What Are ICD-10 Codes?

ICD-10 (International Classification of Diseases, 10th Edition) is a globally recognized diagnostic coding system maintained by the World Health Organization (WHO). It categorizes:

• Medical conditions and diseases
• Health problems and abnormal findings
• Signs, symptoms, and injuries
• Causes of illness or injury

ICD-10 codes, also known as diagnosis codes, are essential for establishing medical necessity and ensuring the payment of health insurance claims.

What Are Medically Necessary (Primary) Diagnoses?

Health insurance payers only reimburse certain ICD-10 codes deemed medically necessary.

• To receive reimbursement, at least one medically necessary diagnosis must be included in the session note for insurance clients.
• When documenting a session on Tava, medically necessary diagnoses will be labeled "Primary."
• Additional informative diagnoses can be added to indicate other contributing factors. These are labeled as "Secondary" on Tava.

Using ICD-10 Codes in Tava

Tava ensures the ICD-10 code list is always up to date.

• To search for a diagnostic code, start typing the name or code number in the "Diagnosis" section of a session note.
• If a medically necessary (primary) diagnosis is not entered for an insurance session, you will be unable to complete the session note.
• You can add or remove diagnoses for each session note as needed.

Tava requires all insurance-pay sessions to include a medically necessary (primary) diagnosis code in session notes. This ensures accurate documentation and smooth reimbursement.