Today, we started bridging our ICD-9 codes that we
commonly use in our practice to the new ICD-10CM
coding system. This is so I could get a handle on
how to convert the current codes we are using to ICD-
10. I am not billing with these codes, but rather
just doing the conversion when I am done seeing
the patient. Our practice has used the APMA coding
resource center developed by Dr. Goldsmith and Dr.
Freedman's coding conversion manual to generate our
own codes that we would use in our office.

The initial process of conversion was rather time-
consuming, but when it was done it contained all
the current diagnosis codes that we use daily. As
the days and weeks approach Oct 1, 2014, we will
modify and improve the codes that are contained in
our practice conversion table. With the current
APMA ICD-10 bi-weekly webinars, ICD-10 meeting
that are being held this year, and with all the
available resources on ICD-10 provided by the APMA
our practice will be ready.

But, unfortunately at this time, our EHR software
vendor is not. My hope is that they will receive
ONC certification for Stage II MU and have the
current updated EHR and billing software versions
compatible for ICD-10 codes. They state they will
be ready by the end of March 2014. We will see if
they are ready when that time comes.

Regardless, I feel rather comfortable at this
moment with my abilities to acquiesce into ICD-10.
My colleagues should take my advice of getting
ready sooner than later and start as soon as
possible to familiarize yourself with this
seamless and full proof ICD-9 to ICD-10CM
conversion process.

Start to use ICD-10 in a "ghost" fashion as I have
and you will be amazed on how simple the change
will be. Being a Boy Scout long ago, I always
follow the motto of "Be Prepared."

Joseph Borreggine, DPM, Charleston, IL,
[email protected]