Top 8 Questions from ICD-10 Day (October 1, 2015)

Click on a question below to expand and collapse the answers.

  1. Go into the Insurance Settings under Insurance Manager.
  2. Find the profile of the insurance associated with the case.
  3. Uncheck the ICD-10 checkbox.
  4. Click “Save.”
  5. Go to the patient’s case or note; you should now be able to add an ICD-9 code.
  6. Add the ICD-9 code.
  7. Save the case or save the document as a draft.
  8. Go back to the insurance profile.
  9. Select the checkbox for ICD-10.
  10. Verify that the effective date is 10/1/2015.
  11. Click “Save.”
If you wish to add ICD-9 codes to notes for dates of service before 10/1/2015, you can still do so by using the "Add new code" link within the documentation.  Make sure the date of the note at the top of the Subjective tab is correctly set to a date prior to 10/1/2015 to enable the ICD-9 picker.

If you’re having trouble adding ICD-10 codes to certain patients, check the insurance settings for the insurances associated with those patients. Our system has defaulted the insurance types Auto and Other to ICD-9 codes. If you would like to change the default:

  1. Go to Insurance Settings under the Insurance Manager.
  2. Find the insurance in question.
  3. Select the checkbox for ICD-10.
  4. Verify that the effective date is 10/1/2015.
  5. Click “Save.”

Also, this is a good time to correct miscategorized insurance types to avoid this problem in the future.

Refresh your page. You can do that by hitting F5 on your PC or command-shift-R on your Mac. Once you’ve refreshed your page, the Treatment Diagnosis field should appear.

The Conversion Report is a shortcut to get you started with your ICD-9 to ICD-10 conversions. The report was designed to convert the primary ICD-9 code for each patient. To add more ICD-10 codes and/or edit the ones you’ve already added, simply go into the patient's chart and edit the case. It’s officially October 1, so we’ve eliminated the testing checkbox. Now, the Insurance Settings will determine whether you are able to access the ICD-10 picker (and in most cases, this is the new default).

Yes, the codes will save, and they will not overwrite the existing ICD-9 codes. The "Use this Case for ICD-10 Testing" checkbox allowed people to access the ICD-10 picker prior to October 1; now that October 1 is here, that checkbox has been removed. However, if you used the testing functionality to add ICD-10 codes prior to October 1, that will not affect claims for dates of service prior to October 1. The insurance settings will ensure that ICD-9 codes are still sent for dates of service prior to October 1. If you used the testing functionality to add ICD-10 codes to a case or note prior to October 1, and you finalize that note on or after October 1, the ICD-10 code will flow through to billing. As of October 1, it doesn’t matter if the “Use this Case for ICD-10 Testing” option was checked previously.

The updated insurance settings we released last week determine whether WebPT sends ICD-9 or ICD-10 codes to the claim. So, if the date of service is before October 1, and the payer’s ICD-10 effective date is October 1, WebPT will send ICD-9 codes in the snapshot. If the date of service is on or after October 1, we’ll send ICD-10 codes. For dual coding scenarios in which one payer is still using ICD-9 and the other is using ICD-10, WebPT will send codes from both sets. The billing software will then be able to use whichever code set is appropriate based on insurance. For example, if the patient’s primary insurance accepts ICD-10 codes but the secondary accepts ICD-9, the ICD-9 codes will appear on the claim once the patient’s secondary insurance is billed.

No, this is not necessary, as our system automatically sends codes from the correct set based on the insurance settings. Plus, you’ll want to keep the ICD-9 codes in case you need to do an addendum or backdate a note.

When you have a transition case that contains both ICD-9 and ICD-10 codes, our system requires you to assign both a primary ICD-9 and primary ICD-10 code, even if the date of service is on or after October 1. Rest assured, however, that the insurance settings will control which code set is sent to your billing software. The reason we still save your ICD-9 codes is because there may be instances where you need to do an addendum or back date a note for a date of service prior to October 1.