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EDITOR’S NOTE: Kathy Pride is continuing her reporting on health issues that have been covered in the national news media as they relate to ICD-10. Gender identity disorder (GID) is the formal diagnosis used by healthcare professionals to denote persons who experience significant gender dysphoria (GD). GD is defined by…
Many of electronic medical record (EMR) programs have an add-on that is supposed to help physicians in the hospital setting with ICD-10 coding. It often is composed of dropdown menus that allow physicians to pick a word pattern with an associated code. 
I find it very concerning that approximately 30 percent of physicians and physician groups have not even started to prepare for ICD-10. Right now everyone should be in the final stages of preparation. The delay is over and we all must move full speed ahead. We have five months left…
Last December, the Healthcare Administrative Technology Association (HATA) conducted a survey on practice management system (PMS) vendors’ ICD-10 readiness. Contrary to the notion that the holdup with ICD-10 testing lies with PMS, the survey showed that an overwhelming majority of practice management vendors are actually ready. Results indicated that 80 percent…
Last December, the Healthcare Administrative Technology Association (HATA) conducted a survey on practice management system (PMS) vendors’ ICD-10 readiness. Contrary to the notion that the holdup with ICD-10 testing lies with PMS, the survey showed that an overwhelming majority of practice management vendors are actually ready. Results indicated that 80 percent…
Editor’s Note: This is the sixth article in the continuation of a series of articles on clinical documentation improvement by clinical service.  With the repeal of the sustainable growth rate (SGR) in the recently passed H.R. 2 bill, it appears that ICD-10 implementation is on again. Taking into consideration the…
With the recent announcement of the sustainable growth rate (SGR) fix by Congress and the fact that the legislation did not contain any language on ICD-10 delays, the message is clear to the healthcare industry: we need to get ready now.
In the 1990s, health systems began tackling the game-changing implementation of technology such as hospital information systems (HIS) and the earliest electronic health records (EHRs) to automate administrative and business processes. In the early 2000s, they prepared for HIPAA regulations and developed strategies to reduce medical errors, again with the…
In February 2015, the American Hospital Association (AHA), in conjunction with Executive Health Resources, launched its inaugural clinical documentation improvement (CDI) survey, “Emerging Trends for Clinical Documentation Improvement in 2015,” to help determine the main barriers to CDI success. Many powerful insights related to physician engagement in CDI programs were revealed…
EDITOR’S NOTE – This is the second installment in a two-part series on industry reaction to the U.S. House of Representatives passage of the H.R. 2 bill, from which ICD-10 escaped unscathed. For many ICD-10 stakeholders, the U.S. Senate’s passage of the Medicare reform bill last Tuesday was a fait…
It’s often said that one’s journey is just as important as one’s destination. In other words, the process of achieving a goal is as vital as the achievement itself. In coding, the goal is to assign the correct code. Although encoders help achieve this goal, they must always examine whether…
Like the vast majority of revenue cycle companies and many physician practices, our readiness plan for 2015 was well-established early. More detailed employee education in the first quarter, intensive focus on client needs, more end-to-end testing in the second quarter, intensive dual coding all year, retesting systems for all 2015…
Now that the sustainable growth rate (SGR) bill has been signed by the president without any further ICD-10 delay language, it’s time to proceed with ICD-10. Although there are many speculations regarding increased data causing operational bottlenecks, it may not necessarily be due to a huge spike in claims volume…
Mayo Clinic Senior Revenue Cycle Analyst Hamilton Todd will head a team of subject matter experts signed on to report live for Talk Ten Tuesdays from the Healthcare Information and Management Systems Society (HIMSS) annual conference and exhibit now underway in Chicago.
There are plenty of outside forces that take physicians away from patient care. But are there so many that physicians have become afraid of letting “what’s happening tomorrow” beat them?  The inevitable move to ICD-10 is one of these things. Most physicians don’t know what it is but have heard…
With the sustainable growth rate (SGR) issue just resolved thanks to the U.S. House of Representatives’ passage of the CHIP Reauthorization Act of 2015, it’s really time for those opponents of ICD-10 to come together for the betterment of all of healthcare.
