running out of space. We are told that we need ICD-10 for better quality reporting, public health research, health policy planning, fraud detection, and risk adjustment for quality based payments. That all sounds reasonable. But will the primary beneficiaries of ICD-10 turn out to be payers rather than patie...

The International Classification of Diseases-10 (ICD-10) is a new system that is a federally mandated change affecting all payers and providers, and is expected to exceed both the Health Insurance Portability and Accountability Act (HIPAA) and Y2K in terms of costs and risks. In 2003, HIPAA named ICD-9 as the code set for supporting diagnoses and procedures in electronic administrative transact...

“Diseases of the Respiratory System” (J00-J99), perhaps more than any other chapter in ICD-10, leaves room for physicians to make a judgment call about how to code certain conditions. Before we get into the codes themselves, let’s explore a few confounding factors: 1. Symptom vs. diagnosis. With the exception of streptococcal pharyngitis and tonsillitis, a specific infectious agent causing a di...

I some ways, ICD-10 coding is very much like ICD-9 coding but with more options, as the previous articles in this series have demonstrated. (See the series overview on page 18.) This article explains how to report symptoms, signs, and test results in the absence of a confirmed diagnosis. Under both ICD-9 and ICD-10, if your diagnosis is noted as “probable” or any other term that means a diagnos...

And it waits anxiously, because the change represents a looming disruption. Yet, no matter the trouble, the transition is necessary, because the current coding system can’t take healthcare into the future. Today’s data needs are dramatically different than they were 30 years ago when ICD-9 was introduced. ICD-10 will advance healthcare in many ways, with benefits accruing across five major cate...

The use of the term hypomania in this and other countries impressively follows the Humpty Dumpty principle. Indeed, in the UK many, perhaps a majority of, inpatients are diagnosed to be ‘hypomanic’, perhaps partly out of a sense of politeness. The term manic does, after all, have a pejorative flavour to some ears (pace Jamison, 1996). The original Greek sense of the word is that hypomania is hi...

The use of the term hypomania in this and other countries impressively follows the Humpty Dumpty principle. Indeed, in the UK many, perhaps a majority of, inpatients are diagnosed to be ‘hypomanic’, perhaps partly out of a sense of politeness. The term manic does, after all, have a pejorative flavour to some ears (pace Jamison, 1996). The original Greek sense of the word is that hypomania is hi...

BACKGROUND With the introduction of ICD-10 throughout Canada, it is important to ensure that Acute Myocardial Infarction (AMI) comorbidities employed in risk adjustment methods remain valid and robust. Therefore, we developed ICD-10 coding algorithms for nine AMI comorbidities, examined the validity of the ICD-10 and ICD-9 coding algorithms in detection of these comorbidities, and assessed thei...