ICD-10 Clinical Features - Phase 1

SOAPware 7.0.9057 is our Phase 1 release of ICD-10 features. It is important that SOAPware users begin to proceed with initiatives to begin the transition process from ICD-9 to ICD-10.  

Phase 2 of our ICD-10 features include items such as:

  • A visual clue to indicate that a SMARText item does not contain a dual-coded ICD-10 code.  This will be used to allow the user to visually inspect patients existing Active Problems and update the Dx codes with dual-coded ICD-9/ICD-10 codes.
  • All ICD-10 codes will be uploaded to the SOAPware Cloud Library and made available for users to download.
  • A more instant and directly available viewer will present related and more precise ICD-10 codes from the Coding/Notes section of dual-coded items for your easy selection. The Coding/Notes section, now available for your inspection, contains much other information as well as the ICD-10 mappings.
  • Presentation of the coding comments that includes ICD-10 notes and guidance, such as the possible need to include external cause codes for injuries, etc.

ICD-10 Sub-Item Display

ICD-10 Sub-Item Display

SOAPware has added a feature that will allow the user to display the sub-item for the ICD-10 code on a Structured Dx item. By default, after updating to 7.0.9057 the sub-item for ICD10 will be automatically checked and will be inserted when a new diagnosis code is entered into documentation.

Insurance Company ICD Preference

Insurance Company ICD Preference

A toggle has now been added to the insurance company section to allow the user to set a preference for ICD9 or ICD10.  It is expected that some insurance companies will be ready to process ICD10 claims as of October 1st, 2015, but some will not.  This toggle allows the user to specify if the insurance company wants ICD10 codes reported or prefers for the practice to continue to report ICD9 codes.

With the update to 7.0.9057 and subsequent releases prior to October 1st, 2015, the insurance companies code preference will default to the ICD9 selected.  Practices should ensure that this setting continues to be set to ICD9 until the insurance company is prepared to accept and process ICD10 claims (*Note: If testing ICD10 claims, this toggle can be changed and then immediately reverted back for production environment).

Dual-Coded SMARText Diagnoses

Dual-Coded SMARText Diagnoses

At this time, greater than 90% of the 7000 core, customized diagnosis SMARText items that SOAPware users are actually inserting into documentation today, cannot only be coded for ICD-9, but can also contain billable ICD-10 (and SNOMED-CT) codes as well.

All individual ICD-10 codes will be added to the Cloud Library with a future release of SOAPware.

Related Diagnosis Selection of ICD-9 vs ICD-10

To prepare for the ICD-10 transition, as well as, allow our customer to begin testing ICD-10 claims, SOAPware has added a feature that will allow the user to toggle between using an ICD-9 or ICD-10 code when relating the diagnosis to an office visit.  

This feature allows for:

  • Toggle to insert ICD-10 code as the related diagnosis prior to October 1st, 2015 to submit a billing statement/superbill for ICD-10 testing purposes.
  • Toggle to insert ICD-9 code as the related diagnosis prior to October 1st, 2015 for current claims.
  • Toggle to insert ICD-9 code as the related diagnosis after October 1st, 2015 for insurance companies who are not yet ready to accept ICD-10.

To relate the ICD-10 Diagnosis code to an office visit CPT code, follow the steps below:  

  1. Clicking on the Related Dxs sub-item will display the appropriate codes in the SMARText Quick Access window.
  2. The user has the ability to view either related ICD-9 codes or ICD-10 codes by selecting the desired option using the radio button.  This option will default to the insurance companies preferred coding system for the selected patients insurance.  (*Note: The preferred coding system for an insurance company is set up in the Tools > Insurance Companies dialog).
  3. If the item is a dual-coded Dx item, the SMARText Quick Access will display the related ICD-9 and/or ICD-10 codes.  If the item is not dual-coded, only the ICD-9 or ICD-10 code will be displayed in the view.

- ICD-9/ICD-10 Toggle

The user has the option to toggle between ICD-9 and ICD-10 when relating a diagnosis to a CPT code.  If the user toggles to the coding option that is not preferred by the patients insurance company, the code will be highlighted in red.

After the Related Dxs is selected, it will be displayed in the Plan field along with the chosen code (either ICD-9 or ICD-10).

Billing Statement

Billing Statement

When the billing statement is created, it will include the code selected to correspond with the related diagnosis (either ICD-9 or ICD-10) and this code will be transmitted to the billing system when posted.