Full Answer
The difference between ICD-9 and CPT codes is that ICD-9 codes are used to describe the problem or the reason for the procedure. An example of an ICD-9 code is 315.35 which is a "childhood onset fluency disorder." We are essentially describing the diagnosis, or the reason the person is coming to you.
ICD-9 Codes . While phased out in 2015, you will still see ICD-9 codes on older documents. Most ICD-9 codes are three digits to the left of a decimal point and one or two digits to the right of one. For example:
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ICD-9 uses mostly numeric codes with only occasional E and V alphanumeric codes. Plus, only three-, four- and five-digit codes are valid. ICD-10 uses entirely alphanumeric codes and has valid codes of up to seven digits.
On October 1, 2013, the ICD-9 code sets will be replaced by ICD-10 code sets. The U.S. Department of Health and Human Services issued a final rule on January 16, 2009, adopting ICD-10-CM (clinical modifier) and ICD-10-PCS (procedure coding) system.
The International Classification of Diseases Clinical Modification, 9th Revision (ICD-9 CM) is a list of codes intended for the classification of diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease.
ICD - ICD-9-CM - International Classification of Diseases, Ninth Revision, Clinical Modification.
A primary user of ICD codes includes health care personnel, such as physicians and nurses, as well as medical coders, who assign ICD-9-CM codes to verbatim or abstracted diagnosis or procedure information, and thus are originators of the ICD codes.
The purpose of the revision was to expand the content, purpose, and scope of the system and to include ambulatory care services, increase clinical detail, capture risk factors in primary care, include emergent diseases, and group diagnoses for epidemiological purposes.
The current ICD-9-CM system consists of ∼13,000 codes and is running out of numbers.
In a concise statement, ICD-9 is the code used to describe the condition or disease being treated, also known as the diagnosis. CPT is the code used to describe the treatment and diagnostic services provided for that diagnosis.
ICD9Data.com takes the current ICD-9-CM and HCPCS medical billing codes and adds 5.3+ million links between them. Combine that with a Google-powered search engine, drill-down navigation system and instant coding notes and it's easier than ever to quickly find the medical coding information you need.
Code Structure: Comparing ICD-9 to ICD-10ICD-9-CMICD-10-CMFirst character is numeric or alpha ( E or V)First character is alphaSecond, Third, Fourth and Fifth digits are numericAll letters used except UAlways at least three digitsCharacter 2 always numeric; 3 through 7 can be alpha or numeric3 more rows•Aug 24, 2015
CMS will continue to maintain the ICD-9 code website with the posted files. These are the codes providers (physicians, hospitals, etc.) and suppliers must use when submitting claims to Medicare for payment.