EDITOR’S NOTE – This is the first in a two-part series on industry reaction to the U.S. House of Representatives passage of the H.R. 2 bill. The U.S. Senate left for spring break two weeks ago, thereby leaving the $214 billion Medicare Bill, H.R. 2, and the Medicare Access and…
Devin Jopp, Ed.DPresident & CEOWEDI The Workgroup for Electronic Data Interchange (WEDI), the nation’s leading nonprofit authority on the use of health IT to create efficiencies in healthcare information exchange, recently announced the release of its findings from its February 2015 ICD-10 Industry Readiness Survey. In a March 31 letter…
EDITOR’S NOTE: The following article is part of an occasional series on ICD-11. ICD-11 has been in development since 2007 but will not be ready for use in the United States, by some estimates, until the year 2023 or later. ICD-11 is an important undertaking, as its precursor, ICD-10, is…
Christian and Anastasia lit up movie theaters in February during the much-awaited premiere of Fifty Shades of Grey. Fans of the three-book series waited over two years to see their favorite characters grace the big screen. Likewise, health information management (HIM) professionals and medical record coders have been waiting for…
As healthcare organizations run the marathon sprint to the ICD-10 finish line, testing can seem like the highest hurdle to clear before Oct. 1, 2015. Systems that store, use, send, receive, or report diagnostic codes, internally and externally, to the organization need to be assessed. Processes such as the revenue…
Most of those who have been tracking the implementation (or lack thereof) of ICD-10-CM/PCS in the United States are old enough to remember Jim McKay’s melodramatic introduction on ABC’s Wide World of Sports every Saturday afternoon.  “The thrill of victory and the agony of defeat” became part of the fabric…
While working with hospitals throughout the country on improving physician documentation, a topic that consistently comes up is dual coding – coding in both ICD-9-CM and ICD-10-CM/PCS for the same record, using each code set and all of the associated coding conventions and guidelines. Many healthcare providers are looking for…
Chapter 19 of the ICD-10 code set covers injury, poisoning, and certain other consequences of external causes. While chiropractic physicians will primarily use the chronic and recurrent musculoskeletal conditions from Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue, there are several relevant codes from Chapter 19. They include…
EDITOR’S NOTE: This is the first in a occasional series on ICD-11 expected to be completed by 2017. The prospects of the U.S. healthcare system jumping straight from ICD-9 to ICD-11 could be considered analogous to the prospects of a precocious child jumping straight from fourth grade to sixth, Talk-Ten-Tuesday…
This week Congress is expected to work out details on legislation to repeal the contentious sustainable growth rate (SGR) formula that will automatically cut physicians’ pay by 21.2 percent come Tuesday, March 31. Bipartisan leaders from the U.S. House of Representatives Ways and Means and Energy and Commerce Committees introduced…
If the long, gray days of winter have you hankering for sunny skies and warmer temps, we have good news: the vernal equinox has arrived! This year the vernal equinox, also called the spring equinox, fell on March 20, marking the official beginning of spring. The change of seasons has…
The Uniform Hospital Discharge Data Set (UHDDS) includes the hospital reporting requirements for all inpatient discharges. The UHDDS reporting requirements will remain in effect on and after Oct. 1, 2015, when ICD-10-CM/PCS goes into effect. One data element that hospitals are required to report is the significant procedure(s) performed during…
The transition to ICD-10 is a needed one – not for the reasons that the folks who have dollars and time invested into it worry about, but for the needs of patient care. In order for it to be a worthwhile change, mistakes from ICD-9 have to be corrected in…
Uncertainty about ICD-10, delays, projects on hold, the looming prospect of another postponement of the implementation date: It’s enough for a project manager (PM ) to start looking for a new job. But all of this isn’t why a PM signed up for the job. The point is to get…
When it comes to ICD-10, physicians, as a group, are much farther behind the curve than their hospital counterparts. The claims clearinghouse Navicure recently polled 350 physician practice administrators, office staffers, and coders about readiness for ICD-10. While the survey found that 82 percent of respondents are optimistic about being…
