title: A Seamless Navigation to ICD-10-CM for Interventional Pain Physicians: Is a Rude Awakening Avoidable?
abstract: Since October 1, 2015, the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) was integrated into U.S. medical practices. This monumental transition seemingly occurred rather unceremoniously, despite significant opposition and reservations having been expressed by the provider community. In prior publications, we have described various survival strategies for interventional pain physicians. The regulators and beneficiaries of system-CMS, consultants, and health information technology industry are congratulating themselves for a job well done. Nonetheless, this transition comes at an immeasurable financial and psychological drain on providers. However, a rude awakening may be making its way with expiration of initial concessions from government and private payers.This manuscript provides a template for interventional pain management professionals with multiple steps for seamless navigation, including descriptions of the most commonly used codes, navigation through ICD-10-CM manual, steps for correct coding, and finally, detailed coding descriptions for various interventional techniques.
authors.affiliation: Pain Management Center of Paducah, Paducah, KY, and University of Louisville, Louisville, KY.
authors.forename: Laxmaiah
authors.initials: L
authors.lastname: Manchikanti
authors.affiliation: MJH Consulting, Denver, CO.
authors.forename: Marvel
authors.initials: M
authors.lastname: Hammer
authors.affiliation: Department of Anesthesiology and Perioperative Medicine, University of Louisville.
authors.forename: Mark V
authors.initials: MV
authors.lastname: Boswell
authors.affiliation: LSU Health Science Center, New Orleans.
authors.forename: Alan D
authors.initials: AD
authors.lastname: Kaye
authors.affiliation: Massachusetts General Hospital and Harvard Medical School, Boston, MA.
authors.forename: Joshua A
authors.initials: JA
authors.lastname: Hirsch
mesh_terms: D006801:Humans; D038801:International Classification of Diseases / Q000639:trends*; D008490:Medical Informatics / Q000379:methods / Q000639:trends; D010146:Pain / Q000145:classification* / Q000175:diagnosis; D059408:Pain Management / Q000145:classification* / Q000379:methods / Q000639:trends*; D010147:Pain Measurement / Q000145:classification / Q000639:trends; D010820:Physicians / Q000639:trends*; D014481:United States