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 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.
- Additional informative diagnoses can be added to indicate other contributing factors.
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 diagnosis is not entered, you will be unable to complete the session note.
- You can add or remove diagnoses for each session note as needed.
Understanding and correctly applying ICD-10 codes ensures accurate documentation and smooth insurance reimbursement.