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#71601 - 08/30/17 04:49 PM Editing ICD-10 codes
DManuele Offline
Member

Registered: 09/03/12
Posts: 46
Loc: WA
I believe there used to be a way to edit ICD code descriptors, is that still the case? Many codes in the current ICD-10 database are misleading or just plain wrong. I will grant that the extra descriptions are sometimes helpful in finding a code, but the current database does not consistently include the standard code descriptions.
_________________________
Don Manuele, D.O.
Solo Family Practice, Sequim, WA

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#71602 - 08/30/17 05:00 PM Re: Editing ICD-10 codes [Re: DManuele]
Wendell365 Offline
Member

Registered: 11/09/05
Posts: 2192
Loc: Chicago, IL
At one time I believe you could modify the ICD 10 codes, I see where you can modify CPT codes (in admin section under tools dropdown) but not ICD. This is on version 9.2
_________________________
Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them

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#71692 - 09/17/17 10:22 PM Re: Editing ICD-10 codes [Re: DManuele]
Tomastoria Offline
Member

Registered: 03/28/11
Posts: 608
Loc: Astoria OR
I can't find a way to edit ICD-codes, and if you put a known ICD-code into the "diagnosis" box, you are presented with a list of descriptors-- but many times not the official ICD description.
Sometimes it is very hard to find the code I want, and even if I find it, I can't get it into the "problem list"
Please bring back something like the old "edit code" screen.
_________________________
Tom Duncan
Family Practice
Astoria OR

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#71873 - 10/25/17 06:34 PM Re: Editing ICD-10 codes [Re: DManuele]
ffac Offline
Member

Registered: 10/03/12
Posts: 6
Having ability to edit the ICD-10 code descriptions would be a big time saver. I get really tired of having to manually edit the code descriptor in Assessment. There are some really ridiculous code descriptors.

M72.2 = Policeman's heel. [no one in USA uses that terminology for Plantar Fasciitis]

R26.2 = Difficulty walking on the flat. [flat what... ground]

There are lots more of ones just like these. Seriously who is entering this data in the ICD-10 Database for AC? We should have the ability to edit the descriptors to meet our needs.

/end rant

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#71875 - 10/26/17 03:17 PM Re: Editing ICD-10 codes [Re: DManuele]
KrisM Offline
Member

Registered: 07/28/15
Posts: 18
Loc: The Villages, FL
I have only found a way to update, edit, or add ICD-10 codes in ACPM, not on the AC side. We too are often frustrated by the terminology used on DX descriptions for the AC EHR. I am surprised/concerned that we are now 26 days into the 2018 ICD-1o updates and I am still having to add/activate and deactivate old and new codes.
_________________________
--Kris

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#71898 - 11/01/17 11:46 PM Re: Editing ICD-10 codes [Re: DManuele]
Bert Offline
Admin

Registered: 09/27/03
Posts: 11269
Loc: Brewer, Maine
I should start off by saying I am not a biller/coder and I likely know nothing about what I am talking about. But, AC doesn't put these codes in. There are literally thousands of codes, and it would take one person quite a long time and mistakes would be made. Just like the medications are provided by xxx, the ICD-10 codes are provided by SNOMED. When a code is found let's say for pain, you can scroll down and find different ICD-10 codes for back pain, but for burning pain, acute pain, etc., you will still find R52.0. The same with M72.2. Sure, there are some funny ones with Policeman's heel, but there is also Plantar fasciitis. As long as you choose the proper code for the diagnosis you are using, you will be fine. It is actually entertaining to see, "Fell from an airplane and chute didn't open," or "Fell from a train onto an employee." Vomiting alone vs vomiting with friends is interesting although they really mean vomiting with no other symptoms.

I love ICD-10. It is much easier than the old, out of date, ICD-9. And, none our insurance claims have been rejected.

Again, maybe I am out of line here, but I don't get it. And, you can add and edit and make certain ones come from the dropdown list. I generally just fine them. I memorize most, such as acute l will give me acute left otitis media, while just acute will not.

One of my best tricks in meds is using amoxicillin- with the hyphen, which then gives me the generic Augmentin.
_________________________
Bert
Pediatrics
Brewer, ME

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