Configuring ICD-9 Codes

Note: Your Staff Manager configuration may not include this optional application. To add this application to your configuration, contact your Clinical Consultant or Client Advocate.

Criteria-Based Library patterns can use ICD-9 codes. You can assign ICD-9 codes to DRG patterns (either Standard or Custom), or you can configure a Non-DRG pattern using one or more ICD-9 codes, diagnoses, or admit reasons.

ICD-9 codes are facility-specific. Whether you need to configure ICD-9 codes depends on whether your organization sends codes to Patient Progress Manager in the Registration import. The amount of time you spend configuring ICD-9 codes depends on whether your organization uses and sends higher ranking criteria to Patient Progress Manager. The hierarchy for assigning patterns is DRG, ICD-9, Diagnosis, and Admit Reason, with the default being location-based pattern assignment.

The ICD-9 Definition Editor page displays ICD-9 codes, your description, class, and current pattern assignment in numerical order; however, you can also sort by any column by clicking the column heading. You can also hide ICD-9 codes; hidden codes are displayed in strikethrough text: This is strikethrough text.

Normally, Patient Progress Manager imports ICD-9 codes during the Demand Manager implementation process. This topic covers the steps needed to make any manual adjustments to ICD-9 codes.

Finding an ICD-9 Code

Before adding an ICD-9 code, you should make sure it does not already exist in the application.

1. From the Configure menu, select Demand Manager > ICD-9. This opens the ICD-9 Definition Editor page.
2. In organizations with multiple facilities, the page displays a Facilities menu in the Navigation pane. If so, select a facility from the menu.
3. You can find codes by entering the code number or the code's description.
   1. To search by code number, enter an ICD-9 code in the Find box of the Navigation pane. You can enter a code or a code range. If searching for a range, you should separate numbers with a hyphen (such as 001.0-002.9).
   2. To search by description, enter all or part of the description in the Description box of the Navigation pane.
4. Click Go.

The page refreshes to display any ICD-9 code containing your search criteria, up to a maximum of 100 entries. If there are more than 100 entries, you will see the message First 100 results returned. Narrow your search and click Go again.

If no results are returned, you can add the ICD-9 code as described in the following section Adding an ICD-9 Code.

Adding an ICD-9 Code

Complete the following steps to add an ICD-9 code:

1. From the Configure menu, select Demand Manager > ICD-9. This opens the ICD-9 Definition Editor page. The page is blank by default.
2. In organizations with multiple facilities, the page displays a Facilities menu in the Navigation pane. Select a facility from the menu.
3. Click Add. A blank row opens in the ICD-9 table.
4. Enter a Code number.
5. Enter a Description.
6. Select a Class. Available options are D (for Diagnosis codes) and P (for Procedure codes).
7. Click Save.

The solution does not allow duplicate ICD-9 codes. If your ICD-9 code already exists in the application, Patient Progress Manager highlights the Code box in red and prompts you to correct the entry. If the pre-existing ICD-9 code is displayed on the Web page, Patient Progress Manager highlights both your new code and the existing code in pink so you can see where the duplication is.

Editing an ICD-9 Code

You can edit ICD-9 code information on the ICD-9 Definition Editor page if the code is not being used by a Library Pattern, but you cannot assign an ICD-9 code to a pattern on this page. Instead, you should go to the Progress Patterns page to assign ICD-9 codes to a pattern.

1. From the Configure menu, select Demand Manager > ICD-9. This opens the ICD-9 Definition Editor page. The page is blank by default.
2. In organizations with multiple facilities, the page displays a Facilities menu in the Navigation pane. Select a facility from the menu.
3. Find the ICD-9 code as described in the preceding section Finding an ICD-9 Code.
4. Make your changes to the ICD-9 information. If the code cannot be edited, its box and its Class menu are unavailable.
5. Click Save.

Deleting an ICD-9 Code

You cannot delete an ICD-9 code if the following conditions apply:

• The code is currently assigned to a progress pattern. You would need to first remove the code from the progress pattern before deleting it.
• The code was assigned to a progress pattern at any time.
• The code was assigned to a patient encounter at any time.

The Delete icon is marked with a red X if an ICD-9 code cannot be deleted.

You should be aware that while you cannot delete an ICD-9 code, you can hide it. Hiding an ICD-9 code prevents it from being associated with future patterns. See the following section, Hiding an ICD-9 Code.

If the ICD-9 code does not fall into one of those three categories, and you want to remove it from the Progress Pattern page available selections, you can delete it using the following steps.

1. From the Configure menu, select Demand Manager > ICD-9. This opens the ICD-9 Definition Editor page. The page is blank by default.
2. In organizations with multiple facilities, the page displays a Facilities menu in the Navigation pane. Select a facility from the menu.
3. Find the desired ICD-9 code as described in the preceding section Finding an ICD-9 Code.
4. Click the Delete icon in the desired ICD-9 code row. This opens a confirmation pop-up window.
5. Click OK to confirm the deletion.
6. Click Save.

Hiding an ICD-9 Code

Hiding an ICD-9 code keeps it from being displayed as available on the Progress Pattern page and prevents it from being associated with future patterns. You should note, however, that hiding an ICD-9 code does not remove it from a current pattern.

Patient Progress Manager displays hidden ICD-9 codes in strikethrough text. This is strikethrough text.

1. From the Configure menu, select Demand Manager > ICD-9. This opens the ICD-9 Definition Editor page. The page is blank by default.
2. In organizations with multiple facilities, the page displays a Facilities menu in the Navigation pane. Select a facility from the menu.
3. Find the ICD-9 code as described in the preceding section Finding an ICD-9 Code.
4. Click the Hide box in the desired ICD-9 code row. The page refreshes to show the ICD-9 code in strikethrough text and the backgrounds of its associated options turn gray.
5. Click Save.

You can click Reset to undo any edits made since you last saved the configuration.

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