2015 Coding Changes – What You Need To Know

International Statistical Classification of Disease (ICD-10) is set to officially replace ICD-10 on October 1, 2015. At this point, we have every reason to believe ICD-10 will be implemented this year. ML Medical Billing has been anticipating this transition. As a first step, we offer this easy-to-use code conversion tool, accessible on our website, mlbilling.com. Simply enter the International Statistical Classification of Disease diagnoses code for which you seek conversion code options, select the type of International Statistical Classification of Disease coding you are converting from and click “go.”

How Does ICD-10 Affect Your Practice?

ICD-10 codes are very specific and detailed related to anatomy, diagnoses, conditions, and treatments. The detailed information is then gathered from clinical documentation and claims processing with intent to provide health outcome management for improved healthcare performance.

You as the provider need to be familiar with the new International Statistical Classification of Disease codes and have tools that will allow you to select the correct codes at the time of patient visit.

How to Prepare for the Changes

What You Should Do:

  • Attend online International Statistical Classification of Disease webinars related to your specialty. Review updates from your billing software company and from payers.
  • Use the conversion tool introduced here to see how complex the new coding structure is and to see how ICD-10 translates to ICD-10.
What ML Medical Billing is Doing
Our billing and Coding staff participate in ongoing International Statistical Classification of Disease training sessions. We upgraded our IT infrastructure to meet ICD-10 and HIPAA compliance and we continue to source updates and tools to simplify the conversion process guidelines for staff and clients.

We have also compiled a general list to highlight some of the International Statistical Classification of Disease coding changes taking effect for Internal and General Family practices in 2015. For more information on how we can keep you from being damaged by ICD-10 changes, get in touch with us online or by calling (888) 719-7602.

Internal/General/Family Medicine

Chronic Care Management Services
CPT 99490 (Medicare Fee Schedule $40.39)
Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient; chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline; comprehensive care plan established, implemented, revised, or monitored.

Complex Chronic Care Management Services
CPT 99488 Deleted
CPT 99489 Revised to include the requirements for the code
Each additional 30 minutes of clinical staff time
Add-on reported with 99487

Advanced Care Planning
Face-to-face encounter, not requiring the patient
No active medical management
99497 Advanced care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s) and or surrogate
+ 99498 Each additional 30 minutes (list separately in addition to code for primary procedure)

To learn more about medical billing, visit Wikipedia.org.

Contact a Medical Coding and Billing Expert at ML Medical Billing Today
Do you have questions about how the 2015 International Statistical Classification of Disease coding changes will affect your practice and billing process? ML Medical Billing has more than 30 years of industry experience outsourcing billing services and increasing practice revenue and minimizing the administrative costs and hassles associated with maintaining a billing department in-house. Call (888) 719-7602 today to learn more about how our custom services can benefit your practice’s bottom line, or contact us online.