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ICD-10-CM: Coding for Chronic Conditions

ICD-10-CM: Coding for Chronic Conditions

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Speaker: Betsy Nicoletti

Length 60-minutes

Betsy NicolettiWhat’s changing in coding for chronic conditions in ICD-10? Many medical specialties treat patients with chronic conditions. As payment systems move from fee-for-service to value based, accurate and specific diagnosis coding is critical. This webinar will describe coding changes for common diseases treated every day in our medical practices. This hour long webinar will provide an overview of changes to the most frequently reported conditions and documentation changes that will be needed to support the more specific codes.

Some of it will be familiar: combination codes for diabetes (although there are additional types available to code in the diabetes section) and some options explode from a handful of codes to over 125 codes (skin ulcers).  There are combination codes in ICD-10 that require additional documentation.  Is the condition with or without pain, claudication, ulcer, inflammation? Is the condition mild, moderate, severe, intermittent or persistent?  Providers and coders should start now to add to the specificity of their documentation and of their current ICD-9 codes for an easier transition to ICD-10.

Providers may not know the difference between ICD-9 codes that are not elsewhere classified and those that are not otherwise specified.  But, coders should work with their practitioners now to identify unspecified codes and decrease their use.

As a bonus, Betsy Nicoletti will review:

  • Translation and mapping programs
  • Querying the physician
  • Electronic search versus using the book

After listening to this session, participants will:

  • Understand the difference between NEC (not elsewhere classified) codes and NOS (not otherwise specified) codes.
  • Identify examples of which chronic conditions will require increased specificity in clinical documentation.
  • Develop a plan to eliminate use of unspecified ICD-9 codes now to prepare your practice to code to greater specificity.

Do you have an ICD-10 book? Have it available.

Meet Our Expert Speaker:

Betsy Nicoletti, MS, CPC, is the co-founder of, devoted to physician reimbursement. She is also the author of The Field Guide to Physician Coding 3rd Edition and Auditing Physician Services, 2nd Edition, both published by Greenbranch Publishing. As a certified coder, Betsy simplifies complex coding rules for practitioners and engages physicians in a positive and respectful way, which encourages attention and accuracy in their coding. Besides doing auditing and compliance work, she is a speaker, writer and consultant in coding education, billing and accounts receivable management.

She holds a Masters of Science in Organization and Management from Antioch, New England, and has worked in and around physician offices for over 25 years. She became a certified coder in 1999. Betsy is a member of the National Speakers Association, the Medical Group Management Association and the Healthcare Financial Management Edition.

You may have heard her speak at conferences sponsored by MGMA, DecisionHealth, ACHE, HFMA, AMBA, The Coding Institute, The Journal of Medical Practice Management and the World Research Group.

Betsy was awarded the 2010 QuantiaMD Community Choice Award for Excellence in Knowledge and Sharing Information. She was the only person to win the award who was not an MD, showing the tremendous value the physician community places on her!