ICD-10 Myths (Part 4)
by Leigh-Ann Renz, 3/11/14 (revised & updated on 6.19.15)
ICD-10 Myth # 4:
"ICD-10 doesn't apply to me because I work in mental health"
Because mental health is only a small portion of the 68,000 new ICD-10 codes, it would be tempting to assume that this isn’t a big deal for our industry and put it off until the last minute. But ICD codes are mandated by HIPAA, and if you have been using the DSM, you have been diagnosing in ICD!
DSM codes are ICD codes, even if you're used to thinking of them in terms of DSM. The DSM is simply a guide, created by the APA, to picking the appropriate ICD code for the most accurate diagnosis possible. DSM-IV promoted ICD-9 codes; DSM-5 promotes both ICD-9 and ICD-10 codes.
On one hand, the mandatory change to DSM-5 for mental / behavioral health and substance usage providers that went into effect on 1/1/14 is an additional challenge for our industry. On the other hand, once a provider has made the transition from DSM-IV to DSM-5, they actually have a bit of an advantage over other forms of medicine, because the DSM-5 itself can act as a coding crosswalk from ICD-9 to ICD-10.
The important thing to understand is that this transition is much more than simple code conversion: there are many layers of complexity that can affect your entire organization, and you need to prepare now to meet the 10/1/15 deadline.
ICD-10 Myth # 1: "I've heard that the government's going to extend the ICD-10 deadline."
ICD-10 Myth # 2: "ICD-10 doesn't affect me because we use DSM-5"
ICD-10 Myth # 3: "I don't need to worry about ICD-10 because my EHR is taking care of it."
ICD-10 Myth # 5: "I don't need to worry about ICD-10 because I only see self-pay clients."
ICD-10 Myth #6: "As a provider, I don’t need to worry about ICD-10 – our billing person's going to take care of it”
ICD-10 Myth #7: "Workman's compensation is going to stay on ICD-9"