We've heard that ICD-10-CM is coming and we've heard that American Health Information Management Association members are eager to get started using the new system, which will allow us to better reflect diseases and as well as new diseases and conditions, since we've run out of room in ICD-9-CM. This news is welcome and much needed.
However, we don't have a working ICD-9-CM right now. How can we move to ICD-10-CM when our current coding/classification system is broken?
This month's column concentrates on one diagnosis that was wrong when it was described in 1988, wrong when it was modified in 1993, wrong when it was expanded in 2002, and, with the upcoming changes in reimbursement dependent on accurate representation of severity of illness, will be massively wrong again in fiscal year 2007. This will hurt the provider community and the all-important database.
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