EDITOR’S NOTE: Betty Bibbins, MD, founder, CEO and executive physician educator for DocuComp, and frequent guest on Talk Ten Tuesdays, participated in the 50th anniversary of the Selma-to-Montgomery march. ICD10monitor invited Dr. Bibbins to share her experience. We must always keep in mind that no matter where we are today,…
Opponents to the adoption of ICD-10 have been quick to assert that the nation’s healthcare system should bypass it and make the leap to ICD-11 when it is introduced. Typical of this rationale is a quote from a form letter that the Florida Medical Association (FMA) has been urging its…
On a peaceful Sunday just weeks away from spring, an estimated 70,000 people recently crossed the Edmund Pettus Bridge that spans the Alabama River, connecting Selma with the state’s capital, Montgomery – they were there to mark the 50th anniversary of the “Bloody Sunday” incident of 1965 and to herald…
It has been yet again a roller coaster ride with the potential threat of another ICD-10 delay. There are valid arguments on both sides to proceed with or delay the introduction of the new coding set. But think about this: there has been a great deal of money spent on…
Unless you have been in a coma (that’s ICD-10-CM code R40.2), you know that the deadline for the United States to begin using ICD-10 –CM for diagnosis coding and ICD-10-PCS for inpatient hospital procedure coding is set at Oct. 1, 2015. However, the implementation of ICD-10 has been subject to…
EDITOR’S NOTE: Kathy Pride is continuing her reporting on diseases that have been covered in the national news media as they relate to ICD-10.The recent Academy Award winner Julianne Moore and her role in “Still Alice” have brought Alzheimer’s disease some much-warranted media attention – and for Pride, the film…
With the current focus on ICD-10 as a major transition currently impacting the healthcare industry, to some degree we have lost sight of the underlying goal of the transition: to improve the quality of healthcare data in this country for a wide range of uses. We tend to focus on…
With the clock ticking on ICD-10 implementation, many practices are starting to worry they may not be ready in time for the Oct. 1, 2015 deadline. While there is much to accomplish in a short timeframe, it can be done. Developing a solid strategy can help simplify the process and…
For several years, surveys conducted by industry organizations such as the American College of Healthcare Executives revealed ICD-10 as one of healthcare leaders’ top priorities. However, these surveys didn’t explore the details of providers’ ICD-10 attitudes, planning, and progress as they neared implementation. Through a series of three surveys of…
EDITOR’S NOTE: This is the fifth article in a series of articles on clinical documentation improvement by clinical service. The American Health Information Management Association (AHIMA) Hill Day will be held on March 24, 2015, when ICD-10 implementation will be a high-priority topic. Obstetrics and gynecology codes have undergone major…
The initial confusion caused by last year’s congressional action to delay adaption of ICD-10 has died down, but once again the topic is sneaking back into the headlines. Last year many were asking, “what if they gave a party and nobody came?” This year many find themselves channeling Pete Townshend…
Editor’s Note: Diane Kovach, the CMS director of the provider billing group will appear on Talk Ten Tuesdays March 3, 10 am. EST. Amid the urgings of the American Medical Association (AMA) to have its members write letters to their congressional representatives advocating for a repeal of ICD-10, the Centers…
Healthcare Billing and Management Association (HBMA) completed its third ICD-10 readiness survey on Sunday, Feb. 22. According to our members, at least, there continues to be good news and bad news. It is not surprising that our findings mirror some of those we have heard about from numerous other organizations.…
Templates can either enhance documentation necessary for coding and data quality, or they can hinder things by restricting options and failing to prompt physicians to document specific information. However, templates cannot be overlooked when it comes to ICD-10. This is particularly true if a hospital relies more heavily on templates…
The fact that we now have procedural coding guidelines is the first hint that procedural coding with ICD-10 is more complex than with ICD-9. Learning these guidelines and how to apply the information is the first step to becoming proficient in ICD-10-PCS. The guidelines are intended to complement the official…
