Annual ICD Code Compare and Update

Oct 2006

 

2006 list is not a complete list , but additions only, approx 210.

We’ll need to compare to previous year, and for any ICD on the new list , find the old one with less specificity  and mark as Inactive.

 

Select #9, Other Programs, and then select Annual ICD Code Compare

 

ICDCOMP.COD   9.6(104) 2006 -2007 ICD9 Updates Select: __ 1.    Print List of Updated codes 2.    Select which codes to Add to system 3.    Add Selected codes, mark old ones as inactive 4.    Print report of Added and de-activated Codes

1.  You should print and review the new codes.  You may not want to import the entire list

2.  If entire list is to be merged, skip step 2, go to step 3. The system will bring up entire list, and allow you to SELECT or Skip each code.  Only the Selected codes will be merged.

3.  Based on your selections,  the new codes will be merged and the old codes will be marked as Inactive.  Old codes are not deleted because old SVC’s still use those codes.  4.  A report of added and de-activated codes is created.

Programs Needed: Icdcomp.run  9.6(104) Icd2006.txt

 

 

*****  Below are instructions for 2004 updates.  No Longer apply  *****

Oct 2004

 

New ICD codes are published annually, either as a brand new 3 digit code, or as further 4^th and 5^th digit precise coding.  Unfortunately, there is not a list of just the changes; the list is created in it’s entirety.

 

We need a program to perform following:

1. Compare this year’s complete list to last year’s list, reporting on:
   1. List of codes deleted, not on new list.  For each deleted code, try to find the new 4^th & 5^th digit precise one.
   2. List of new codes
2. Compare new master file with existing SERKEY file,

1. Existing ICD’s that are not on new list, mark as Inactive
2. Add new codes for better 4^th & 5^th digit precision

Note:  We may not want to automatically add all the new codes into SERKEY since it would clutter the file with many irrelevelant ICD’s.

 

User instructions:

 

Select #9, Other Programs, and then select Annual ICD Code Compare

 

This program is run once per database.

ICDCOMP.COD   9.6(100)                      Select : ?                    1.  Compare 2 Master FIles                    2.  Mark old ICD's as Inactive in CyberMed SERKEY                    3.  Add new ICD Codes to CyberMed's SERKEY                       99.  Build Master File from ASCII list

 

NOTE: 2004  is the latest ICD list,  released and effective Oct 2004 

 

Select #1:

Enter old year:  2003

Enter new year:  2004

 

A report will be produced of Deleted and New Codes.

 

Select #2

Enter New Year:  2004

A report is created.  Print and review.  If acceptable,  answer YES to delete old codes.

 

Select #3

Each new code will be displayed;  answer  Y or N  to insert into your file.

 

Sample Report from #1, Compare 2 Years

Compare  DSK2:icd2003.idx[255,1] with DSK2:icd2004.idx[255,1] DELETE:0664  WEST NILE FEVER   NEW: 06640 WEST NILE FEVER NOS   NEW: 06641 WEST NILE FEVER W/ENCEPH   NEW: 06642 WEST NILE NEURO MAN NEC   NEW: 06649 WEST NILE W COMPLIC NEC   DELETE:2520  HYPERPARATHYROIDISM   NEW: 25200 HYPERPARATHYROIDISM NOS   NEW: 25201 PRIMARY HYPERPARATHYROID   NEW: 25202 SEC HYPRPRTHYRD NONRENAL   NEW: 25208 HYPERPARATHYROIDISM NEC   DELETE:347   CATAPLEXY AND NARCOLEPSY   NEW: 34700 NARCOLEPSY W/O CATAPLEXY   NEW: 34701 NARCOLEPSY W CATAPLEXY   NEW: 34710 NARCLPSY W/O CAT OTH DIS   NEW: 34711 NARCOLEPSY W CAT OTH DIS

 

#99 is reserved for Zybex CSR’s only. 

 

CSR Set Up:    icdcomp.run  Ver 9.6(100) or later.

 

ICD files are downloaded from http://cms.hhs.gov/providers/pufdownload/default.asp#icd  The download files are typically named  v22_icd9.zip,  etc.  When unzipped, the files names are v22icd9_file1.txt, etc.  There are 2 files.  Zybex CSR will do this.

The larger file is the one we want; these are the medical diagnosis

The 2^nd smaller file is surgical diagnosis, ignore it.

The ASCII file should be placed in [255,1], named as  icdyyyy.txt,  etc.

icdcomp.run:  Program has following menu options:  Run Option 99 for clients to get the Master files built.

Compare Master ICD Files from 2 different years Creates report called icdcomp.err Assumes step 1 above is done	This produces a report of the NEW codes and which old code it replaces.
Compare Master file to CyberMed’s SERKEY file Create Report Only Mark Old ICD’s as inactive,	2 Step process. 1st create report and review 2nd  Decide to mark the OLD ICD’s as inactive.
Insert New ICD Codes	Requires client interaction.  Will insert from list created by #2 above.
Build Master ICD files from Sequential ASCII files, specify year This step will usually be done by Zybex	Suggested names:    ASCII Text file:  icd2004.txt    ISAM Index:   icd2004.idx