Health Information Management

Pay-per-view: Facilities consider using CPT and ICD-10-PCS to improve data collection

APCs Insider, May 23, 2014

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When outpatient hospitals and physicians switch to ICD-10-CM diagnosis codes October 1, 2015, they will still continue to use CPT® codes to report procedures. But some facilities are planning to use the new procedure code set, ICD-10-PCS, as well.
 
"Working in Colorado and with clients around the country, I am finding that the decision on whether or not to code PCS on outpatients is a 50-50 split," says Kristi Stanton, RHIT, CCS, CPC, CIRCC, AHIMA-approved ICD-10-CM/PCS trainer and a senior consultant with Haugen Consulting Group in Denver. "Some facilities are very much against it for productivity reasons, and others are very much for it for data collection reasons."
 
ICD-10-PCS will replace ICD-9-CM Volume 3, which inpatient coders currently use to report procedures. Outpatient providers would still be required to use CPT codes to bill procedures; the concurrent coding in ICD-10-PCS would be purely supplementary. The only payers who may require ICD-10-PCS for both inpatient and outpatient procedures would be non-HIPAA-covered entities such as workers' compensation and automobile insurers, and some state agencies.
 
"About 20% of the people I've talked to are planning to use PCS coding for outpatients in their facilities," says Angie Comfort, RHIT, CDIP, CCS, AHIMA-approved ICD-10-CM/PCS trainer and director of HIM practice excellence with AHIMA in Chicago. "They have to use the codes for reports their management team uses, and they want to be able to track procedures more accurately."
 
Continue reading “Facilities consider using CPT and ICD-10-PCS to improve data collection” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the May issue.



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