THE JOURNAL OF THE HEALTHCARE BILLING AND MANAGEMENT ASSOCIATION 31 Lower abdominal pain unspecified: R10.30 Unspecified abdominal pain: R10.9 Generalized abdominal pain: R10.84 Right upper quadrant pain: R10.11 Right lower quadrant pain: R10.31 Left lower quadrant pain: R10.32 Left upper quadrant pain: R10.12 Periumbilical pain: R10.33 Many solutions that are configured to use documentation to map to an ICD-10 diagnosis code can be modified to ensure that unspecified codes are either grayed out or appear at the end of the list of diagnosis codes. This will ensure that the clinician recognizes the importance of specificity and granularity in assigning ICD-10 codes. Implementation of new technology and testing all systems involved in the reporting, coding, and billing process is imperative to getting the claim out the door. Timely follow-through on carrier denials utilizing coding guidelines and robust documentation provided by physicians with collaboration from clinical documentation improvement specialists will ensure ongoing economic stability of your clients’ organizations.3 ■ Valerie Fernandez is the assistant director of health information management, and previously the ICD-10 quality assurance manager at the Hospital for Special Surgery in New York. She also holds a CPC and CPC-H from the American Academy of Professional Coders (AAPC). She served as president of the midtown Manhattan chapter and president for the Manhattan chapter of the AAPC. Resources 1. Conn, J., “IT Experts Push Translator Systems to Convert Doc- Speak into ICD-10 Codes,” Modern Healthcare, 44 (18), 10 (2014). 2. “Evaluation of Natural Language Processing from Emergency Department Computerized Medical Records for Intrahospital Syndromic Surveillance,” BMC Medical Informatics & Decision Making, 11 (1), 50-62 (2011). 3. Morrissey, J., “The Nice-to-Haves vs. the Need-to-Haves,” H&HN: Hospitals & Health Networks, 88 (2), 42, (2014). ADVERTISE IN Reach your target audience by advertising in Billing. We have multiple advertising options available. If you are interested in learning more, please contact: David Merli, HBMA Sales Manager dmerli@hbma.org 202-367-1219
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