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ICD-10 Deadline October 1, 2015: Update Your Processes

Get Ready Now with the New CMS Quick Start Guide!

While ICD-10 is almost here, you still have time to get ready. But you must get ready now.

Each day this week we are highlighting 1 of the 5 steps from the new Quick Start Guide:

  1. Make a Plan
  2. Train Your Staff
  3. Update Your Processes
  4. Talk with Your Vendors and Health Plans
  5. and Test Your Systems and Processes. Today our focus is

Step: 3 Update Your Processes

  • It is crucial to update hard-copy and electronic forms (e.g., superbills, CMS 1500 forms )
  • Resolve any documentation gaps identified while coding top diagnoses in ICD-10
  • Make sure clinical documentation captures key new coding concepts:
    • Laterality—or left versus right
    • Initial or subsequent encounter for injuries
    • Trimester of pregnancy
    • Details about diabetes and related complications
    • Types of fractures


  • Create a documentation checklist for any new concepts that need to be captured for ICD-10 coding
  • Remember that ICD-10 does not change the requirements for good documentation, which is always about capturing the complete clinical picture in order to provide high-quality patient care
  • Review NCDs and LCDs with ICD-10 codes to ensure consistency with internal policies (e.g., coding, billing, and documentation processes)
  • Outpatient and office procedure codes aren’t changing—ICD-10 does not affect the use of CPT and HCPCS coding for outpatient and office procedures

To learn more about getting ready, visit for free resources including the Road to 10 tool designed especially for small and rural practices, but useful for all health care professionals.

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