Gundersen Health System (GHS) is a physician-led, not-for-profit healthcare system of hospitals and clinics headquartered in La Crosse, Wisc.,serving a 19-county region throughout western Wisconsin, northeastern Iowa, and southeastern Minnesota. GHS approached the transition to ICD-10 in the same manner we do all major initiatives. We established an implementation team,…
With all of the recent snow and bad weather spreading across the country, there is a disorder that may be affecting you, your friends and family, or some of your coworkers. It’s called seasonal affective disorder (SAD). Many of you who, like I, live in the sunny southern states, may…
The Uniform Hospital Discharge Data Set (UHDDS) outlines the hospital reporting requirements for all inpatient discharges. The UHDDS reporting requirements will remain in effect on and after Oct. 1, 2015, when ICD-10-CM/PCS is scheduled to be implemented. One data element that hospitals are required to report is the significant procedures…
One of our hospital clients has a sign above his desk reading “Hope is not a plan.” While this would apply to any IT project, nowhere is this aphorism more true than in ICD-10 testing. Testing certainly isn’t new for anyone in the IT world – we do it whenever…
 When the first U.S. Ebola patient was admitted to a Dallas hospital in the summer of 2014, the ensuing media firestorm scrutinized nearly every aspect of the U.S. healthcare system’s readiness to deal with an epidemic that had already left thousands dead and dying overseas. From isolation management and diagnosis…
The next nine months are critical in terms of preparing for a smooth transition to ICD-10. If ICD-10 isn’t a priority in your organization yet, it should quickly rise to the top of the list as soon as possible. Health information management (HIM) professionals must lead the charge to ensure…
The Twittersphere was on fire today during the hearing held by the U.S. House of Representatives Committee on Energy and Commerce’s Subcommittee on Health.  Tweets included the now-standard ICD-10 hash tags of #ICD10, #ICD10Matters, #NoDelay, and a new one, #SubHealth. Every day brings more thought leadership to the platform as the…
For our subscribers today who could not listen live to the U.S. House of Representatives Committee on Energy and Commerce’s Health Subcommittee hearing on “Examining ICD-10 Implementation,” it was very revealing – and I believe it reflected a change in direction to favoring the Oct. 1, 2015 ICD-10 implementation date.…
I listened in via the Web on the Wednesday U.S. House of Representatives Energy and Commerce Committee Health Subcommittee hearing on examining ICD-10 implementation. The subcommittee chairman, Joseph Pitts of Pennsylvania, opened the meeting with a brief overview of ICD-10. Testimony was presented by Carmella Bocchino, executive vice president of…
I was eagerly awaiting Wednesday’s hearing to see what information would be presented to the U.S. House of Representatives Energy and Commerce Committee’s Subcommittee on Health. In opening statements, U.S. Rep. Joseph Pitts (R-Penn.), the chairman of the subcommittee, expressed his support for the Oct 1, 2015 date for implementation…
Talk Ten Tuesdays will broadcast a special legislative update on the outcome of the implementation of ICD-10 following testimony during a hearing being conducted by the U.S. House of Representatives Energy and Commerce Committee's subcommittee on health.
The Government Accountability Office (GAO) reported Friday that a majority of stakeholders believe that ICD-10 educational and outreach activities by the Centers for Medicare & Medicaid Services (CMS) have been helpful in preparing for the Oct. 1, 2015 compliance deadline, but work remains for states to complete testing of the…
February 9, 2015

Correction

By
In the February 3, 2015 edition of ICD10monitor enews it was incorrectly reported that American Medical Association was currently working with the House Rules Committee Chair Pete Sessions (R-Tex.) and House Energy and Commerce Committee Chair Fred Upton (R-Mich.) to add language to a 2015 fiscal year appropriations bill for…
The age of multitasking, overscheduling, and 24-7 technology connectivity has given way to increased use of the phrase “quality time.” As in, “my family and I are turning off our phones tonight and spending some quality time together.” Or “this weekend, we’re going camping for some quality time with friends…
We’re getting closer to the probable implementation date for ICD-10, and we all know about the fear of the unknown that’s so prevalent in the healthcare industry.
Back in November, I wrote about clinical documentation improvement (CDI) in the medical practice and the importance of this critical step in adopting ICD-10. It will not only improve diagnosis coding, but also compliance for procedures and services reported by the practitioner.
