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O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | N O V E M B E R 2 0 1 5
Top ICD-10 Challenges for Eye Cases
Be on the lookout for these common coding errors.
I
t's been about a month since the switch to ICD-10 and you're
(hopefully) starting to get reimbursements for your eye proce-
dures. But if you're getting denials instead, check to see if one of
these common challenges is bungling up your ophthalmic claims.
• Diabetic patients. One of the most notable changes in ICD-10 is the
coding for persons with diabetes. ICD-9 documentation for non-
insulin-dependent diabetes mellitus (or NIDDM) does not easily trans-
late to ICD-10. While your docs can document NIDDM in their op
notes for ICD-10, language such as "controlled" or "uncontrolled," and
"juvenile-onset" or "adult-onset" is obsolete.
What used to be potentially 3 separate ICD-9 codes is now a single,
specific ICD-10 code (E10-E14). This code lists (1) the type of dia-
C O D I N G & B I L L I N G
Sue Vicchrilli, COT, OCS
z CODING COMPLAINTS There are
several major changes in ICD-10 that
impact your eye procedure claims.