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ICD-10 Implementation Deadline and Challenges for Mental Health Providers

Learn about the upcoming implementation of ICD-10 and the challenges it poses for mental health providers. Discover how the increased number of codes makes it easier to find the right diagnosis code. Get tips on documentation and terminology changes.

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ICD-10 Implementation Deadline and Challenges for Mental Health Providers

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  1. Implementation of ICD 10 deadline • The U.S. health care system relies on a set of codes, referred to as ICD-9, to report diagnoses which was introduced in the late 1970s, the ICD-9 code set will soon be replaced by the more detailed ICD-10, with a deadline for the transition of October 1, 2015.

  2. The transition from ICD-9 to ICD-10 is a major transition, as it reflects a five-fold increase in diagnosis codes, to roughly 69,000 codes. • If a medical practice or insurance payer doesn't switch to ICD-10 by the deadline, claims cannot be processed.

  3. Mental Health providers have over 300 new diagnosis codes that range from F01-F99

  4. One of the MYTHS of ICD10 is that the increased number of codes will make the new coding system impossible to use. • In FACT, just as an increase in the number of words in a dictionary doesn’t make it more difficult to use, the greater number of codes in ICD10 doesn’t make it more complex to use. • The greater number of codes in ICD10 make it easier for you to find the right code.

  5. CHALLENGES FOR MENTAL HEALTH PROVIDERS USING ICD10

  6. MULTIPLE DIAGNOSIS Precedence should be given to the diagnosis that best represents the Nature of the Presenting Problem and is most relevant to the purpose of the visit ** Best practice: record the diagnosis in the numerical order in which they appear in the ICD10 classification

  7. TERMINOLOGY CHANGE The term “disorder” is used throughout the classification, in order to keep it separate from terms that often seem to be interchanged like “disease” and “illness”. The term “disorder” is used to allow the existence of a clinically recognizable set of symptoms and/ or behavior often associated with distress and disruption of personal function.

  8. SUBSTANCE ABUSE, USE AND DEPENDENCY Although ICD9 doesn’t distinguish between use, abuse and dependency, ICD10 does. Many of the codes in this section also specify complications such as mood disorders, delusion, delirium, perceptual disturbances and much more. Providers can only submit one code per substance, so be clear the documentation associated with the psychoactive substance is clearly stated.

  9. DOCUMENTATION BEHAVIORHAL & MENTAL HEALTH DOCUMENTION TIP SHEET FOR ICD10

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