EDITOR’S NOTE: This is the first in a series of articles from Mollie Niznik a senior in the Health Information Management (HIM) program at The College of St. Scholastica in Duluth, MN. Writes Niznik, “I look forward to my future in the HIM field after graduation in May.” As a…
It’s difficult to argue with the logic that you can’t build a modern skyscraper (or, really, any structure of significance) on a crumbling foundation. Unfortunately, that logic does not apply to the modernization of America’s healthcare system, much of which continues to use an antiquated coding system called ICD-9 that…
About 10 months have passed since ICD-10 implementation was delayed for another year, but the possibility for yet another delay still looms. ICD-10 implementation was delayed because it was tied to the “one-year doc fix,” otherwise known as the Protecting Access to Medicare Act of 2014 (PAMA). This legislation, which…
Now that the New Year is here, we’re certainly counting down the months to the scheduled October 2015 implementation of ICD-10. Your ICD-10 implementation plan must include education and training. This is key to your success with the new code set. It takes education, learning and building of knowledge, training,…
Editor’s Note: This is the fourth article in the continuation of a series of articles on clinical documentation improvement by clinical service. We have turned the calendar to a new year, and as such, we will look at a new service: pulmonology and respiratory surgery, both of which may present…
As I’ve read and listened to so many passionate arguments for and against ICD-10, it has always seemed that there is more to the story than some think. How can a simple coding change, albeit a whopper, create such angst, animosity, argument, and adversarial positions? Why are so many physicians…
Ministry Health Care is a network of 15 hospitals in the American Midwest that places special attention on servicing the needs of lower-income families and their local communities. Their hospitals service more than 90,000 outpatients annually, with more than 455,000 total visits, and those providers have received awards from independent…
In April 2014, ZirMed began its end-to-end testing efforts with commercial payers such as Blue Cross Blue Shield of Florida. We continued testing with several government and commercial payers throughout 2014. As ZirMed continues to engage in testing with payers, we identify more and more front-end edits to enable miscoded…
Call 2014 the Year of the Hack. There were cybersecurity breaches at major retail chains such as Home Depot and Target, resulting in the release of personal information and credit card data belonging to tens of millions of people. There were internationally renowned celebrities who had their iCloud accounts illegally…
“ICD-10 implementation has not been as hard as they thought it would be, and … overall it has improved processes and documentation in their practices.” Similar comments were echoed by many of the more than 2,000 respondents who participated in a recent AAPC ICD-10 Testing Survey.
The change in classification of cardiomyopathies — diseases that can affect the function of the heart and, if progressive, may lead to heart failure — from one that is disease-based to one that is infested with echocardiogram findings, is a step backward in time and contrary to the intent of…
Monica Greene remembers with perfect clarity the response one friend had when she broke the news to him a little more than 20 years ago: she was a woman trapped in a man’s body. “Couldn’t you just lie for the rest of your life?” Greene recalled the friend saying –…
As a company with deep roots as a government contractor focused on national security, Leidos Health supports and advocates for the Oct. 1, 2015 compliance date to transition to ICD-10-CM/PCS. Recent events have driven company representatives to speak out about a potential impact that many may be overlooking. The purpose…
Unfortunately, chiropractic physicians have a reputation as the providers with the worst documentation. According to the 2013 CERT Annual Improper Payment Report, chiropractic services were paid improperly 51.7 percent of the time. Of those improper payments, reviewers determined that 92.5 percent of them were due to insufficient documentation. As a…
Centers for Medicare & Medicaid Services (CMS) Chief Marilyn Tavenner is stepping down, according to news reports. Tavenner made the announcement to in a letter to colleagues today, but said she will remain at her post until February. On her watch, the at-times embattled administrator dealt with ICD-10 being delayed…
Note: ICD-10 and Gender Identity Disorder featured today on Talk Ten Tuesdays, 10 ET - Register here. Gender identity dysphoria, formerly known as gender identity disorder, hit the mainstream media recently due to the tragic suicide of Leelah Alcorn of Kings Mill, Ohio. The 17-year-oldended her life in part to…
It’s 2015, and ICD-10 is coming…again. Some of us have made good use of an extra year to prepare, but for many smaller hospitals and physician practices, it appears that the procrastination caused by the last delay (from 2013 to 2014) is being repeated. However, 2015 will not be a…
During the first quarter of 2014, Congress enacted a one-year delay in the implementation of the ICD-10 code sets, extending the implementation date from Oct. 1, 2014 to Oct. 1, 2015. This delay initially was met with uncertainty, and various organizations (providers and payers) deployed different strategies – alternately pausing,…
While the ICD-10 transition will require a well-orchestrated effort from multiple stakeholders, it is the medical coder who must learn and apply the brand-new language of ICD-10. A strong team of coding professionals who have been educated, trained, and prepared will make or break your transition into this new reality.…
There’s been an industrywide concern among healthcare providers during recent months about the lack of knowledge on what to expect in testing from payers. To help facilitate ICD-10 testing during the remaining transition period, the Cooperative Exchange (CE) will gather information on payers regarding their testing parameters. This is a…
In a December 2014 statement on the implementation of ICD-10, U.S. House of Representatives Energy and Commerce Committee Chairman Fred Upton (R-Mich.) and House Rules Committee Chairman Pete Sessions (R-Texas) called the new coding set "an important milestone in the future of healthcare technologies." The statement clearly indicated that the…
A new year can bring about many changes, and you never really know how all those changes can pan out. One thing is for sure in looking back, however: many of us were surprised by the ICD-10 delay.
