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Upgrade to ICD-10: Introduction video and transcript

Practice Fusion has taken the hassle out of ICD-10, with a full end-to-end upgrade for your EHR so you don’t have to miss a single patient, or payment. Practice Fusion’s upgraded Code Assist for ICD-10 helps you document your diagnoses simply and intuitively — natural language search means you’ll never have to memorize another code again and refinement suggestions help you quickly bridge from ICD-9 to ICD-10. Remember, ICD-9 codes should be used for encounters with a date of service or date of delivery prior to October 1, and ICD-10 codes must be used for encounters with a date of service or delivery on or after October 1.

Clinical workflow

From the encounter or the summary page of the patient’s chart, you can add a new diagnosis in ICD-10. Start by adding a diagnosis from the summary section or the assessment section of the SOAP note. Start typing the description of the diagnosis or the ICD-9 code to get a list of potential ICD-10 codes. You can always enter in the exact ICD-10 code if you know it.

A list will appear with the corresponding diagnoses. Toggle the codes on or off as needed. If your ICD-9 code matches only one ICD-10 code, you can select it from the list with no further action. If your ICD-9 code matches several ICD-10 codes, you will see an orange notification next to the diagnosis which indicates that further refinement is needed.

Click on the diagnosis to refine it. You will see the ICD-9 and SNOMED codes that correspond with your selection as well as a list of potential ICD-10 codes. The facet search button is a quick way to refine your search and find the correct ICD-10 code. You will be able to filter by type to make sure that your code is the most specific. The parentheses show how many codes apply to that type and how many codes it will narrow the search to.

Once you have narrowed down the search filter, select the applicable ICD-10 code and add any additional details for the diagnosis before selecting Done to save. Moving forward, the diagnosis for this patient will be saved as an ICD-10 code.

Updating existing ICD-9 codes to ICD-10

When updating any of your patient’s existing diagnoses that are still in ICD-9 or when updating your frequent diagnosis list, you will be able to easily bridge from ICD-9 to ICD-10. When you select a frequent diagnosis that is still in ICD-9, an orange icon will appear if further refinement is required. Click refine diagnosis and select the relevant ICD-10 code.

If you are adding a diagnosis from the patient’s active or historical diagnosis list, you will see a refine link listed under the diagnosis if there is more than one ICD-10 code available. Click refine then select from the ICD-10 code list or use the facet search button to choose the right one. This will also update the patient’s diagnosis list. You can use this same workflow from the summary screen by selecting the diagnosis you want to update. Codes with one to one mapping will have the ICD-10 code updated once you have selected it and you can simply select done.

Ordering workflow

Starting October 1, you will be required to use ICD-10 codes when adding related diagnoses to lab orders. Any ICD-10 code added to the chart will be visible when ordering tests and Practice Fusion makes it easy to upgrade any previously selected ICD-9 codes when ordering.

Create a lab order from your patient’s chart under Actions and add the tests you want to order. To add a new a diagnosis, type into the search box. If there is a match to one ICD-10 code from either the description or the ICD-9 code, select the diagnosis directly. Codes that require further refinement before you can complete the order have a red notification mark.

Click on the code and a list of related ICD-10 codes will appear. Use the facet search button to quickly refine your search and find the correct ICD-10 code. Select the diagnosis code that applies and continue your order.

Lab ordering templates

When using existing templates, Practice Fusion has made it easy to upgrade your old ICD-9 codes quickly. Your templates that need refinement will have a red notification next to the template name. Open the template and search for a new diagnosis or click on the out-dated ICD-9 diagnosis and edit the template in the lab template settings. Remove the ICD-9 code and search for the specific ICD-10 code. If needed, use facets to identify the correct ICD-10 codes. Click save once you have selected your new code and you will be taken back to your lab order. Click to add the template into your existing lab order and continue processing.

Superbill workflow

Your superbill is already up-to-date with the full ICD-10 library. To open a superbill from any encounter, select “create a superbill”. Add in the CPT codes for the visit and then select “add diagnosis”. From there you can select any historical or encounter diagnoses from the tabs on top. Any ICD-9 codes that needs to be upgraded to an ICD-10 code will appear with the available ICD-10 codes — select the correct code for the visit.

Easily search for new diagnoses by natural language keyword, ICD-9, or ICD-10 code. A list will appear with related diagnoses that you can select or hit enter to see the complete list. If there is a one to one ICD-9 to ICD-10 match, select the code with no further actions. For ICD-9 codes that have several corresponding ICD-10 codes, you can use the “refine by” search to narrow down the selection and identify the correct code. Select the code and click done once you have added all diagnoses for this CPT code. All integrated billing partners with Practice Fusion are ready to accept and process ICD-10 codes and these will transfer directly with the superbill when you select “ready for biller”.

Practice Fusion makes the ICD-10 transition as easy as possible and we will continue enhancing these features through the end of year based on your feedback. Practice Fusion, the EHR that’s working for you!