TherapyNotes and ICD-10

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ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), produced by the World Health Organization (WHO).

As a behavioral health professional, your best tool to understand ICD codes is the Diagnostic and Statistical Manual of Mental Disorders (DSM) by the American Psychiatric Association (APA). The DSM outlines the criteria for determining a diagnosis and provides you a list of the corresponding ICD codes. Unlike the DSM-IV, which only documented ICD-9 codes, the DSM-5 lists both ICD-9 and ICD-10 codes for each diagnosis.

Using ICD-10 codes in TherapyNotes

ICD-10 codes should be used for all appointments that have a date of service on or after October 1, 2015. TherapyNotes' built-in DSM-5 search allows you to search for both ICD-9 and ICD-10 codes, and selecting the diagnosis from these search results will automatically fill in the correct ICD-10 code for the diagnosis.

TherapyNotes always copies the diagnosis from your most recent note for a client. If you have previous notes which use ICD-9 codes, TherapyNotes will notify you that these codes need to be updated when codes are pulled forward from the previous note.

10/1/2016 DSM-5 Update

On October 1, 2016, the APA released an update to the DSM-5. Some text revisions change diagnostic criteria for a variety of disorders, and there are also several coding changes. For a consolidated list of changes, read more on our blog. For a more detailed explanation of changes to coding and diagnostic criteria, read the DSM-5 Update from the APA.

We strive to keep TherapyNotes updated with the latest advancements in the industry, and our DSM-5 search was automatically updated as of October 1, 2016 to include these updated codes and diagnostic criteria. Be sure to update your clients' diagnosis codes on Treatment Plans when applicable and use the updated ICD-10 codes on notes for dates of service on or after October 1, 2016.

Please be aware that any notes already completed before this time will not be automatically updated. Be sure to update all diagnosis codes for these clients upon their next note.

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Comments

  • Avatar
    Abby Stein

    If i submitted claims with the old code after 10/1 how do i update it to the new code so i can resubmit

    Abby

  • Avatar
    Laura

    Abby,

    Go into each note, change the diagnosis code in the interface back to ICD-9, re-sign and save the note, then you can resubmit the claim.

  • Avatar
    Brenda Caro

    Abby,

    How do I do a corrected claim?

  • Avatar
    Laura

    Brenda,

    To submit a corrected claim:

    Billing > Submit EDI Claims > Change "Method" to "Open Items that can be Resubmitted" > Change "Resubmission Type" dropdown menu to "Amended Claim". Be sure to include the corrected claim number in the Payer Claim Control Number field.

  • Avatar
    Khalafalla Mohammed

    Sample progress note for patient with ADHD

  • Avatar
    Laura

    Khalafalla,

    To view a Progress Note template:

    1. PATIENTS > Click name > "Notes" tab
    2. From the "Create Another Note" dropdown select "Psychotherapy Progress Note".

  • Avatar
    Mark Dell

    Hi,
    My understanding is that the code for alcohol dependence in full remission is F10.21. Yet, I can not find it in Therapist helper. Please help...

    Mark

  • Avatar
    Brad Pliner

    Mark, you mean TherapyNotes I hope. :) That's a great question.. We usually only included diagnosis codes that are in the DSM by default. You can add that diagnosis, or any other, from the Diagnosis Codes settings page.

  • Avatar
    Anne Devine

    I want to code my client as having Postpartum depression. The correct code appears to be O90.6, but it is not in Therapy Notes. If I have to add that diagnosis, as you responded to the Brad Pliner's question, how do I do that?

  • Avatar
    Jordan

    Anne,

    To add in a custom diagnosis code please go to your TherapyNotes settings and under the "notes and coding" header choose diagnosis codes.Click "add custom diagnosis code" in the top right and please fill out the fields that are provided to you. Once you add the code you will be able to choose this diagnosis.

    If you have any further questions please contact support at 215-658-4550 or via email at support@therapynotes.com.

  • Avatar
    Brad Pliner

    Anne, the code O90.6 is not in the DSM, which is why we don't include it in our search.,I do wonder if it should be used. The articles on line seem to indicate that you should use the specifier “with peripartum onset".
    Here's one such article: http://www.postpartum.net/wp-content/uploads/2014/11/DSM-5-Summary-PSI.pdf

  • Avatar
    Kevin Ashworth

    Hey, is there a new code for 'no diagnosis" or "diagnosis deferred'?