Gender identity disorder (GID), also known as gender dysphoria, will be the focus during the season premiere of Talk Ten Tuesdays on Jan. 13 at 10 a.m. EST, according to executive producer and program host Chuck Buck. The broadcast will feature nationally prominent psychiatrist H. Steven Moffic, MD, a frequent…
As the healthcare industry transitions to the ICD-10 coding system in 2015, physician practices will need to have an aggressive action plan in place for meeting the many challenges associated with implementing the new code set. Many practices began their ICD-10 implementation processes in 2014 only to put those efforts…
The Healthcare Administrative Technology Association (HATA) is off to a tremendous start as a leader and key voice for the healthcare administrative technology industry. Launched in July 2014, this association provides a forum for members to form a collective representative voice advocating on behalf of an industry that represents nearly…
Despite a significant lobbying effort mounted by a small but very vocal minority within the healthcare industry, the implementation of ICD-10 is expected to proceed without further delay. The failed push marked a third attempt to delay the Oct. 1, 2015 ICD-10 implementation deadline well into 2017. Members of Congress…
It has been a very challenging 2014. There have been many starts and stops associated with the implementation of ICD-10, as much confusion arose when it was delayed yet again in the spring of this year. How can you prepare and get ready for such an important transition when the…
EDITOR’S NOTE: This article originally appeared in the ICD10monitor e-news on Dec. 18, 2012. Just as sure as the menorah is on display at the deli and Santa Claus can be seen stuffing himself down that cheesy cardboard chimney at the hardware store, one day soon you will notice when…
Risk adjustment is an actuarial tool used to predict healthcare costs and adjust payments to healthcare plans to cover expected relative costs for providing coverage to enrollees. Risk adjustment ensures that health insurance plans have adequate funding to provide care to people who are likely to have high healthcare costs…
ICD-10 is supposed to be about better disease management and more accurate medical diagnoses and treatment reports. But for many in the healthcare world, ICD-10 is all about money. The federal government wants ICD-10 in order to help our healthcare system save money. ICD-10’s promises of more precise and complete…
ICD-10 could live to see another day. The House Appropriations Committee posted the $1.1 trillion spending bill Tuesday night. According to the American Health Information Management Association (AHIMA) there is no language tucked into the bill that would delay the implementation of ICD-10.
ICD-10 will impact nearly all of the processes in your practice or organization, and using that fact as the starting point for your ICD-10 testing will make the process smoother and more worthwhile for everyone involved. Although it may not be possible to coordinate or synchronize all aspects of the…
As attention turns toward end-of-year activities such as the holidays, giving back, and spending time with family, physicians may find themselves on the receiving end of a few freak holiday accidents. The new and sometimes jaw-dropping granularity of ICD-10 codes represents a daunting new level of detail that will become…
The process of constructing codes in ICD-10-PCS is designed to be logical and consistent: individual letters and numbers, called "values," are selected in sequence to occupy the seven spaces of the code, called "characters."  In ICD-10-PCS sections 0 through 2, and 4,the sixth character defines the device– i.e., the graft,…
Despite a decline in participation and some lingering issues still affecting providers, Centers for Medicare & Medicaid Services Provider Billing Group Director Diane Kovach told Talk-Ten-Tuesday listeners last week that she was pleased with the results from the second of four scheduled acknowledgement testing weeks being planned and coordinated by…
As I reflect on the many comments from physicians, coders, educators, auditors, and various organizations, a message of frustration keeps creeping into the conversation. Physicians aren’t cooperating. Physicians don’t want to hear about ICD-10. I can’t get my doctors interested. As I reflect on the reasons that might exist for…
EDITOR’S NOTE: Dr. Wilbur Lo reports on coding ASD in ICD-10 as part of ICD10monitor’s coverage of the advantages of coding and documenting ASD in ICD-10. According to the National Institute of Mental Health, Autism Spectrum Disorder (ASD) is characterized by a wide range of symptoms and levels of impairment…